| Upper GI endoscopy (EGD) with biopsy (43239) |
$465.50 |
$665 |
0.6× |
| Colonoscopy with biopsy (45380) |
$5,637.80 |
$8,054 |
5.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$886.90 |
$1,267 |
1.1× |
| CT head/brain without contrast (70450) |
$477.40 |
$682 |
5.2× |
| MRI brain without contrast (70551) |
$1,104.60 |
$1,578 |
5.3× |
| MRI brain with contrast (70552) |
$1,362.20 |
$1,946 |
4.5× |
| MRI brain without and with contrast (70553) |
$2,781.10 |
$3,973 |
9.1× |
| X-ray lower spine, 4+ views (72110) |
$431.90 |
$617 |
4.7× |
| MRI lumbar spine without contrast (72148) |
$1,550.50 |
$2,215 |
7.4× |
| CT pelvis with contrast (72193) |
$1,064.70 |
$1,521 |
6.9× |
| MRI lower-extremity joint without contrast (73721) |
$1,328.60 |
$1,898 |
6.4× |
| CT abdomen and pelvis with contrast (74177) |
$4,158 |
$5,940 |
13.6× |
| Ultrasound, abdomen complete (76700) |
$795.20 |
$1,136 |
8.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$363.30 |
$519 |
4.0× |
| Ultrasound, transvaginal (76830) |
$303.80 |
$434 |
3.3× |
| Mammography, one breast (diagnostic) (77065) |
$312.20 |
$446 |
3.6× |
| Mammography, both breasts (diagnostic) (77066) |
$389.20 |
$556 |
3.5× |
| Mammography, screening (bilateral) (77067) |
$359.10 |
$513 |
3.9× |
| Basic metabolic panel (80048) |
$121.80 |
$174 |
14.4× |
| Comprehensive metabolic panel (80053) |
$144.90 |
$207 |
13.7× |
| Obstetric panel (80055) |
$72.80 |
$104 |
1.5× |
| Lipid panel (80061) |
$159.60 |
$228 |
11.9× |
| Renal function panel (80069) |
$219.10 |
$313 |
25.2× |
| Hepatic function panel (80076) |
$156.80 |
$224 |
19.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$17.50 |
$25 |
4.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$23.45 |
$33.50 |
6.7× |
| PSA, total (84153) |
$136.50 |
$195 |
7.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$123.20 |
$176 |
7.3× |
| CBC with automated differential (85025) |
$82.60 |
$118 |
10.6× |
| CBC, automated (85027) |
$120.40 |
$172 |
18.6× |
| Prothrombin time (PT) (85610) |
$78.40 |
$112 |
18.3× |
| Partial thromboplastin time (PTT) (85730) |
$109.20 |
$156 |
18.2× |
| Electrocardiogram (ECG), complete (93000) |
$63.70 |
$91 |
1.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$115.50 |
$165 |
4.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$185.50 |
$265 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$313.60 |
$448 |
2.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$409.50 |
$585 |
3.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$149.45 |
$213.50 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$169.05 |
$241.50 |
— |