| Upper GI endoscopy (EGD), diagnostic (43235) |
$669.80 |
$985 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$548.08 |
$806 |
0.7× |
| Diagnostic colonoscopy (45378) |
$998.24 |
$1,468 |
1.2× |
| Colonoscopy with biopsy (45380) |
$548.08 |
$806 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$773.16 |
$1,137 |
0.7× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,615 |
$2,375 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,012.52 |
$1,489 |
0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$546.38 |
$803.50 |
0.7× |
| Cataract removal with lens insertion (66984) |
$1,210.40 |
$1,780 |
0.6× |
| CT head/brain without contrast (70450) |
$634.20 |
$932.65 |
6.7× |
| MRI brain without contrast (70551) |
$747.20 |
$1,098.82 |
3.5× |
| MRI brain with contrast (70552) |
$1,272.96 |
$1,872 |
4.0× |
| MRI brain without and with contrast (70553) |
$1,464.04 |
$2,153 |
4.6× |
| X-ray lower spine, 4+ views (72110) |
$162.28 |
$238.65 |
1.7× |
| MRI lumbar spine without contrast (72148) |
$881.28 |
$1,296 |
4.1× |
| CT pelvis with contrast (72193) |
$1,335.52 |
$1,964 |
8.4× |
| MRI lower-extremity joint without contrast (73721) |
$881.28 |
$1,296 |
4.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,960.88 |
$2,883.65 |
6.2× |
| Ultrasound, abdomen complete (76700) |
$371.45 |
$546.25 |
3.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$306.85 |
$451.25 |
3.2× |
| Ultrasound, transvaginal (76830) |
$306.85 |
$451.25 |
3.2× |
| Mammography, one breast (diagnostic) (77065) |
$172.04 |
$253 |
2.0× |
| Mammography, both breasts (diagnostic) (77066) |
$218.18 |
$320.85 |
2.0× |
| Mammography, screening (bilateral) (77067) |
$142.12 |
$209 |
1.6× |
| Basic metabolic panel (80048) |
$31.35 |
$46.10 |
3.7× |
| Comprehensive metabolic panel (80053) |
$64.60 |
$95 |
6.1× |
| Obstetric panel (80055) |
$228.48 |
$336 |
4.8× |
| Lipid panel (80061) |
$60.72 |
$89.30 |
4.5× |
| Renal function panel (80069) |
$31.35 |
$46.10 |
3.6× |
| Hepatic function panel (80076) |
$31.35 |
$46.10 |
3.8× |
| PSA, total (84153) |
$60.08 |
$88.35 |
3.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$43.28 |
$63.65 |
2.6× |
| CBC with automated differential (85025) |
$64.12 |
$94.30 |
8.3× |
| CBC, automated (85027) |
$23.80 |
$35 |
3.7× |
| Prothrombin time (PT) (85610) |
$28.76 |
$42.30 |
6.7× |
| Partial thromboplastin time (PTT) (85730) |
$26.18 |
$38.50 |
4.4× |
| Electrocardiogram (ECG), complete (93000) |
$30.60 |
$45 |
0.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$73.44 |
$108 |
2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$175.44 |
$258 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$220.32 |
$324 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$253.64 |
$373 |
2.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$340 |
$500 |
2.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$374 |
$550 |
3.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$197.20 |
$290 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$204 |
$300 |
— |