| Knee arthroscopy with meniscectomy (29881) |
$1,533.24 |
$2,044.32 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$643.36 |
$857.82 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$909.58 |
$1,212.77 |
1.0× |
| Diagnostic colonoscopy (45378) |
$702.18 |
$936.24 |
0.8× |
| Colonoscopy with biopsy (45380) |
$756.37 |
$1,008.49 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$770.23 |
$1,026.98 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$718.31 |
$957.74 |
0.8× |
| CT head/brain without contrast (70450) |
$894.50 |
$1,192.67 |
8.5× |
| MRI brain without contrast (70551) |
$860.53 |
$1,147.37 |
3.6× |
| MRI brain with contrast (70552) |
$860.53 |
$1,147.37 |
2.5× |
| MRI brain without and with contrast (70553) |
$1,884.95 |
$2,513.27 |
5.4× |
| X-ray lower spine, 4+ views (72110) |
$198.02 |
$264.03 |
1.9× |
| MRI lumbar spine without contrast (72148) |
$1,365.66 |
$1,820.88 |
5.7× |
| CT pelvis with contrast (72193) |
$894.50 |
$1,192.67 |
5.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,280.30 |
$1,707.06 |
5.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,490.84 |
$1,987.78 |
4.3× |
| Ultrasound, abdomen complete (76700) |
$368.73 |
$491.64 |
3.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$243.94 |
$325.25 |
2.3× |
| Ultrasound, transvaginal (76830) |
$284.51 |
$379.35 |
2.7× |
| Mammography, one breast (diagnostic) (77065) |
$137.72 |
$183.62 |
1.6× |
| Mammography, both breasts (diagnostic) (77066) |
$175.69 |
$234.25 |
1.6× |
| Mammography, screening (bilateral) (77067) |
$145.32 |
$193.76 |
1.6× |
| Basic metabolic panel (80048) |
$90.30 |
$120.40 |
10.7× |
| Comprehensive metabolic panel (80053) |
$128.80 |
$171.73 |
12.2× |
| Lipid panel (80061) |
$88.22 |
$117.63 |
6.6× |
| Renal function panel (80069) |
$120.62 |
$160.83 |
13.9× |
| Hepatic function panel (80076) |
$129.63 |
$172.84 |
15.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$21.77 |
$29.02 |
5.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$25.04 |
$33.39 |
7.2× |
| PSA, total (84153) |
$37.56 |
$50.08 |
2.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$71.66 |
$95.54 |
4.3× |
| CBC with automated differential (85025) |
$71.05 |
$94.73 |
9.1× |
| CBC, automated (85027) |
$71.04 |
$94.73 |
11.0× |
| Prothrombin time (PT) (85610) |
$18.12 |
$24.16 |
4.2× |
| Partial thromboplastin time (PTT) (85730) |
$28.96 |
$38.62 |
4.8× |
| Sleep study (attended polysomnography) (95810) |
$1,591.35 |
$2,121.80 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$58.71 |
$78.28 |
2.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$172.87 |
$230.49 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$192.18 |
$256.24 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$211.49 |
$281.99 |
1.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$128.24 |
$170.98 |
1.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$170.72 |
$227.63 |
1.3× |