| Upper GI endoscopy (EGD), diagnostic (43235) |
$871.15 |
$1,244.50 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$897.75 |
$1,282.50 |
0.9× |
| Diagnostic colonoscopy (45378) |
$948.85 |
$1,355.50 |
0.9× |
| Colonoscopy with biopsy (45380) |
$529.90 |
$757 |
0.4× |
| Colonoscopy with lesion removal (45385) |
$628.60 |
$898 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$6,198.50 |
$8,855 |
1.6× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,491 |
$2,130 |
1.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$834.40 |
$1,192 |
0.8× |
| CT head/brain without contrast (70450) |
$1,033.20 |
$1,476 |
8.9× |
| MRI brain without contrast (70551) |
$1,605.45 |
$2,293.50 |
6.0× |
| MRI brain with contrast (70552) |
$2,273.60 |
$3,248 |
5.8× |
| MRI brain without and with contrast (70553) |
$3,643.50 |
$5,205 |
9.4× |
| X-ray lower spine, 4+ views (72110) |
$911.40 |
$1,302 |
7.8× |
| MRI lumbar spine without contrast (72148) |
$1,883.35 |
$2,690.50 |
7.1× |
| CT pelvis with contrast (72193) |
$1,274.70 |
$1,821 |
6.5× |
| MRI lower-extremity joint without contrast (73721) |
$2,189.60 |
$3,128 |
8.2× |
| CT abdomen and pelvis with contrast (74177) |
$3,384.50 |
$4,835 |
8.7× |
| Ultrasound, abdomen complete (76700) |
$1,066.80 |
$1,524 |
9.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,030.40 |
$1,472 |
8.8× |
| Ultrasound, transvaginal (76830) |
$1,068.90 |
$1,527 |
9.2× |
| Mammography, one breast (diagnostic) (77065) |
$451.50 |
$645 |
5.2× |
| Mammography, both breasts (diagnostic) (77066) |
$584.50 |
$835 |
5.3× |
| Mammography, screening (bilateral) (77067) |
$390.60 |
$558 |
4.3× |
| Basic metabolic panel (80048) |
$51.80 |
$74 |
6.1× |
| Comprehensive metabolic panel (80053) |
$60.90 |
$87 |
5.8× |
| Obstetric panel (80055) |
$172.20 |
$246 |
3.6× |
| Lipid panel (80061) |
$96.60 |
$138 |
7.2× |
| Renal function panel (80069) |
$184.10 |
$263 |
21.2× |
| Hepatic function panel (80076) |
$150.50 |
$215 |
18.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$47.60 |
$68 |
13.7× |
| PSA, total (84153) |
$121.80 |
$174 |
6.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$67.20 |
$96 |
4.0× |
| CBC with automated differential (85025) |
$95.90 |
$137 |
12.3× |
| CBC, automated (85027) |
$61.60 |
$88 |
9.5× |
| Prothrombin time (PT) (85610) |
$26.60 |
$38 |
6.2× |
| Partial thromboplastin time (PTT) (85730) |
$81.90 |
$117 |
13.6× |
| Electrocardiogram (ECG), complete (93000) |
$28 |
$40 |
0.4× |
| Sleep study (attended polysomnography) (95810) |
$4,351.90 |
$6,217 |
4.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$58.80 |
$84 |
2.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$177.80 |
$254 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$275.45 |
$393.50 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$346.15 |
$494.50 |
2.3× |
| Office consultation (low complexity, ~30 min) (99243) |
$157.50 |
$225 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$252.70 |
$361 |
1.7× |