| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,418.03 |
$1,418.03 |
1.5× |
| Diagnostic colonoscopy (45378) |
$1,974 |
$1,974 |
2.0× |
| Colonoscopy with biopsy (45380) |
$2,652.18 |
$2,652.18 |
2.1× |
| Laparoscopic gallbladder removal (47562) |
$6,890.63 |
$6,890.63 |
1.1× |
| Inguinal hernia repair (age 5+) (49505) |
$6,944.24 |
$6,944.24 |
1.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,757.50 |
$1,757.50 |
1.9× |
| CT head/brain without contrast (70450) |
$2,139.98 |
$2,139.98 |
19.7× |
| MRI brain without contrast (70551) |
$3,438.70 |
$3,438.70 |
13.9× |
| MRI brain with contrast (70552) |
$3,747.98 |
$3,747.98 |
10.3× |
| MRI brain without and with contrast (70553) |
$4,325.48 |
$4,325.48 |
11.9× |
| X-ray lower spine, 4+ views (72110) |
$607.53 |
$607.53 |
5.6× |
| MRI lumbar spine without contrast (72148) |
$3,346.49 |
$3,346.49 |
13.5× |
| CT pelvis with contrast (72193) |
$2,783.65 |
$2,783.65 |
15.3× |
| MRI lower-extremity joint without contrast (73721) |
$2,787.73 |
$2,787.73 |
11.3× |
| CT abdomen and pelvis with contrast (74177) |
$4,835.44 |
$4,835.44 |
13.3× |
| Ultrasound, abdomen complete (76700) |
$979.73 |
$979.73 |
9.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$716.10 |
$716.10 |
6.6× |
| Ultrasound, transvaginal (76830) |
$733.23 |
$733.23 |
6.8× |
| Mammography, one breast (diagnostic) (77065) |
$347 |
$347 |
4.0× |
| Mammography, both breasts (diagnostic) (77066) |
$477 |
$477 |
4.3× |
| Mammography, screening (bilateral) (77067) |
$371 |
$371 |
4.1× |
| Basic metabolic panel (80048) |
$143.05 |
$143.05 |
16.9× |
| Comprehensive metabolic panel (80053) |
$177.60 |
$177.60 |
16.8× |
| Lipid panel (80061) |
$112.44 |
$112.44 |
8.4× |
| Renal function panel (80069) |
$173.67 |
$173.67 |
20.0× |
| Hepatic function panel (80076) |
$164.85 |
$164.85 |
20.2× |
| PSA, total (84153) |
$141.20 |
$141.20 |
7.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$127.22 |
$127.22 |
7.6× |
| CBC with automated differential (85025) |
$103.15 |
$103.15 |
13.3× |
| CBC, automated (85027) |
$78.23 |
$78.23 |
12.1× |
| Prothrombin time (PT) (85610) |
$94.32 |
$94.32 |
22.0× |
| Partial thromboplastin time (PTT) (85730) |
$115.66 |
$115.66 |
19.2× |
| Psychotherapy, 30 minutes (90832) |
$129 |
$129 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$163 |
$163 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$205 |
$205 |
1.1× |
| Electrocardiogram (ECG), complete (93000) |
$172.50 |
$172.50 |
2.8× |
| Sleep study (attended polysomnography) (95810) |
$4,051.69 |
$4,051.69 |
4.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$85.19 |
$85.19 |
2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$195 |
$195 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$292.50 |
$292.50 |
2.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$357 |
$357 |
2.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$279 |
$279 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$304 |
$304 |
— |