| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,704.42 |
$1,704.42 |
1.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,087.45 |
$2,087.45 |
2.2× |
| Diagnostic colonoscopy (45378) |
$2,981.91 |
$2,981.91 |
3.0× |
| Colonoscopy with biopsy (45380) |
$3,010.44 |
$3,010.44 |
2.4× |
| Colonoscopy with lesion removal (45385) |
$3,512 |
$3,512 |
2.7× |
| Obstetric care, vaginal delivery (global) (59400) |
$8,000 |
$8,000 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,286.91 |
$1,286.91 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$4,280.96 |
$4,280.96 |
4.5× |
| CT head/brain without contrast (70450) |
$3,101 |
$3,101 |
27.8× |
| MRI brain without contrast (70551) |
$4,751 |
$4,751 |
18.6× |
| MRI brain with contrast (70552) |
$4,958 |
$4,958 |
13.3× |
| MRI brain without and with contrast (70553) |
$6,280 |
$6,280 |
16.9× |
| X-ray lower spine, 4+ views (72110) |
$881 |
$881 |
7.9× |
| MRI lumbar spine without contrast (72148) |
$4,751 |
$4,751 |
18.6× |
| CT pelvis with contrast (72193) |
$4,082 |
$4,082 |
21.8× |
| MRI lower-extremity joint without contrast (73721) |
$4,034 |
$4,034 |
15.8× |
| CT abdomen and pelvis with contrast (74177) |
$8,163 |
$8,163 |
21.9× |
| Ultrasound, abdomen complete (76700) |
$1,381 |
$1,381 |
12.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,474 |
$1,474 |
13.2× |
| Ultrasound, transvaginal (76830) |
$1,127 |
$1,127 |
10.1× |
| Mammography, one breast (diagnostic) (77065) |
$638.92 |
$638.92 |
7.4× |
| Mammography, both breasts (diagnostic) (77066) |
$858 |
$858 |
7.8× |
| Mammography, screening (bilateral) (77067) |
$688 |
$688 |
7.5× |
| Basic metabolic panel (80048) |
$172 |
$172 |
20.3× |
| Comprehensive metabolic panel (80053) |
$212 |
$212 |
20.1× |
| Lipid panel (80061) |
$321 |
$321 |
24.0× |
| Renal function panel (80069) |
$302 |
$302 |
34.8× |
| Hepatic function panel (80076) |
$208 |
$208 |
25.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$12 |
$12 |
3.0× |
| PSA, total (84153) |
$266 |
$266 |
14.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$353 |
$353 |
21.0× |
| CBC with automated differential (85025) |
$200 |
$200 |
25.7× |
| CBC, automated (85027) |
$159 |
$159 |
24.6× |
| Prothrombin time (PT) (85610) |
$109 |
$109 |
25.4× |
| Partial thromboplastin time (PTT) (85730) |
$149 |
$149 |
24.8× |
| Sleep study (attended polysomnography) (95810) |
$6,011 |
$6,011 |
6.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$175 |
$175 |
6.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$466.71 |
$466.71 |
3.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$659 |
$659 |
4.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$916 |
$916 |
6.4× |