| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,548.75 |
$2,065 |
1.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,942 |
$5,256 |
5.0× |
| Diagnostic colonoscopy (45378) |
$3,968.25 |
$5,291 |
4.9× |
| Colonoscopy with biopsy (45380) |
$3,978 |
$5,304 |
3.8× |
| Colonoscopy with lesion removal (45385) |
$3,963 |
$5,284 |
3.8× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,146.50 |
$2,862 |
2.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,699.50 |
$2,266 |
2.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,304.25 |
$1,739 |
1.7× |
| CT head/brain without contrast (70450) |
$1,200.75 |
$1,601 |
13.1× |
| MRI brain without contrast (70551) |
$1,774.50 |
$2,366 |
8.5× |
| MRI brain with contrast (70552) |
$2,322 |
$3,096 |
7.6× |
| MRI brain without and with contrast (70553) |
$5,237.25 |
$6,983 |
17.1× |
| X-ray lower spine, 4+ views (72110) |
$744 |
$992 |
8.1× |
| MRI lumbar spine without contrast (72148) |
$770.25 |
$1,027 |
3.7× |
| CT pelvis with contrast (72193) |
$3,460.50 |
$4,614 |
22.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,273.12 |
$1,697.50 |
6.1× |
| CT abdomen and pelvis with contrast (74177) |
$6,565.50 |
$8,754 |
21.5× |
| Ultrasound, abdomen complete (76700) |
$1,372.50 |
$1,830 |
15.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,147.50 |
$1,530 |
12.5× |
| Ultrasound, transvaginal (76830) |
$980.62 |
$1,307.50 |
10.7× |
| Mammography, one breast (diagnostic) (77065) |
$540 |
$720 |
6.3× |
| Mammography, both breasts (diagnostic) (77066) |
$686.25 |
$915 |
6.2× |
| Mammography, screening (bilateral) (77067) |
$486.75 |
$649 |
5.3× |
| Basic metabolic panel (80048) |
$44.62 |
$59.50 |
5.3× |
| Comprehensive metabolic panel (80053) |
$61.88 |
$82.50 |
5.9× |
| Lipid panel (80061) |
$62.25 |
$83 |
4.6× |
| Renal function panel (80069) |
$223.50 |
$298 |
25.7× |
| Hepatic function panel (80076) |
$126.75 |
$169 |
15.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$4.50 |
$6 |
1.3× |
| PSA, total (84153) |
$170.62 |
$227.50 |
9.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$156.75 |
$209 |
9.3× |
| CBC with automated differential (85025) |
$6 |
$8 |
0.8× |
| CBC, automated (85027) |
$41.25 |
$55 |
6.4× |
| Prothrombin time (PT) (85610) |
$28.50 |
$38 |
6.6× |
| Partial thromboplastin time (PTT) (85730) |
$40.50 |
$54 |
6.7× |
| Sleep study (attended polysomnography) (95810) |
$5,599.12 |
$7,465.50 |
7.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$135 |
$180 |
4.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$222.75 |
$297 |
1.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$592.12 |
$789.50 |
5.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,053.75 |
$1,405 |
9.0× |