| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,878.40 |
$2,348 |
2.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,756.80 |
$2,196 |
2.1× |
| Diagnostic colonoscopy (45378) |
$1,808 |
$2,260 |
2.1× |
| Colonoscopy with biopsy (45380) |
$1,883.20 |
$2,354 |
1.7× |
| Colonoscopy with lesion removal (45385) |
$2,100.80 |
$2,626 |
1.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$697.60 |
$872 |
0.9× |
| CT head/brain without contrast (70450) |
$1,725.60 |
$2,157 |
17.9× |
| MRI brain without contrast (70551) |
$2,700 |
$3,375 |
12.3× |
| MRI brain with contrast (70552) |
$2,700 |
$3,375 |
8.4× |
| MRI brain without and with contrast (70553) |
$3,859.20 |
$4,824 |
12.0× |
| X-ray lower spine, 4+ views (72110) |
$620.80 |
$776 |
6.5× |
| MRI lumbar spine without contrast (72148) |
$2,784 |
$3,480 |
12.7× |
| CT pelvis with contrast (72193) |
$2,167.20 |
$2,709 |
13.4× |
| MRI lower-extremity joint without contrast (73721) |
$2,746.40 |
$3,433 |
12.5× |
| CT abdomen and pelvis with contrast (74177) |
$3,879.20 |
$4,849 |
12.1× |
| Ultrasound, abdomen complete (76700) |
$1,008.80 |
$1,261 |
10.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$820 |
$1,025 |
8.5× |
| Ultrasound, transvaginal (76830) |
$755.20 |
$944 |
7.9× |
| Mammography, one breast (diagnostic) (77065) |
$291.60 |
$364.50 |
3.4× |
| Mammography, both breasts (diagnostic) (77066) |
$360.80 |
$451 |
3.3× |
| Mammography, screening (bilateral) (77067) |
$304 |
$380 |
3.3× |
| Basic metabolic panel (80048) |
$173 |
$216.25 |
20.4× |
| Comprehensive metabolic panel (80053) |
$238 |
$297.50 |
22.5× |
| Obstetric panel (80055) |
$110.82 |
$138.52 |
2.3× |
| Lipid panel (80061) |
$170 |
$212.50 |
12.7× |
| Renal function panel (80069) |
$182 |
$227.50 |
21.0× |
| Hepatic function panel (80076) |
$173 |
$216.25 |
21.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$54 |
$67.50 |
15.5× |
| PSA, total (84153) |
$151.20 |
$189 |
8.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$176.24 |
$220.30 |
10.5× |
| Prothrombin time (PT) (85610) |
$72 |
$90 |
16.8× |
| Partial thromboplastin time (PTT) (85730) |
$103 |
$128.75 |
17.1× |
| Electrocardiogram (ECG), complete (93000) |
$52 |
$65 |
1.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$113.60 |
$142 |
3.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$170.40 |
$213 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$234.40 |
$293 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$262.40 |
$328 |
2.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$236.40 |
$295.50 |
1.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$112 |
$140 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$112 |
$140 |
— |