| Upper GI endoscopy (EGD) with biopsy (43239) |
$890.40 |
$2,226 |
1.0× |
| Diagnostic colonoscopy (45378) |
$790 |
$1,975 |
0.9× |
| Colonoscopy with endoscopic ultrasound (45391) |
$644 |
$1,610 |
0.6× |
| Obstetric care, VBAC delivery (global) (59610) |
$1,437.20 |
$3,593 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$471.20 |
$1,178 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$359.60 |
$899 |
0.4× |
| CT head/brain without contrast (70450) |
$715.60 |
$1,789 |
7.1× |
| MRI brain without contrast (70551) |
$861.20 |
$2,153 |
3.8× |
| MRI brain with contrast (70552) |
$1,118.80 |
$2,797 |
3.3× |
| MRI brain without and with contrast (70553) |
$1,342.40 |
$3,356 |
4.0× |
| X-ray lower spine, 4+ views (72110) |
$234 |
$585 |
2.3× |
| MRI lumbar spine without contrast (72148) |
$1,364.40 |
$3,411 |
5.9× |
| CT pelvis with contrast (72193) |
$879.20 |
$2,198 |
5.2× |
| MRI lower-extremity joint without contrast (73721) |
$1,069.20 |
$2,673 |
4.7× |
| CT abdomen and pelvis with contrast (74177) |
$1,797.20 |
$4,493 |
5.4× |
| Ultrasound, abdomen complete (76700) |
$266.80 |
$667 |
2.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$234.60 |
$586.50 |
2.3× |
| Ultrasound, transvaginal (76830) |
$358.80 |
$897 |
3.6× |
| Mammography, one breast (diagnostic) (77065) |
$118.40 |
$296 |
1.4× |
| Mammography, both breasts (diagnostic) (77066) |
$159.60 |
$399 |
1.4× |
| Mammography, screening (bilateral) (77067) |
$138.40 |
$346 |
1.5× |
| Basic metabolic panel (80048) |
$30.80 |
$77 |
3.6× |
| Comprehensive metabolic panel (80053) |
$54.80 |
$137 |
5.2× |
| Lipid panel (80061) |
$19.20 |
$48 |
1.4× |
| Renal function panel (80069) |
$19.20 |
$48 |
2.2× |
| Hepatic function panel (80076) |
$17.20 |
$43 |
2.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$12.40 |
$31 |
3.6× |
| PSA, total (84153) |
$58.40 |
$146 |
3.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$51.20 |
$128 |
3.0× |
| CBC with automated differential (85025) |
$14.40 |
$36 |
1.9× |
| CBC, automated (85027) |
$9.60 |
$24 |
1.5× |
| Prothrombin time (PT) (85610) |
$18.40 |
$46 |
4.3× |
| Partial thromboplastin time (PTT) (85730) |
$14.80 |
$37 |
2.5× |
| Sleep study (attended polysomnography) (95810) |
$1,592 |
$3,980 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$51.60 |
$129 |
1.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$69.20 |
$173 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$100 |
$250 |
0.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$46 |
$115 |
0.4× |