| Upper GI endoscopy (EGD), diagnostic (43235) |
$705.30 |
$1,763.24 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$754.43 |
$1,886.07 |
0.9× |
| Diagnostic colonoscopy (45378) |
$723.50 |
$1,808.76 |
0.9× |
| Colonoscopy with biopsy (45380) |
$482.68 |
$1,206.69 |
0.4× |
| Colonoscopy with lesion removal (45385) |
$950.32 |
$2,375.80 |
0.9× |
| Laparoscopic gallbladder removal (47562) |
$3,766.17 |
$9,415.43 |
0.7× |
| Cataract removal with lens insertion (66984) |
$2,788.85 |
$6,972.12 |
1.3× |
| CT head/brain without contrast (70450) |
$147.30 |
$368.25 |
1.6× |
| X-ray lower spine, 4+ views (72110) |
$132.48 |
$331.22 |
1.4× |
| CT pelvis with contrast (72193) |
$151.80 |
$379.50 |
1.0× |
| CT abdomen and pelvis with contrast (74177) |
$496.32 |
$1,240.81 |
1.6× |
| Ultrasound, abdomen complete (76700) |
$185.88 |
$464.71 |
2.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$327.44 |
$818.60 |
3.5× |
| Ultrasound, transvaginal (76830) |
$69.22 |
$173.04 |
0.7× |
| Mammography, one breast (diagnostic) (77065) |
$129.63 |
$324.07 |
1.5× |
| Mammography, both breasts (diagnostic) (77066) |
$137.25 |
$343.12 |
1.2× |
| Mammography, screening (bilateral) (77067) |
$129.63 |
$324.07 |
1.4× |
| Basic metabolic panel (80048) |
$16.92 |
$42.30 |
2.0× |
| Comprehensive metabolic panel (80053) |
$21.12 |
$52.80 |
2.0× |
| Lipid panel (80061) |
$35.80 |
$89.50 |
2.7× |
| Renal function panel (80069) |
$17.36 |
$43.40 |
2.0× |
| Hepatic function panel (80076) |
$16.34 |
$40.85 |
2.0× |
| PSA, total (84153) |
$36.78 |
$91.95 |
2.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$33.60 |
$84 |
2.0× |
| CBC with automated differential (85025) |
$15.54 |
$38.85 |
2.0× |
| CBC, automated (85027) |
$12.94 |
$32.35 |
2.0× |
| Prothrombin time (PT) (85610) |
$11.96 |
$29.90 |
2.8× |
| Partial thromboplastin time (PTT) (85730) |
$12.02 |
$30.05 |
2.0× |
| Electrocardiogram (ECG), complete (93000) |
$56.04 |
$140.09 |
1.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$33.78 |
$84.45 |
1.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$159.09 |
$397.72 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$193.68 |
$484.20 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$274 |
$684.99 |
2.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$180 |
$450 |
— |