| Upper GI endoscopy (EGD), diagnostic (43235) |
$242.33 |
$1,211.64 |
0.3× |
| Colonoscopy with biopsy (45380) |
$677.07 |
$3,385.37 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$931.25 |
$4,656.26 |
0.8× |
| Colonoscopy with endoscopic ultrasound (45391) |
$334.64 |
$1,673.20 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$538.40 |
$2,692 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$607.13 |
$3,035.63 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$1,358.33 |
$6,791.67 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$200.84 |
$1,004.22 |
0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$343.46 |
$1,717.32 |
0.4× |
| CT head/brain without contrast (70450) |
$100.78 |
$503.90 |
1.0× |
| MRI brain without contrast (70551) |
$338.98 |
$1,694.88 |
1.4× |
| MRI brain with contrast (70552) |
$553.83 |
$2,769.16 |
1.6× |
| MRI brain without and with contrast (70553) |
$825.61 |
$4,128.06 |
2.4× |
| X-ray lower spine, 4+ views (72110) |
$28.25 |
$141.24 |
0.3× |
| MRI lumbar spine without contrast (72148) |
$435.49 |
$2,177.45 |
1.8× |
| CT pelvis with contrast (72193) |
$153.49 |
$767.47 |
0.9× |
| MRI lower-extremity joint without contrast (73721) |
$563.46 |
$2,817.31 |
2.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,025.03 |
$5,125.13 |
2.9× |
| Ultrasound, abdomen complete (76700) |
$38.60 |
$193 |
0.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$74.68 |
$373.41 |
0.7× |
| Ultrasound, transvaginal (76830) |
$28.09 |
$140.44 |
0.3× |
| Mammography, one breast (diagnostic) (77065) |
$90.79 |
$453.94 |
1.1× |
| Mammography, both breasts (diagnostic) (77066) |
$119.02 |
$595.12 |
1.1× |
| Mammography, screening (bilateral) (77067) |
$72.55 |
$362.73 |
0.8× |
| Basic metabolic panel (80048) |
$27.09 |
$135.45 |
3.2× |
| Comprehensive metabolic panel (80053) |
$34.44 |
$172.20 |
3.3× |
| Obstetric panel (80055) |
$19.49 |
$97.44 |
0.4× |
| Lipid panel (80061) |
$34.94 |
$174.72 |
2.6× |
| Renal function panel (80069) |
$27.22 |
$136.08 |
3.1× |
| Hepatic function panel (80076) |
$9.13 |
$45.66 |
1.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$6.07 |
$30.36 |
1.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$5.54 |
$27.72 |
1.6× |
| PSA, total (84153) |
$17.47 |
$87.36 |
1.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$15.12 |
$75.60 |
0.9× |
| CBC with automated differential (85025) |
$8.65 |
$43.24 |
1.1× |
| CBC, automated (85027) |
$6.50 |
$32.49 |
1.0× |
| Prothrombin time (PT) (85610) |
$14.45 |
$72.24 |
3.4× |
| Partial thromboplastin time (PTT) (85730) |
$17.85 |
$89.25 |
3.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$42.75 |
$213.74 |
0.2× |
| Electrocardiogram (ECG), complete (93000) |
$9.41 |
$47.04 |
0.2× |
| Left heart catheterization (93452) |
$1,332.18 |
$6,660.91 |
0.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$41.24 |
$206.18 |
1.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$74.06 |
$370.30 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$111.24 |
$556.19 |
0.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$146.99 |
$734.97 |
1.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$40.75 |
$203.77 |
0.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$39.14 |
$195.72 |
0.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$17.43 |
$87.15 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$47.52 |
$237.60 |
— |