| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,671 |
$2,570 |
2.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,671 |
$2,570 |
2.0× |
| Diagnostic colonoscopy (45378) |
$1,625 |
$2,499 |
1.9× |
| Colonoscopy with biopsy (45380) |
$2,101 |
$3,231 |
1.9× |
| Colonoscopy with lesion removal (45385) |
$1,609 |
$2,847 |
1.4× |
| Laparoscopic gallbladder removal (47562) |
$10,393 |
$15,988 |
1.8× |
| Inguinal hernia repair (age 5+) (49505) |
$2,807 |
$4,448 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,519 |
$2,407 |
1.8× |
| CT head/brain without contrast (70450) |
$1,533 |
$2,429 |
15.8× |
| MRI brain without contrast (70551) |
$2,523 |
$3,997 |
11.4× |
| MRI brain with contrast (70552) |
$2,770 |
$4,390 |
8.5× |
| MRI brain without and with contrast (70553) |
$2,878 |
$4,560 |
8.9× |
| X-ray lower spine, 4+ views (72110) |
$429 |
$680 |
4.4× |
| MRI lumbar spine without contrast (72148) |
$2,540 |
$4,024 |
11.4× |
| CT pelvis with contrast (72193) |
$1,644 |
$2,605 |
10.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,665 |
$2,639 |
7.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,246 |
$3,560 |
6.9× |
| Ultrasound, abdomen complete (76700) |
$203 |
$321 |
2.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$544 |
$862 |
5.6× |
| Ultrasound, transvaginal (76830) |
$844 |
$1,337 |
8.7× |
| Mammography, one breast (diagnostic) (77065) |
$207 |
$328 |
2.4× |
| Mammography, both breasts (diagnostic) (77066) |
$354 |
$560 |
3.2× |
| Mammography, screening (bilateral) (77067) |
$108 |
$191 |
1.2× |
| Basic metabolic panel (80048) |
$135 |
$207 |
16.0× |
| Comprehensive metabolic panel (80053) |
$285 |
$439 |
27.0× |
| Lipid panel (80061) |
$60 |
$93 |
4.5× |
| Renal function panel (80069) |
$143 |
$220 |
16.5× |
| Hepatic function panel (80076) |
$118 |
$181 |
14.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$49 |
$75 |
14.1× |
| PSA, total (84153) |
$152 |
$234 |
8.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$99 |
$153 |
5.9× |
| CBC with automated differential (85025) |
$95 |
$146 |
12.2× |
| CBC, automated (85027) |
$35 |
$54 |
5.4× |
| Prothrombin time (PT) (85610) |
$36 |
$56 |
8.4× |
| Partial thromboplastin time (PTT) (85730) |
$56 |
$86 |
9.3× |
| Electrocardiogram (ECG), complete (93000) |
$18 |
$28 |
0.3× |
| Left heart catheterization (93452) |
$5,363 |
$8,498 |
1.8× |
| Sleep study (attended polysomnography) (95810) |
$2,766 |
$4,384 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$76 |
$121 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$180 |
$285 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$216 |
$342 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$252 |
$400 |
2.0× |