| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,036.75 |
$1,595 |
0.9× |
| Diagnostic colonoscopy (45378) |
$8,366.15 |
$12,871 |
7.2× |
| CT head/brain without contrast (70450) |
$1,359.80 |
$2,092 |
10.4× |
| MRI brain without contrast (70551) |
$3,093.35 |
$4,759 |
10.4× |
| MRI brain without and with contrast (70553) |
$3,898.05 |
$5,997 |
9.0× |
| X-ray lower spine, 4+ views (72110) |
$691.60 |
$1,064 |
5.3× |
| MRI lumbar spine without contrast (72148) |
$2,908.10 |
$4,474 |
9.8× |
| CT pelvis with contrast (72193) |
$773.50 |
$1,190 |
3.5× |
| MRI lower-extremity joint without contrast (73721) |
$759.20 |
$1,168 |
2.5× |
| CT abdomen and pelvis with contrast (74177) |
$3,465.15 |
$5,331 |
8.0× |
| Ultrasound, abdomen complete (76700) |
$1,056.25 |
$1,625 |
8.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$358.80 |
$552 |
2.7× |
| Ultrasound, transvaginal (76830) |
$837.85 |
$1,289 |
6.4× |
| Mammography, both breasts (diagnostic) (77066) |
$508.30 |
$782 |
4.6× |
| Mammography, screening (bilateral) (77067) |
$542.10 |
$834 |
5.9× |
| Basic metabolic panel (80048) |
$114.40 |
$176 |
13.5× |
| Comprehensive metabolic panel (80053) |
$160.55 |
$247 |
15.2× |
| Lipid panel (80061) |
$118.30 |
$182 |
8.8× |
| Renal function panel (80069) |
$69.55 |
$107 |
8.0× |
| Hepatic function panel (80076) |
$67.60 |
$104 |
8.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$7.80 |
$12 |
2.2× |
| PSA, total (84153) |
$149.50 |
$230 |
8.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$148.20 |
$228 |
8.8× |
| CBC with automated differential (85025) |
$22.75 |
$35 |
2.9× |
| CBC, automated (85027) |
$16.25 |
$25 |
2.5× |
| Prothrombin time (PT) (85610) |
$11.05 |
$17 |
2.6× |
| Partial thromboplastin time (PTT) (85730) |
$16.90 |
$26 |
2.8× |
| Psychotherapy, 30 minutes (90832) |
$300.95 |
$463 |
1.4× |
| Psychotherapy, 45 minutes (90834) |
$285.35 |
$439 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$300.95 |
$463 |
1.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$170.30 |
$262 |
5.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$243.75 |
$375 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$392.60 |
$604 |
2.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$484.90 |
$746 |
2.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$347.10 |
$534 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$377 |
$580 |
— |