| Upper GI endoscopy (EGD), diagnostic (43235) |
$934.05 |
$958 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,521.98 |
$1,561 |
1.6× |
| Diagnostic colonoscopy (45378) |
$2,392.16 |
$2,453.50 |
2.4× |
| Colonoscopy with biopsy (45380) |
$2,773.88 |
$2,845 |
2.2× |
| Colonoscopy with lesion removal (45385) |
$2,735.85 |
$2,806 |
2.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,610.70 |
$1,652 |
1.7× |
| CT head/brain without contrast (70450) |
$2,376.08 |
$2,437 |
21.5× |
| MRI brain without contrast (70551) |
$3,281.85 |
$3,366 |
13.0× |
| MRI brain without and with contrast (70553) |
$3,824.93 |
$3,923 |
10.4× |
| X-ray lower spine, 4+ views (72110) |
$687.86 |
$705.50 |
6.2× |
| MRI lumbar spine without contrast (72148) |
$3,253.58 |
$3,337 |
12.9× |
| CT pelvis with contrast (72193) |
$2,674.43 |
$2,743 |
14.5× |
| MRI lower-extremity joint without contrast (73721) |
$3,267.23 |
$3,351 |
13.0× |
| CT abdomen and pelvis with contrast (74177) |
$3,584.10 |
$3,676 |
9.7× |
| Ultrasound, abdomen complete (76700) |
$852.15 |
$874 |
7.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$881.40 |
$904 |
8.0× |
| Ultrasound, transvaginal (76830) |
$856.05 |
$878 |
7.8× |
| Basic metabolic panel (80048) |
$169.65 |
$174 |
20.1× |
| Comprehensive metabolic panel (80053) |
$205.24 |
$210.50 |
19.4× |
| Obstetric panel (80055) |
$417.30 |
$428 |
8.7× |
| Lipid panel (80061) |
$145.28 |
$149 |
10.8× |
| Renal function panel (80069) |
$294.45 |
$302 |
33.9× |
| Hepatic function panel (80076) |
$161.86 |
$166 |
19.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$23.40 |
$24 |
6.7× |
| PSA, total (84153) |
$152.10 |
$156 |
8.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$146.25 |
$150 |
8.7× |
| CBC with automated differential (85025) |
$121.88 |
$125 |
15.7× |
| CBC, automated (85027) |
$94.58 |
$97 |
14.6× |
| Prothrombin time (PT) (85610) |
$118.95 |
$122 |
27.7× |
| Partial thromboplastin time (PTT) (85730) |
$127.73 |
$131 |
21.3× |
| Sleep study (attended polysomnography) (95810) |
$4,329 |
$4,440 |
4.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$120.90 |
$124 |
4.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$215.48 |
$221 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$254.48 |
$261 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$328.58 |
$337 |
2.3× |