| Upper GI endoscopy (EGD), diagnostic (43235) |
$957.18 |
$2,279 |
1.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$957.18 |
$2,279 |
1.1× |
| Diagnostic colonoscopy (45378) |
$963.48 |
$2,294 |
1.0× |
| Inguinal hernia repair (age 5+) (49505) |
$4,722.48 |
$11,244 |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$704.24 |
$1,676.76 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$202.86 |
$483 |
0.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$231.42 |
$551 |
0.4× |
| Cataract removal with lens insertion (66984) |
$588 |
$1,400 |
0.3× |
| CT head/brain without contrast (70450) |
$959.28 |
$2,284 |
9.1× |
| MRI brain without contrast (70551) |
$1,344 |
$3,200 |
5.6× |
| MRI brain with contrast (70552) |
$1,699.95 |
$4,047.50 |
4.9× |
| MRI brain without and with contrast (70553) |
$2,572.08 |
$6,124 |
7.3× |
| X-ray lower spine, 4+ views (72110) |
$241.92 |
$576 |
2.3× |
| MRI lumbar spine without contrast (72148) |
$1,374.45 |
$3,272.50 |
5.7× |
| CT pelvis with contrast (72193) |
$1,231.86 |
$2,933 |
7.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,570.80 |
$3,740 |
6.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,539.74 |
$6,047 |
7.2× |
| Ultrasound, abdomen complete (76700) |
$375.06 |
$893 |
3.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$137.76 |
$328 |
1.3× |
| Ultrasound, transvaginal (76830) |
$112.98 |
$269 |
1.1× |
| Mammography, one breast (diagnostic) (77065) |
$198.66 |
$473 |
2.3× |
| Mammography, both breasts (diagnostic) (77066) |
$254.10 |
$605 |
2.3× |
| Mammography, screening (bilateral) (77067) |
$157.50 |
$375 |
1.7× |
| Basic metabolic panel (80048) |
$106.68 |
$254 |
12.6× |
| Comprehensive metabolic panel (80053) |
$133.14 |
$317 |
12.6× |
| Lipid panel (80061) |
$168.84 |
$402 |
12.6× |
| Renal function panel (80069) |
$109.62 |
$261 |
12.6× |
| Hepatic function panel (80076) |
$103.32 |
$246 |
12.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$51.24 |
$122 |
14.7× |
| PSA, total (84153) |
$108.78 |
$259 |
5.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$99.54 |
$237 |
5.9× |
| CBC with automated differential (85025) |
$74.34 |
$177 |
9.6× |
| CBC, automated (85027) |
$61.74 |
$147 |
9.5× |
| Prothrombin time (PT) (85610) |
$39.90 |
$95 |
9.3× |
| Partial thromboplastin time (PTT) (85730) |
$57.54 |
$137 |
9.6× |
| Electrocardiogram (ECG), complete (93000) |
$26.46 |
$63 |
0.4× |
| Sleep study (attended polysomnography) (95810) |
$4,312.56 |
$10,268 |
5.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$53.76 |
$128 |
1.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$81.90 |
$195 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$116.55 |
$277.50 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$144.06 |
$343 |
1.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$75.18 |
$179 |
0.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$106.68 |
$254 |
0.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$103.32 |
$246 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$121.38 |
$289 |
— |