| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,384.80 |
$6,924 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,384.80 |
$6,924 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,423.80 |
$7,119 |
1.6× |
| Colonoscopy with biopsy (45380) |
$1,423.80 |
$7,119 |
1.2× |
| Colonoscopy with lesion removal (45385) |
$1,423.80 |
$7,119 |
1.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,000 |
$15,000 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$3,300 |
$16,500 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$697.20 |
$3,486 |
0.8× |
| Cataract removal with lens insertion (66984) |
$2,546.20 |
$12,731 |
1.2× |
| CT head/brain without contrast (70450) |
$653.40 |
$3,267 |
6.5× |
| MRI brain without contrast (70551) |
$1,320.60 |
$6,603 |
5.8× |
| MRI brain without and with contrast (70553) |
$1,800.60 |
$9,003 |
5.4× |
| X-ray lower spine, 4+ views (72110) |
$272.40 |
$1,362 |
2.7× |
| MRI lumbar spine without contrast (72148) |
$1,527.60 |
$7,638 |
6.7× |
| CT pelvis with contrast (72193) |
$1,043.40 |
$5,217 |
6.2× |
| CT abdomen and pelvis with contrast (74177) |
$1,948.80 |
$9,744 |
5.8× |
| Ultrasound, abdomen complete (76700) |
$526.20 |
$2,631 |
5.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$526.80 |
$2,634 |
5.3× |
| Ultrasound, transvaginal (76830) |
$375 |
$1,875 |
3.8× |
| Mammography, both breasts (diagnostic) (77066) |
$177.60 |
$888 |
1.6× |
| Mammography, screening (bilateral) (77067) |
$170.40 |
$852 |
1.9× |
| Basic metabolic panel (80048) |
$70.80 |
$354 |
8.4× |
| Comprehensive metabolic panel (80053) |
$88.20 |
$441 |
8.4× |
| Lipid panel (80061) |
$55.20 |
$276 |
4.1× |
| Renal function panel (80069) |
$88.20 |
$441 |
10.2× |
| Hepatic function panel (80076) |
$80.40 |
$402 |
9.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$13.80 |
$69 |
4.0× |
| PSA, total (84153) |
$58.20 |
$291 |
3.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$69 |
$345 |
4.1× |
| CBC with automated differential (85025) |
$43.20 |
$216 |
5.6× |
| CBC, automated (85027) |
$34.20 |
$171 |
5.3× |
| Prothrombin time (PT) (85610) |
$27 |
$135 |
6.3× |
| Partial thromboplastin time (PTT) (85730) |
$30 |
$150 |
5.0× |
| Left heart catheterization (93452) |
$2,597.40 |
$12,987 |
0.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$180.60 |
$903 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$212.40 |
$1,062 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$178.80 |
$894 |
1.4× |