| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,125 |
$2,500 |
2.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,125 |
$2,500 |
2.3× |
| Diagnostic colonoscopy (45378) |
$1,700 |
$2,000 |
1.8× |
| Colonoscopy with biopsy (45380) |
$1,785 |
$2,100 |
1.5× |
| Colonoscopy with lesion removal (45385) |
$1,700 |
$2,000 |
1.4× |
| Colonoscopy with endoscopic ultrasound (45391) |
$3,145 |
$3,700 |
2.6× |
| Obstetric care, cesarean delivery (global) (59510) |
$5,100 |
$6,000 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,955 |
$2,300 |
2.2× |
| CT head/brain without contrast (70450) |
$2,125 |
$2,500 |
20.3× |
| MRI brain without contrast (70551) |
$2,295 |
$2,700 |
9.6× |
| MRI brain with contrast (70552) |
$2,720 |
$3,200 |
7.8× |
| MRI brain without and with contrast (70553) |
$3,825 |
$4,500 |
10.9× |
| X-ray lower spine, 4+ views (72110) |
$531.25 |
$625 |
5.1× |
| MRI lumbar spine without contrast (72148) |
$2,125 |
$2,500 |
8.9× |
| CT pelvis with contrast (72193) |
$2,720 |
$3,200 |
15.5× |
| MRI lower-extremity joint without contrast (73721) |
$2,125 |
$2,500 |
8.9× |
| CT abdomen and pelvis with contrast (74177) |
$3,230 |
$3,800 |
9.2× |
| Ultrasound, abdomen complete (76700) |
$850 |
$1,000 |
8.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$510 |
$600 |
4.9× |
| Ultrasound, transvaginal (76830) |
$637.50 |
$750 |
6.1× |
| Mammography, one breast (diagnostic) (77065) |
$233.75 |
$275 |
2.7× |
| Mammography, both breasts (diagnostic) (77066) |
$297.50 |
$350 |
2.7× |
| Mammography, screening (bilateral) (77067) |
$212.50 |
$250 |
2.3× |
| Basic metabolic panel (80048) |
$136 |
$160 |
16.1× |
| Comprehensive metabolic panel (80053) |
$191.25 |
$225 |
18.1× |
| Lipid panel (80061) |
$102 |
$120 |
7.6× |
| Renal function panel (80069) |
$102 |
$120 |
11.8× |
| Hepatic function panel (80076) |
$153 |
$180 |
18.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$11.05 |
$13 |
3.2× |
| PSA, total (84153) |
$76.50 |
$90 |
4.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$119 |
$140 |
7.1× |
| CBC with automated differential (85025) |
$85 |
$100 |
10.9× |
| CBC, automated (85027) |
$68 |
$80 |
10.5× |
| Prothrombin time (PT) (85610) |
$51 |
$60 |
11.9× |
| Partial thromboplastin time (PTT) (85730) |
$85 |
$100 |
14.1× |
| Sleep study (attended polysomnography) (95810) |
$4,058.75 |
$4,775 |
4.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$144.50 |
$170 |
5.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$106.25 |
$125 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$170 |
$200 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$340 |
$400 |
2.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$212.50 |
$250 |
1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$318.75 |
$375 |
2.4× |