| Upper GI endoscopy (EGD), diagnostic (43235) |
$759 |
$1,012 |
0.9× |
| Diagnostic colonoscopy (45378) |
$690 |
$920 |
0.8× |
| Colonoscopy with biopsy (45380) |
$690 |
$920 |
0.6× |
| CT head/brain without contrast (70450) |
$1,717.54 |
$2,290.05 |
18.1× |
| MRI brain without contrast (70551) |
$2,145.15 |
$2,860.20 |
9.9× |
| MRI brain without and with contrast (70553) |
$2,145.15 |
$2,860.20 |
6.8× |
| X-ray lower spine, 4+ views (72110) |
$246.17 |
$328.23 |
2.6× |
| MRI lumbar spine without contrast (72148) |
$2,145.15 |
$2,860.20 |
9.9× |
| CT pelvis with contrast (72193) |
$1,717.54 |
$2,290.05 |
10.8× |
| MRI lower-extremity joint without contrast (73721) |
$2,145.15 |
$2,860.20 |
9.9× |
| CT abdomen and pelvis with contrast (74177) |
$1,717.54 |
$2,290.05 |
5.4× |
| Ultrasound, abdomen complete (76700) |
$477 |
$636 |
5.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$477 |
$636 |
5.0× |
| Ultrasound, transvaginal (76830) |
$477 |
$636 |
5.0× |
| Mammography, one breast (diagnostic) (77065) |
$226.13 |
$301.50 |
2.6× |
| Mammography, both breasts (diagnostic) (77066) |
$246.28 |
$328.37 |
2.2× |
| Mammography, screening (bilateral) (77067) |
$226.13 |
$301.50 |
2.5× |
| Basic metabolic panel (80048) |
$28.55 |
$38.07 |
3.4× |
| Comprehensive metabolic panel (80053) |
$35.64 |
$47.52 |
3.4× |
| Obstetric panel (80055) |
$161.36 |
$215.14 |
3.4× |
| Lipid panel (80061) |
$45.20 |
$60.26 |
3.4× |
| Renal function panel (80069) |
$29.30 |
$39.06 |
3.4× |
| Hepatic function panel (80076) |
$27.58 |
$36.77 |
3.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$13.57 |
$18.09 |
3.4× |
| PSA, total (84153) |
$62.07 |
$82.76 |
3.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$56.70 |
$75.60 |
3.4× |
| CBC with automated differential (85025) |
$26.23 |
$34.97 |
3.4× |
| CBC, automated (85027) |
$21.84 |
$29.12 |
3.4× |
| Prothrombin time (PT) (85610) |
$14.48 |
$19.31 |
3.4× |
| Partial thromboplastin time (PTT) (85730) |
$20.29 |
$27.05 |
3.4× |
| Left heart catheterization (93452) |
$5,705.33 |
$7,607.10 |
1.9× |
| Sleep study (attended polysomnography) (95810) |
$1,707.19 |
$2,276.25 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$133.85 |
$178.46 |
4.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$163.50 |
$218 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$240 |
$320 |
2.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$324 |
$432 |
2.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$179.25 |
$239 |
1.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$294 |
$392 |
2.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$188.25 |
$251 |
— |