| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,768.69 |
$2,080.81 |
1.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,953.46 |
$2,298.19 |
2.0× |
| Colonoscopy with biopsy (45380) |
$1,948.86 |
$2,292.78 |
1.5× |
| Colonoscopy with lesion removal (45385) |
$2,521.12 |
$2,966.02 |
2.0× |
| Inguinal hernia repair (age 5+) (49505) |
$1,483.71 |
$1,745.54 |
0.4× |
| Obstetric care, cesarean delivery (global) (59510) |
$3,263.43 |
$3,839.33 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,306.30 |
$1,536.82 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$990.08 |
$1,164.80 |
1.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$994.50 |
$1,170 |
1.7× |
| Cataract removal with lens insertion (66984) |
$1,411 |
$1,660 |
0.6× |
| CT head/brain without contrast (70450) |
$1,513 |
$1,780 |
13.7× |
| MRI brain without contrast (70551) |
$2,125 |
$2,500 |
8.4× |
| MRI brain with contrast (70552) |
$2,375.75 |
$2,795 |
6.5× |
| MRI brain without and with contrast (70553) |
$2,826.25 |
$3,325 |
7.7× |
| X-ray lower spine, 4+ views (72110) |
$622.41 |
$732.25 |
5.6× |
| MRI lumbar spine without contrast (72148) |
$1,955 |
$2,300 |
7.8× |
| CT pelvis with contrast (72193) |
$1,585.25 |
$1,865 |
8.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,373.66 |
$1,616.07 |
5.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,188.75 |
$2,575 |
5.9× |
| Ultrasound, abdomen complete (76700) |
$777.44 |
$914.64 |
7.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$818.59 |
$963.05 |
7.4× |
| Ultrasound, transvaginal (76830) |
$552.50 |
$650 |
5.0× |
| Mammography, one breast (diagnostic) (77065) |
$356.33 |
$419.21 |
4.1× |
| Mammography, both breasts (diagnostic) (77066) |
$450.88 |
$530.45 |
4.1× |
| Mammography, screening (bilateral) (77067) |
$312.55 |
$367.71 |
3.4× |
| Basic metabolic panel (80048) |
$114.65 |
$134.88 |
13.6× |
| Comprehensive metabolic panel (80053) |
$142.51 |
$167.66 |
13.5× |
| Obstetric panel (80055) |
$121.88 |
$143.39 |
2.5× |
| Lipid panel (80061) |
$113.07 |
$133.02 |
8.4× |
| Renal function panel (80069) |
$127.32 |
$149.79 |
14.7× |
| Hepatic function panel (80076) |
$119.42 |
$140.49 |
14.6× |
| PSA, total (84153) |
$138.81 |
$163.31 |
7.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$154.58 |
$181.86 |
9.2× |
| CBC with automated differential (85025) |
$84.92 |
$99.91 |
10.9× |
| CBC, automated (85027) |
$68.28 |
$80.33 |
10.6× |
| Prothrombin time (PT) (85610) |
$53.36 |
$62.78 |
12.4× |
| Partial thromboplastin time (PTT) (85730) |
$73.16 |
$86.07 |
12.2× |
| Sleep study (attended polysomnography) (95810) |
$2,769.43 |
$3,258.15 |
3.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$89.30 |
$105.06 |
3.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$125.94 |
$148.17 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$311.64 |
$366.63 |
2.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$56.99 |
$67.05 |
0.4× |