| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,708 |
$1,708 |
2.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,000 |
$2,000 |
2.4× |
| Diagnostic colonoscopy (45378) |
$1,753 |
$1,753 |
2.1× |
| Colonoscopy with biopsy (45380) |
$2,000 |
$2,000 |
1.8× |
| Colonoscopy with lesion removal (45385) |
$2,042.24 |
$2,042.24 |
1.9× |
| Inguinal hernia repair (age 5+) (49505) |
$5,000 |
$5,000 |
1.5× |
| Cataract removal with lens insertion (66984) |
$3,250 |
$3,250 |
1.6× |
| CT head/brain without contrast (70450) |
$1,186.55 |
$1,186.55 |
12.5× |
| MRI brain without contrast (70551) |
$1,968 |
$1,968 |
9.1× |
| MRI brain with contrast (70552) |
$2,172 |
$2,172 |
6.9× |
| MRI brain without and with contrast (70553) |
$2,388 |
$2,388 |
7.6× |
| X-ray lower spine, 4+ views (72110) |
$425.12 |
$425.12 |
4.5× |
| MRI lumbar spine without contrast (72148) |
$1,968 |
$1,968 |
9.1× |
| CT pelvis with contrast (72193) |
$1,515.61 |
$1,515.61 |
9.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,968 |
$1,968 |
9.1× |
| CT abdomen and pelvis with contrast (74177) |
$2,500 |
$2,500 |
7.9× |
| Ultrasound, abdomen complete (76700) |
$699.20 |
$699.20 |
7.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$563.76 |
$563.76 |
6.0× |
| Ultrasound, transvaginal (76830) |
$425.75 |
$425.75 |
4.5× |
| Mammography, one breast (diagnostic) (77065) |
$275 |
$275 |
3.2× |
| Mammography, both breasts (diagnostic) (77066) |
$330 |
$330 |
3.0× |
| Mammography, screening (bilateral) (77067) |
$330 |
$330 |
3.6× |
| Basic metabolic panel (80048) |
$169.41 |
$169.41 |
20.0× |
| Comprehensive metabolic panel (80053) |
$182.24 |
$182.24 |
17.3× |
| Lipid panel (80061) |
$128.47 |
$128.47 |
9.6× |
| Renal function panel (80069) |
$83.60 |
$83.60 |
9.6× |
| Hepatic function panel (80076) |
$181.19 |
$181.19 |
22.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$15.40 |
$15.40 |
3.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$25.20 |
$25.20 |
7.2× |
| PSA, total (84153) |
$75.90 |
$75.90 |
4.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$94 |
$94 |
5.6× |
| CBC with automated differential (85025) |
$72.61 |
$72.61 |
9.3× |
| Prothrombin time (PT) (85610) |
$33.59 |
$33.59 |
7.8× |
| Partial thromboplastin time (PTT) (85730) |
$65.04 |
$65.04 |
10.8× |
| Sleep study (attended polysomnography) (95810) |
$3,700 |
$3,700 |
4.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$45 |
$45 |
1.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$137.50 |
$137.50 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$192 |
$192 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$192 |
$192 |
1.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$300 |
$300 |
2.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$450 |
$450 |
3.7× |