| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,939 |
$2,770 |
2.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,126.60 |
$3,038 |
2.4× |
| Diagnostic colonoscopy (45378) |
$2,546.60 |
$3,638 |
2.8× |
| Colonoscopy with biopsy (45380) |
$2,734.20 |
$3,906 |
2.3× |
| Colonoscopy with lesion removal (45385) |
$2,781.10 |
$3,973 |
2.3× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,546.60 |
$3,638 |
2.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,799 |
$2,570 |
2.1× |
| CT head/brain without contrast (70450) |
$798 |
$1,140 |
7.7× |
| MRI brain without contrast (70551) |
$1,439.90 |
$2,057 |
6.1× |
| MRI brain with contrast (70552) |
$1,640.80 |
$2,344 |
4.8× |
| MRI brain without and with contrast (70553) |
$2,134.30 |
$3,049 |
6.2× |
| X-ray lower spine, 4+ views (72110) |
$312.90 |
$447 |
3.0× |
| MRI lumbar spine without contrast (72148) |
$1,568.70 |
$2,241 |
6.6× |
| CT pelvis with contrast (72193) |
$2,230.20 |
$3,186 |
12.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,738.80 |
$2,484 |
7.4× |
| CT abdomen and pelvis with contrast (74177) |
$5,148.50 |
$7,355 |
14.9× |
| Ultrasound, abdomen complete (76700) |
$508.20 |
$726 |
4.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$454.30 |
$649 |
4.4× |
| Ultrasound, transvaginal (76830) |
$401.80 |
$574 |
3.9× |
| Mammography, one breast (diagnostic) (77065) |
$459.20 |
$656 |
5.3× |
| Mammography, both breasts (diagnostic) (77066) |
$580.30 |
$829 |
5.2× |
| Mammography, screening (bilateral) (77067) |
$466.90 |
$667 |
5.1× |
| Basic metabolic panel (80048) |
$100.80 |
$144 |
11.9× |
| Comprehensive metabolic panel (80053) |
$138.60 |
$198 |
13.1× |
| Lipid panel (80061) |
$140 |
$200 |
10.5× |
| Renal function panel (80069) |
$56.70 |
$81 |
6.5× |
| Hepatic function panel (80076) |
$67.20 |
$96 |
8.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$7 |
$10 |
2.0× |
| PSA, total (84153) |
$144.90 |
$207 |
7.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$140.70 |
$201 |
8.4× |
| CBC with automated differential (85025) |
$75.60 |
$108 |
9.7× |
| CBC, automated (85027) |
$57.40 |
$82 |
8.9× |
| Prothrombin time (PT) (85610) |
$50.40 |
$72 |
11.7× |
| Partial thromboplastin time (PTT) (85730) |
$60.90 |
$87 |
10.1× |
| Left heart catheterization (93452) |
$9,967.30 |
$14,239 |
3.1× |
Sleep study (attended polysomnography) (95810)
range across 3 matching MRF lines |
$3,115–$3,381 |
$4,450–$4,830 |
varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$91.70 |
$131 |
3.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$68.60 |
$98 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$224.70 |
$321 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$303.10 |
$433 |
2.3× |