| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,134.68 |
$3,284.12 |
2.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$4,669.46 |
$7,183.78 |
5.1× |
| Diagnostic colonoscopy (45378) |
$2,105.81 |
$3,239.71 |
2.3× |
| Colonoscopy with biopsy (45380) |
$4,269.24 |
$6,568.06 |
3.6× |
| Colonoscopy with lesion removal (45385) |
$4,271.61 |
$6,571.71 |
3.6× |
| Laparoscopic gallbladder removal (47562) |
$6,938.80 |
$10,675.08 |
1.1× |
| Inguinal hernia repair (age 5+) (49505) |
$8,908.58 |
$13,705.51 |
2.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,066 |
$1,640 |
1.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,894.45 |
$4,453 |
3.3× |
| Cataract removal with lens insertion (66984) |
$3,625.82 |
$5,578.18 |
1.6× |
| CT head/brain without contrast (70450) |
$1,075.10 |
$1,654 |
10.3× |
| MRI brain without contrast (70551) |
$1,519.70 |
$2,338 |
6.4× |
| MRI brain with contrast (70552) |
$2,978.30 |
$4,582 |
8.5× |
| MRI brain without and with contrast (70553) |
$3,316.30 |
$5,102 |
9.5× |
| X-ray lower spine, 4+ views (72110) |
$609.05 |
$937 |
5.8× |
| MRI lumbar spine without contrast (72148) |
$2,276.95 |
$3,503 |
9.5× |
| CT pelvis with contrast (72193) |
$1,780.35 |
$2,739 |
10.1× |
| MRI lower-extremity joint without contrast (73721) |
$2,577.25 |
$3,965 |
10.8× |
| CT abdomen and pelvis with contrast (74177) |
$1,990.95 |
$3,063 |
5.7× |
| Ultrasound, abdomen complete (76700) |
$1,201.85 |
$1,849 |
11.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$887.25 |
$1,365 |
8.5× |
| Ultrasound, transvaginal (76830) |
$716.95 |
$1,103 |
6.8× |
| Mammography, one breast (diagnostic) (77065) |
$291.20 |
$448 |
3.4× |
| Mammography, both breasts (diagnostic) (77066) |
$330.85 |
$509 |
3.0× |
| Mammography, screening (bilateral) (77067) |
$302.90 |
$466 |
3.3× |
| Basic metabolic panel (80048) |
$126.10 |
$194 |
14.9× |
| Comprehensive metabolic panel (80053) |
$258.70 |
$398 |
24.5× |
| Obstetric panel (80055) |
$421.85 |
$649 |
8.8× |
| Lipid panel (80061) |
$68.90 |
$106 |
5.1× |
| Renal function panel (80069) |
$167.70 |
$258 |
19.3× |
| Hepatic function panel (80076) |
$137.15 |
$211 |
16.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$27.30 |
$42 |
6.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$16.90 |
$26 |
4.9× |
| PSA, total (84153) |
$112.78 |
$173.50 |
6.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$61.75 |
$95 |
3.7× |
| CBC with automated differential (85025) |
$90.35 |
$139 |
11.6× |
| CBC, automated (85027) |
$39 |
$60 |
6.0× |
| Prothrombin time (PT) (85610) |
$43.55 |
$67 |
10.2× |
| Partial thromboplastin time (PTT) (85730) |
$87.75 |
$135 |
14.6× |
| Sleep study (attended polysomnography) (95810) |
$2,708.22 |
$4,166.50 |
3.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$130.65 |
$201 |
4.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$149.50 |
$230 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$214.50 |
$330 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$295.75 |
$455 |
2.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$188.50 |
$290 |
1.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$247.32 |
$380.50 |
1.9× |