| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,246 |
$2,980 |
1.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$726.50 |
$1,737.50 |
0.8× |
| Diagnostic colonoscopy (45378) |
$784 |
$1,874.50 |
0.8× |
| Colonoscopy with biopsy (45380) |
$1,361 |
$3,254 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$915 |
$2,188 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,466 |
$3,505.50 |
1.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$2,522.50 |
$6,034 |
4.4× |
| CT head/brain without contrast (70450) |
$1,045 |
$2,500 |
9.5× |
| MRI brain without contrast (70551) |
$1,058 |
$2,529 |
4.2× |
| MRI brain with contrast (70552) |
$1,560 |
$3,732 |
4.3× |
| MRI brain without and with contrast (70553) |
$1,779 |
$4,255 |
4.9× |
| X-ray lower spine, 4+ views (72110) |
$341 |
$814 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$1,002 |
$2,396 |
4.0× |
| CT pelvis with contrast (72193) |
$1,151 |
$2,753 |
6.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,135 |
$2,715 |
4.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,300 |
$5,502 |
6.3× |
| Ultrasound, abdomen complete (76700) |
$443 |
$1,058 |
4.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$513 |
$1,226 |
4.7× |
| Ultrasound, transvaginal (76830) |
$255 |
$608 |
2.3× |
| Mammography, one breast (diagnostic) (77065) |
$341 |
$814 |
4.0× |
| Mammography, both breasts (diagnostic) (77066) |
$383 |
$915 |
3.5× |
| Mammography, screening (bilateral) (77067) |
$347 |
$828 |
3.8× |
| Basic metabolic panel (80048) |
$103 |
$246 |
12.2× |
| Comprehensive metabolic panel (80053) |
$129 |
$308 |
12.2× |
| Obstetric panel (80055) |
$381 |
$910 |
8.0× |
| Lipid panel (80061) |
$83 |
$198 |
6.2× |
| Renal function panel (80069) |
$106 |
$253 |
12.2× |
| Hepatic function panel (80076) |
$67 |
$158 |
8.2× |
| PSA, total (84153) |
$148 |
$353 |
8.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$136 |
$323 |
8.1× |
| CBC with automated differential (85025) |
$96 |
$229 |
12.4× |
| CBC, automated (85027) |
$53 |
$126 |
8.2× |
| Prothrombin time (PT) (85610) |
$31 |
$74 |
7.2× |
| Partial thromboplastin time (PTT) (85730) |
$34 |
$80 |
5.7× |
| Sleep study (attended polysomnography) (95810) |
$2,438 |
$5,832 |
2.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$85 |
$202 |
2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$249 |
$595 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$403 |
$962 |
2.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$546 |
$1,306 |
3.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$282 |
$673 |
2.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$450 |
$1,075 |
3.2× |