| Upper GI endoscopy (EGD), diagnostic (43235) |
$165 |
$275 |
0.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$210 |
$350 |
0.3× |
| Diagnostic colonoscopy (45378) |
$247.20 |
$412 |
0.3× |
| Colonoscopy with biopsy (45380) |
$330 |
$550 |
0.3× |
| Colonoscopy with lesion removal (45385) |
$402 |
$670 |
0.4× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$879 |
$1,465 |
0.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$1,669.20 |
$2,782 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$1,669.20 |
$2,782 |
— |
| CT head/brain without contrast (70450) |
$1,463.40 |
$2,439 |
15.5× |
| MRI brain without contrast (70551) |
$1,850.40 |
$3,084 |
8.6× |
| MRI brain with contrast (70552) |
$1,786.20 |
$2,977 |
5.7× |
| MRI brain without and with contrast (70553) |
$3,071.40 |
$5,119 |
9.8× |
| X-ray lower spine, 4+ views (72110) |
$343.80 |
$573 |
3.6× |
| MRI lumbar spine without contrast (72148) |
$1,767 |
$2,945 |
8.2× |
| CT pelvis with contrast (72193) |
$1,498.20 |
$2,497 |
9.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,939.20 |
$3,232 |
9.0× |
| CT abdomen and pelvis with contrast (74177) |
$4,872.60 |
$8,121 |
15.5× |
| Ultrasound, abdomen complete (76700) |
$465.90 |
$776.50 |
4.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$103.80 |
$173 |
1.1× |
| Ultrasound, transvaginal (76830) |
$409.80 |
$683 |
4.3× |
| Mammography, one breast (diagnostic) (77065) |
$280.20 |
$467 |
3.3× |
| Mammography, both breasts (diagnostic) (77066) |
$351 |
$585 |
3.2× |
| Mammography, screening (bilateral) (77067) |
$280.20 |
$467 |
3.1× |
| Basic metabolic panel (80048) |
$78.60 |
$131 |
9.3× |
| Comprehensive metabolic panel (80053) |
$153 |
$255 |
14.5× |
| Lipid panel (80061) |
$57.90 |
$96.50 |
4.3× |
| Renal function panel (80069) |
$234.60 |
$391 |
27.0× |
| Hepatic function panel (80076) |
$168.60 |
$281 |
20.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$5.40 |
$9 |
1.6× |
| PSA, total (84153) |
$62.40 |
$104 |
3.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$124.20 |
$207 |
7.4× |
| CBC with automated differential (85025) |
$83.40 |
$139 |
10.7× |
| CBC, automated (85027) |
$85.20 |
$142 |
13.2× |
| Prothrombin time (PT) (85610) |
$50.40 |
$84 |
11.7× |
| Partial thromboplastin time (PTT) (85730) |
$41.40 |
$69 |
6.9× |
| Psychotherapy, 30 minutes (90832) |
$51.60 |
$86 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$69.60 |
$116 |
0.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$99.60 |
$166 |
0.6× |
| Electrocardiogram (ECG), complete (93000) |
$25.20 |
$42 |
0.5× |
| Sleep study (attended polysomnography) (95810) |
$1,819.20 |
$3,032 |
2.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$45.60 |
$76 |
1.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$109.80 |
$183 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$158.70 |
$264.50 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$235.20 |
$392 |
2.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$83.40 |
$139 |
0.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$86.40 |
$144 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$79.20 |
$132 |
— |