| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,756.30 |
$2,509 |
1.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,853.60 |
$2,648 |
1.9× |
| Diagnostic colonoscopy (45378) |
$1,918 |
$2,740 |
2.0× |
| Colonoscopy with biopsy (45380) |
$2,503.20 |
$3,576 |
2.0× |
| Colonoscopy with lesion removal (45385) |
$2,644.60 |
$3,778 |
2.1× |
| CT head/brain without contrast (70450) |
$809.20 |
$1,156 |
7.3× |
| MRI brain without contrast (70551) |
$1,687 |
$2,410 |
6.7× |
| MRI brain with contrast (70552) |
$1,820 |
$2,600 |
4.9× |
| MRI brain without and with contrast (70553) |
$2,156 |
$3,080 |
5.9× |
| X-ray lower spine, 4+ views (72110) |
$347.90 |
$497 |
3.2× |
| MRI lumbar spine without contrast (72148) |
$1,380.40 |
$1,972 |
5.5× |
| CT pelvis with contrast (72193) |
$1,101.80 |
$1,574 |
6.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,554.70 |
$2,221 |
6.2× |
| CT abdomen and pelvis with contrast (74177) |
$1,465.80 |
$2,094 |
4.0× |
| Ultrasound, abdomen complete (76700) |
$454.30 |
$649 |
4.1× |
| Basic metabolic panel (80048) |
$66.50 |
$95 |
7.9× |
| Comprehensive metabolic panel (80053) |
$70 |
$100 |
6.6× |
| Lipid panel (80061) |
$88.20 |
$126 |
6.6× |
| Renal function panel (80069) |
$70 |
$100 |
8.1× |
| Hepatic function panel (80076) |
$87.50 |
$125 |
10.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$17.50 |
$25 |
5.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$54.24 |
$77.49 |
3.2× |
| CBC with automated differential (85025) |
$42 |
$60 |
5.4× |
| CBC, automated (85027) |
$42 |
$60 |
6.5× |
| Prothrombin time (PT) (85610) |
$43.55 |
$62.22 |
10.2× |
| Partial thromboplastin time (PTT) (85730) |
$51.63 |
$73.75 |
8.6× |
| Sleep study (attended polysomnography) (95810) |
$1,724.10 |
$2,463 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$70 |
$100 |
2.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$96.60 |
$138 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$111.30 |
$159 |
0.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$150.50 |
$215 |
1.1× |