| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,688.69 |
$2,689 |
1.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,829.99 |
$2,914 |
2.0× |
| Diagnostic colonoscopy (45378) |
$1,775.36 |
$2,827 |
1.8× |
| Colonoscopy with biopsy (45380) |
$1,924.19 |
$3,064 |
1.6× |
| Colonoscopy with lesion removal (45385) |
$2,098.78 |
$3,342 |
1.7× |
| Laparoscopic gallbladder removal (47562) |
$4,296.78 |
$6,842 |
0.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,087.07 |
$1,731 |
1.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,212.67 |
$1,931 |
1.3× |
| CT head/brain without contrast (70450) |
$1,137.31 |
$1,811 |
10.5× |
| MRI brain without contrast (70551) |
$1,844.44 |
$2,937 |
7.5× |
| MRI brain with contrast (70552) |
$1,946.80 |
$3,100 |
5.4× |
| MRI brain without and with contrast (70553) |
$2,465.53 |
$3,926 |
6.8× |
| X-ray lower spine, 4+ views (72110) |
$311.49 |
$496 |
2.9× |
| MRI lumbar spine without contrast (72148) |
$1,778.50 |
$2,832 |
7.2× |
| CT pelvis with contrast (72193) |
$1,234.65 |
$1,966 |
6.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,825.60 |
$2,907 |
7.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,388.91 |
$3,804 |
6.6× |
| Ultrasound, abdomen complete (76700) |
$534.43 |
$851 |
5.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$481.05 |
$766 |
4.5× |
| Ultrasound, transvaginal (76830) |
$380.57 |
$606 |
3.5× |
| Mammography, one breast (diagnostic) (77065) |
$355.45 |
$566 |
4.1× |
| Mammography, both breasts (diagnostic) (77066) |
$340.38 |
$542 |
3.1× |
| Mammography, screening (bilateral) (77067) |
$471 |
$750 |
5.2× |
| Basic metabolic panel (80048) |
$81.96 |
$130.50 |
9.7× |
| Comprehensive metabolic panel (80053) |
$108.02 |
$172 |
10.2× |
| Lipid panel (80061) |
$92.32 |
$147 |
6.9× |
| Renal function panel (80069) |
$187.14 |
$298 |
21.6× |
| Hepatic function panel (80076) |
$109.27 |
$174 |
13.4× |
| PSA, total (84153) |
$106.45 |
$169.50 |
5.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$93.57 |
$149 |
5.6× |
| CBC with automated differential (85025) |
$106.76 |
$170 |
13.7× |
| CBC, automated (85027) |
$98.60 |
$157 |
15.2× |
| Prothrombin time (PT) (85610) |
$40.82 |
$65 |
9.5× |
| Partial thromboplastin time (PTT) (85730) |
$56.83 |
$90.50 |
9.5× |
| Sleep study (attended polysomnography) (95810) |
$3,023.82 |
$4,815 |
3.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$86.04 |
$137 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$110.53 |
$176 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$163.28 |
$260 |
1.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$217.29 |
$346 |
1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$160.77 |
$256 |
1.2× |