| Upper GI endoscopy (EGD), diagnostic (43235) |
$4,682.48 |
$7,203.80 |
5.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$6,420.05 |
$9,877 |
7.1× |
| Diagnostic colonoscopy (45378) |
$3,858.80 |
$5,936.60 |
4.1× |
| Colonoscopy with biopsy (45380) |
$5,976.11 |
$9,194.01 |
5.0× |
| Colonoscopy with lesion removal (45385) |
$6,017.71 |
$9,258.01 |
5.0× |
| CT head/brain without contrast (70450) |
$1,075.10 |
$1,654 |
10.3× |
| MRI brain without contrast (70551) |
$1,337.70 |
$2,058 |
5.6× |
| MRI brain with contrast (70552) |
$1,450.15 |
$2,231 |
4.1× |
| MRI brain without and with contrast (70553) |
$1,561.95 |
$2,403 |
4.5× |
| X-ray lower spine, 4+ views (72110) |
$326.95 |
$503 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$1,602.25 |
$2,465 |
6.7× |
| CT pelvis with contrast (72193) |
$1,329.90 |
$2,046 |
7.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,337.70 |
$2,058 |
5.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,374.45 |
$3,653 |
6.8× |
| Ultrasound, abdomen complete (76700) |
$583.70 |
$898 |
5.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$512.20 |
$788 |
4.9× |
| Ultrasound, transvaginal (76830) |
$583.70 |
$898 |
5.6× |
| Mammography, one breast (diagnostic) (77065) |
$246.35 |
$379 |
2.9× |
| Mammography, both breasts (diagnostic) (77066) |
$176.15 |
$271 |
1.6× |
| Mammography, screening (bilateral) (77067) |
$158.60 |
$244 |
1.7× |
| Basic metabolic panel (80048) |
$132.60 |
$204 |
15.7× |
| Comprehensive metabolic panel (80053) |
$217.75 |
$335 |
20.6× |
| Lipid panel (80061) |
$140.40 |
$216 |
10.5× |
| Renal function panel (80069) |
$37.05 |
$57 |
4.3× |
| Hepatic function panel (80076) |
$170.30 |
$262 |
20.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$3.90 |
$6 |
1.1× |
| PSA, total (84153) |
$158.60 |
$244 |
8.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$94.90 |
$146 |
5.6× |
| CBC with automated differential (85025) |
$92.95 |
$143 |
12.0× |
| CBC, automated (85027) |
$27.95 |
$43 |
4.3× |
| Prothrombin time (PT) (85610) |
$45.50 |
$70 |
10.6× |
| Partial thromboplastin time (PTT) (85730) |
$59.15 |
$91 |
9.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$94.25 |
$145 |
3.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$231.40 |
$356 |
1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$384.80 |
$592 |
2.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$384.80 |
$592 |
2.9× |