| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,238.60 |
$3,731 |
2.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,238.60 |
$3,731 |
2.1× |
| Diagnostic colonoscopy (45378) |
$2,176.80 |
$3,628 |
2.0× |
| Colonoscopy with biopsy (45380) |
$2,815.20 |
$4,692 |
2.0× |
| Colonoscopy with lesion removal (45385) |
$2,815.20 |
$4,692 |
2.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,125.80 |
$3,543 |
2.0× |
| CT head/brain without contrast (70450) |
$317.40 |
$529 |
2.6× |
| MRI brain without contrast (70551) |
$721.80 |
$1,203 |
2.6× |
| MRI brain with contrast (70552) |
$1,065.60 |
$1,776 |
2.6× |
| MRI brain without and with contrast (70553) |
$1,065.60 |
$1,776 |
2.6× |
| X-ray lower spine, 4+ views (72110) |
$317.40 |
$529 |
2.6× |
| MRI lumbar spine without contrast (72148) |
$721.80 |
$1,203 |
2.6× |
| CT pelvis with contrast (72193) |
$531 |
$885 |
2.6× |
| MRI lower-extremity joint without contrast (73721) |
$721.80 |
$1,203 |
2.6× |
| CT abdomen and pelvis with contrast (74177) |
$1,065.60 |
$1,776 |
2.6× |
| Ultrasound, abdomen complete (76700) |
$317.40 |
$529 |
2.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$317.40 |
$529 |
2.6× |
| Ultrasound, transvaginal (76830) |
$317.40 |
$529 |
2.6× |
| Basic metabolic panel (80048) |
$42.60 |
$71 |
5.0× |
| Comprehensive metabolic panel (80053) |
$53.40 |
$89 |
5.1× |
| Lipid panel (80061) |
$67.20 |
$112 |
5.0× |
| Renal function panel (80069) |
$43.80 |
$73 |
5.0× |
| Hepatic function panel (80076) |
$41.40 |
$69 |
5.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$17.40 |
$29 |
5.0× |
| PSA, total (84153) |
$92.40 |
$154 |
5.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$84.60 |
$141 |
5.0× |
| CBC with automated differential (85025) |
$39 |
$65 |
5.0× |
| CBC, automated (85027) |
$32.40 |
$54 |
5.0× |
| Prothrombin time (PT) (85610) |
$21.60 |
$36 |
5.0× |
| Partial thromboplastin time (PTT) (85730) |
$30 |
$50 |
5.0× |
| Left heart catheterization (93452) |
$9,600 |
$16,000 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$84 |
$140 |
2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$392.40 |
$654 |
2.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$445.80 |
$743 |
2.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$495 |
$825 |
3.1× |