| Upper GI endoscopy (EGD), diagnostic (43235) |
$480 |
$600 |
0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$642 |
$803 |
0.7× |
| Diagnostic colonoscopy (45378) |
$579 |
$724 |
0.6× |
| Colonoscopy with biopsy (45380) |
$840 |
$1,050 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$880 |
$1,100 |
0.7× |
| Inguinal hernia repair (age 5+) (49505) |
$919 |
$1,149 |
0.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,683 |
$4,604 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,058 |
$5,073 |
— |
| CT head/brain without contrast (70450) |
$1,822 |
$2,277 |
16.8× |
| MRI brain without contrast (70551) |
$2,854 |
$3,567 |
11.5× |
| MRI brain with contrast (70552) |
$2,942 |
$3,677 |
8.1× |
| MRI brain without and with contrast (70553) |
$3,210 |
$4,012 |
8.9× |
| X-ray lower spine, 4+ views (72110) |
$504 |
$630 |
4.6× |
| MRI lumbar spine without contrast (72148) |
$2,900 |
$3,625 |
11.7× |
| CT pelvis with contrast (72193) |
$2,531 |
$3,164 |
13.9× |
| MRI lower-extremity joint without contrast (73721) |
$2,349 |
$2,936 |
9.5× |
| CT abdomen and pelvis with contrast (74177) |
$3,958 |
$4,947 |
10.9× |
| Ultrasound, abdomen complete (76700) |
$759 |
$949 |
7.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$699 |
$874 |
6.4× |
| Ultrasound, transvaginal (76830) |
$579 |
$724 |
5.3× |
| Mammography, one breast (diagnostic) (77065) |
$280 |
$350 |
3.2× |
| Mammography, both breasts (diagnostic) (77066) |
$347 |
$434 |
3.1× |
| Mammography, screening (bilateral) (77067) |
$310 |
$388 |
3.4× |
| Basic metabolic panel (80048) |
$130 |
$162 |
15.4× |
| Comprehensive metabolic panel (80053) |
$154 |
$193 |
14.6× |
| Lipid panel (80061) |
$123 |
$154 |
9.2× |
| Renal function panel (80069) |
$151 |
$189 |
17.4× |
| Hepatic function panel (80076) |
$127 |
$159 |
15.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$41 |
$51 |
10.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$29 |
$39 |
8.3× |
| PSA, total (84153) |
$114 |
$142 |
6.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$110 |
$137 |
6.5× |
| CBC with automated differential (85025) |
$96 |
$120 |
12.4× |
| CBC, automated (85027) |
$89 |
$89 |
13.8× |
| Prothrombin time (PT) (85610) |
$58 |
$73 |
13.5× |
| Partial thromboplastin time (PTT) (85730) |
$84 |
$105 |
14.0× |
| Psychotherapy, 30 minutes (90832) |
$158 |
$197 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$303 |
$379 |
1.6× |
| Psychotherapy, 60 minutes (90837) |
$342 |
$427 |
1.9× |
| Electrocardiogram (ECG), complete (93000) |
$212 |
$265 |
3.5× |
| Sleep study (attended polysomnography) (95810) |
$3,163 |
$3,954 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$86.50 |
$108 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$250 |
$250 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$382 |
$382 |
2.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$485 |
$485 |
3.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$330 |
$330 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$360 |
$360 |
— |