| Upper GI endoscopy (EGD), diagnostic (43235) |
$781.80 |
$1,303 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$925.20 |
$1,542 |
1.1× |
| Diagnostic colonoscopy (45378) |
$747.60 |
$1,246 |
0.9× |
| Colonoscopy with biopsy (45380) |
$867 |
$1,445 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$867 |
$1,445 |
0.8× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$1,982.40 |
$3,304 |
0.4× |
| Inguinal hernia repair (age 5+) (49505) |
$3,049.20 |
$5,082 |
0.9× |
| CT head/brain without contrast (70450) |
$378 |
$630 |
4.0× |
| MRI brain without contrast (70551) |
$727.80 |
$1,213 |
3.4× |
| MRI brain with contrast (70552) |
$859.80 |
$1,433 |
2.7× |
| MRI brain without and with contrast (70553) |
$859.80 |
$1,433 |
2.7× |
| X-ray lower spine, 4+ views (72110) |
$145.20 |
$242 |
1.5× |
| MRI lumbar spine without contrast (72148) |
$727.80 |
$1,213 |
3.4× |
| CT pelvis with contrast (72193) |
$597 |
$995 |
3.8× |
| MRI lower-extremity joint without contrast (73721) |
$727.80 |
$1,213 |
3.4× |
| CT abdomen and pelvis with contrast (74177) |
$597 |
$995 |
1.9× |
| Ultrasound, abdomen complete (76700) |
$298.20 |
$497 |
3.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$294.60 |
$491 |
3.1× |
| Ultrasound, transvaginal (76830) |
$286.80 |
$478 |
3.0× |
| Mammography, screening (bilateral) (77067) |
$120 |
$200 |
1.3× |
| Basic metabolic panel (80048) |
$60.60 |
$101 |
7.2× |
| Comprehensive metabolic panel (80053) |
$76.80 |
$128 |
7.3× |
| Lipid panel (80061) |
$94.80 |
$158 |
7.1× |
| Renal function panel (80069) |
$59.40 |
$99 |
6.8× |
| Hepatic function panel (80076) |
$93.60 |
$156 |
11.5× |
| PSA, total (84153) |
$80.40 |
$134 |
4.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$118.80 |
$198 |
7.1× |
| CBC with automated differential (85025) |
$44.40 |
$74 |
5.7× |
| CBC, automated (85027) |
$39 |
$65 |
6.0× |
| Prothrombin time (PT) (85610) |
$31.80 |
$53 |
7.4× |
| Partial thromboplastin time (PTT) (85730) |
$48 |
$80 |
8.0× |
| Psychotherapy, 30 minutes (90832) |
$90 |
$150 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$96 |
$160 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$105 |
$175 |
0.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$64.80 |
$108 |
2.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$80.40 |
$134 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$121.80 |
$203 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$150.60 |
$251 |
1.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$121.20 |
$202 |
1.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$138 |
$230 |
1.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$87 |
$145 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$106.80 |
$178 |
— |