| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,311 |
$2,311 |
2.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,811 |
$1,811 |
2.0× |
| Diagnostic colonoscopy (45378) |
$2,405 |
$2,405 |
2.6× |
| Colonoscopy with biopsy (45380) |
$2,076 |
$2,076 |
1.7× |
| Colonoscopy with lesion removal (45385) |
$1,738 |
$1,738 |
1.4× |
Laparoscopic radical prostatectomy (55866)
likely a partial charge, not the full procedure |
$2,887 |
$2,887 |
0.3× |
| CT head/brain without contrast (70450) |
$2,316 |
$2,316 |
22.1× |
| MRI brain without contrast (70551) |
$3,077 |
$3,077 |
12.8× |
| MRI brain with contrast (70552) |
$3,381 |
$3,381 |
9.6× |
| MRI brain without and with contrast (70553) |
$3,841 |
$3,841 |
11.0× |
| X-ray lower spine, 4+ views (72110) |
$761 |
$761 |
7.2× |
| MRI lumbar spine without contrast (72148) |
$2,769 |
$2,769 |
11.6× |
| CT pelvis with contrast (72193) |
$2,884 |
$2,884 |
16.4× |
| MRI lower-extremity joint without contrast (73721) |
$2,583 |
$2,583 |
10.8× |
| CT abdomen and pelvis with contrast (74177) |
$4,862 |
$4,862 |
13.9× |
| Ultrasound, abdomen complete (76700) |
$943 |
$943 |
9.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$746 |
$746 |
7.1× |
| Ultrasound, transvaginal (76830) |
$726 |
$726 |
6.9× |
| Mammography, one breast (diagnostic) (77065) |
$262 |
$262 |
3.0× |
| Mammography, both breasts (diagnostic) (77066) |
$342 |
$342 |
3.1× |
| Mammography, screening (bilateral) (77067) |
$275 |
$275 |
3.0× |
| Basic metabolic panel (80048) |
$247 |
$247 |
29.2× |
| Comprehensive metabolic panel (80053) |
$398 |
$398 |
37.7× |
| Lipid panel (80061) |
$271 |
$271 |
20.2× |
| Renal function panel (80069) |
$237 |
$237 |
27.3× |
| Hepatic function panel (80076) |
$303 |
$303 |
37.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$36 |
$36 |
10.3× |
| PSA, total (84153) |
$157 |
$157 |
8.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$232 |
$232 |
13.8× |
| CBC with automated differential (85025) |
$150 |
$150 |
19.3× |
| CBC, automated (85027) |
$128 |
$128 |
19.8× |
| Prothrombin time (PT) (85610) |
$118 |
$118 |
27.5× |
| Partial thromboplastin time (PTT) (85730) |
$129 |
$129 |
21.5× |
| Sleep study (attended polysomnography) (95810) |
$4,325 |
$4,325 |
5.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$157 |
$157 |
5.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$274 |
$274 |
2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$385 |
$385 |
2.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$491 |
$491 |
3.7× |