| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,722.27 |
$4,963.31 |
2.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,353.86 |
$6,783.46 |
2.9× |
| Diagnostic colonoscopy (45378) |
$1,585.75 |
$4,569.88 |
1.9× |
| Colonoscopy with biopsy (45380) |
$2,352.51 |
$6,779.56 |
2.2× |
| Colonoscopy with lesion removal (45385) |
$2,857.86 |
$8,235.90 |
2.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,377.24 |
$3,968.99 |
1.7× |
| Cataract removal with lens insertion (66984) |
$2,915.35 |
$8,401.59 |
1.4× |
| CT head/brain without contrast (70450) |
$235.61 |
$679 |
2.5× |
| MRI brain without contrast (70551) |
$397.05 |
$1,144.25 |
1.8× |
| MRI brain with contrast (70552) |
$475.56 |
$1,370.50 |
1.5× |
| MRI brain without and with contrast (70553) |
$839.83 |
$2,420.25 |
2.7× |
| X-ray lower spine, 4+ views (72110) |
$117.29 |
$338 |
1.2× |
| MRI lumbar spine without contrast (72148) |
$433.32 |
$1,248.75 |
2.0× |
| CT pelvis with contrast (72193) |
$305.62 |
$880.75 |
1.9× |
| MRI lower-extremity joint without contrast (73721) |
$391.07 |
$1,127 |
1.8× |
| CT abdomen and pelvis with contrast (74177) |
$672.49 |
$1,938 |
2.1× |
| Ultrasound, abdomen complete (76700) |
$176.45 |
$508.50 |
1.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$141.23 |
$407 |
1.5× |
| Ultrasound, transvaginal (76830) |
$117.29 |
$338 |
1.2× |
| Mammography, one breast (diagnostic) (77065) |
$118.67 |
$342 |
1.4× |
| Mammography, both breasts (diagnostic) (77066) |
$125.61 |
$362 |
1.1× |
| Mammography, screening (bilateral) (77067) |
$104.10 |
$300 |
1.1× |
| Basic metabolic panel (80048) |
$21.51 |
$62 |
2.5× |
| Comprehensive metabolic panel (80053) |
$32.44 |
$93.50 |
3.1× |
| Obstetric panel (80055) |
$82.93 |
$239 |
1.7× |
| Lipid panel (80061) |
$43.72 |
$126 |
3.3× |
| Renal function panel (80069) |
$21.86 |
$63 |
2.5× |
| Hepatic function panel (80076) |
$35.31 |
$101.75 |
4.3× |
| PSA, total (84153) |
$39.21 |
$113 |
2.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$40.60 |
$117 |
2.4× |
| CBC with automated differential (85025) |
$19.43 |
$56 |
2.5× |
| CBC, automated (85027) |
$18.74 |
$54 |
2.9× |
| Prothrombin time (PT) (85610) |
$12.15 |
$35 |
2.8× |
| Partial thromboplastin time (PTT) (85730) |
$15.27 |
$44 |
2.5× |
| Sleep study (attended polysomnography) (95810) |
$1,205.13 |
$3,473 |
1.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$31.40 |
$90.50 |
1.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$99.76 |
$287.50 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$124.40 |
$358.50 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$147.30 |
$424.50 |
1.2× |