| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,250.28 |
$2,718 |
1.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,250.28 |
$2,718 |
1.3× |
| Diagnostic colonoscopy (45378) |
$1,216.24 |
$2,644 |
1.3× |
| Colonoscopy with biopsy (45380) |
$1,572.74 |
$3,419 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,572.74 |
$3,419 |
1.3× |
| CT head/brain without contrast (70450) |
$581.44 |
$1,264 |
5.4× |
| MRI brain without contrast (70551) |
$1,252.12 |
$2,722 |
5.1× |
| MRI brain without and with contrast (70553) |
$1,753.52 |
$3,812 |
4.8× |
| X-ray lower spine, 4+ views (72110) |
$75.44 |
$164 |
0.7× |
| MRI lumbar spine without contrast (72148) |
$1,497.76 |
$3,256 |
6.0× |
| CT pelvis with contrast (72193) |
$639.86 |
$1,391 |
3.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,500.06 |
$3,261 |
6.1× |
| CT abdomen and pelvis with contrast (74177) |
$665.16 |
$1,446 |
1.8× |
| Ultrasound, abdomen complete (76700) |
$275.54 |
$599 |
2.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$275.54 |
$599 |
2.5× |
| Ultrasound, transvaginal (76830) |
$340.86 |
$741 |
3.1× |
| Mammography, one breast (diagnostic) (77065) |
$223.10 |
$485 |
2.6× |
| Mammography, both breasts (diagnostic) (77066) |
$322 |
$700 |
2.9× |
| Mammography, screening (bilateral) (77067) |
$297.16 |
$646 |
3.3× |
| Basic metabolic panel (80048) |
$16.33 |
$35.49 |
1.9× |
| Comprehensive metabolic panel (80053) |
$20.43 |
$44.42 |
1.9× |
| Lipid panel (80061) |
$25.87 |
$56.23 |
1.9× |
| Renal function panel (80069) |
$16.71 |
$36.33 |
1.9× |
| Hepatic function panel (80076) |
$15.72 |
$34.18 |
1.9× |
| PSA, total (84153) |
$37.26 |
$81.01 |
2.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$32.43 |
$70.51 |
1.9× |
| CBC with automated differential (85025) |
$14.97 |
$32.55 |
1.9× |
| CBC, automated (85027) |
$12.46 |
$27.10 |
1.9× |
| Prothrombin time (PT) (85610) |
$8.28 |
$18.01 |
1.9× |
| Partial thromboplastin time (PTT) (85730) |
$11.57 |
$25.16 |
1.9× |
| Sleep study (attended polysomnography) (95810) |
$2,945.38 |
$6,403 |
3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$86.48 |
$188 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$183.54 |
$399 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$275.08 |
$598 |
2.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$362.94 |
$789 |
2.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$212.52 |
$462 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$244.26 |
$531 |
— |