| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,551.75 |
$2,069 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,685 |
$3,580 |
2.5× |
| Diagnostic colonoscopy (45378) |
$2,519.25 |
$3,359 |
2.3× |
| Colonoscopy with biopsy (45380) |
$1,707 |
$2,276 |
1.2× |
| Colonoscopy with lesion removal (45385) |
$1,707 |
$2,276 |
1.2× |
| CT head/brain without contrast (70450) |
$1,045.12 |
$1,393.50 |
8.3× |
| MRI brain without contrast (70551) |
$3,436.12 |
$4,581.50 |
12.0× |
| MRI brain with contrast (70552) |
$3,942 |
$5,256 |
9.4× |
| MRI brain without and with contrast (70553) |
$4,465.12 |
$5,953.50 |
10.7× |
| X-ray lower spine, 4+ views (72110) |
$651.38 |
$868.50 |
5.2× |
| MRI lumbar spine without contrast (72148) |
$3,019.50 |
$4,026 |
10.6× |
| CT pelvis with contrast (72193) |
$1,621.88 |
$2,162.50 |
7.7× |
| MRI lower-extremity joint without contrast (73721) |
$3,013.50 |
$4,018 |
10.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,431.12 |
$3,241.50 |
5.8× |
| Ultrasound, abdomen complete (76700) |
$629.25 |
$839 |
5.0× |
| Ultrasound, transvaginal (76830) |
$643.88 |
$858.50 |
5.1× |
| Mammography, one breast (diagnostic) (77065) |
$546 |
$728 |
6.3× |
| Mammography, both breasts (diagnostic) (77066) |
$688.12 |
$917.50 |
6.2× |
| Mammography, screening (bilateral) (77067) |
$440.25 |
$587 |
4.8× |
| Basic metabolic panel (80048) |
$81.02 |
$108.02 |
9.6× |
| Comprehensive metabolic panel (80053) |
$99.38 |
$132.50 |
9.4× |
| Obstetric panel (80055) |
$1,929.75 |
$2,573 |
40.4× |
| Lipid panel (80061) |
$113.68 |
$151.58 |
8.5× |
| Renal function panel (80069) |
$183.75 |
$245 |
21.2× |
| Hepatic function panel (80076) |
$136.50 |
$182 |
16.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$50.25 |
$67 |
12.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$34.88 |
$46.50 |
10.0× |
| PSA, total (84153) |
$181.50 |
$242 |
9.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$192.53 |
$256.71 |
11.5× |
| CBC with automated differential (85025) |
$104.08 |
$138.77 |
13.4× |
| CBC, automated (85027) |
$70.24 |
$93.65 |
10.9× |
| Prothrombin time (PT) (85610) |
$67.50 |
$90 |
15.7× |
| Partial thromboplastin time (PTT) (85730) |
$60 |
$80 |
10.0× |
| Electrocardiogram (ECG), complete (93000) |
$200.25 |
$267 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$144.75 |
$193 |
5.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$391.88 |
$522.50 |
2.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$678.38 |
$904.50 |
4.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$693 |
$924 |
4.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$373.50 |
$498 |
— |