| Upper GI endoscopy (EGD), diagnostic (43235) |
$779.88 |
$917.50 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$856.38 |
$1,007.50 |
1.0× |
| Diagnostic colonoscopy (45378) |
$969.42 |
$1,140.50 |
1.1× |
| Colonoscopy with biopsy (45380) |
$1,013.62 |
$1,192.50 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,102.45 |
$1,297 |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$7,539.50 |
$8,870 |
1.4× |
| Inguinal hernia repair (age 5+) (49505) |
$4,407.25 |
$5,185 |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$255 |
$300 |
0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$454.75 |
$535 |
0.6× |
| CT head/brain without contrast (70450) |
$524.88 |
$617.50 |
5.5× |
| MRI brain without contrast (70551) |
$578 |
$680 |
2.6× |
| MRI brain with contrast (70552) |
$616.25 |
$725 |
1.9× |
| MRI brain without and with contrast (70553) |
$637.50 |
$750 |
2.0× |
| X-ray lower spine, 4+ views (72110) |
$272 |
$320 |
2.8× |
| MRI lumbar spine without contrast (72148) |
$578 |
$680 |
2.6× |
| CT pelvis with contrast (72193) |
$548.25 |
$645 |
3.4× |
| MRI lower-extremity joint without contrast (73721) |
$578 |
$680 |
2.6× |
| CT abdomen and pelvis with contrast (74177) |
$548.25 |
$645 |
1.7× |
| Ultrasound, abdomen complete (76700) |
$182.75 |
$215 |
1.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$161.50 |
$190 |
1.7× |
| Ultrasound, transvaginal (76830) |
$233.75 |
$275 |
2.4× |
| Mammography, one breast (diagnostic) (77065) |
$140.25 |
$165 |
1.6× |
| Mammography, both breasts (diagnostic) (77066) |
$140.25 |
$165 |
1.3× |
| Mammography, screening (bilateral) (77067) |
$140.25 |
$165 |
1.5× |
| Basic metabolic panel (80048) |
$40.66 |
$47.84 |
4.8× |
| Comprehensive metabolic panel (80053) |
$53.04 |
$62.40 |
5.0× |
| Lipid panel (80061) |
$56.78 |
$66.80 |
4.2× |
| Renal function panel (80069) |
$77.71 |
$91.42 |
9.0× |
| Hepatic function panel (80076) |
$53.04 |
$62.40 |
6.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$19.45 |
$22.88 |
5.6× |
| PSA, total (84153) |
$88.92 |
$104.61 |
4.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$78.48 |
$92.34 |
4.7× |
| CBC with automated differential (85025) |
$25.86 |
$30.42 |
3.3× |
| CBC, automated (85027) |
$40.66 |
$47.84 |
6.3× |
| Prothrombin time (PT) (85610) |
$30.10 |
$35.42 |
7.0× |
| Partial thromboplastin time (PTT) (85730) |
$27.20 |
$32 |
4.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$59.50 |
$70 |
2.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$114.32 |
$134.50 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$146.62 |
$172.50 |
1.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$187 |
$220 |
1.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$136 |
$160 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$170 |
$200 |
1.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$153 |
$180 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$153 |
$180 |
— |