| Colonoscopy with biopsy (45380) |
$454.75 |
$535 |
0.4× |
| Colonoscopy with lesion removal (45385) |
$595 |
$700 |
0.5× |
| CT head/brain without contrast (70450) |
$1,177.68 |
$1,385.50 |
10.7× |
| MRI brain without contrast (70551) |
$1,413.55 |
$1,663 |
5.6× |
| MRI brain with contrast (70552) |
$366.35 |
$431 |
1.0× |
| MRI brain without and with contrast (70553) |
$470.90 |
$554 |
1.3× |
| X-ray lower spine, 4+ views (72110) |
$360.40 |
$424 |
3.3× |
| MRI lumbar spine without contrast (72148) |
$261.80 |
$308 |
1.0× |
| CT pelvis with contrast (72193) |
$1,312.40 |
$1,544 |
7.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,364.25 |
$1,605 |
5.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,180.68 |
$2,565.50 |
5.9× |
| Ultrasound, abdomen complete (76700) |
$508.72 |
$598.50 |
4.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$551.65 |
$649 |
5.0× |
| Ultrasound, transvaginal (76830) |
$327.68 |
$385.50 |
3.0× |
| Mammography, one breast (diagnostic) (77065) |
$85.85 |
$101 |
1.0× |
| Mammography, both breasts (diagnostic) (77066) |
$351.48 |
$413.50 |
3.2× |
| Mammography, screening (bilateral) (77067) |
$285.60 |
$336 |
3.1× |
| Basic metabolic panel (80048) |
$140.25 |
$165 |
16.6× |
| Comprehensive metabolic panel (80053) |
$114.75 |
$135 |
10.9× |
| Obstetric panel (80055) |
$135.15 |
$159 |
2.8× |
| Lipid panel (80061) |
$92.65 |
$109 |
6.9× |
| Renal function panel (80069) |
$118.58 |
$139.50 |
13.7× |
| Hepatic function panel (80076) |
$100.72 |
$118.50 |
12.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$37.82 |
$44.50 |
10.9× |
| PSA, total (84153) |
$143.22 |
$168.50 |
7.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$90.10 |
$106 |
5.4× |
| CBC with automated differential (85025) |
$57.80 |
$68 |
7.4× |
| CBC, automated (85027) |
$62.48 |
$73.50 |
9.7× |
| Prothrombin time (PT) (85610) |
$45.05 |
$53 |
10.5× |
| Partial thromboplastin time (PTT) (85730) |
$65.88 |
$77.50 |
11.0× |
| Electrocardiogram (ECG), complete (93000) |
$399.50 |
$470 |
6.4× |
| Sleep study (attended polysomnography) (95810) |
$2,529.60 |
$2,976 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$119 |
$140 |
4.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$170 |
$200 |
1.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$476 |
$560 |
3.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$184.45 |
$217 |
1.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$408 |
$480 |
2.9× |