| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,594.85 |
$5,189.70 |
3.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,883.30 |
$5,766.60 |
3.3× |
| Diagnostic colonoscopy (45378) |
$2,990.28 |
$5,980.55 |
3.4× |
| Colonoscopy with biopsy (45380) |
$3,336.40 |
$6,672.80 |
2.9× |
| Colonoscopy with lesion removal (45385) |
$3,219.84 |
$6,439.67 |
2.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,635.91 |
$3,271.82 |
1.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$5,549.32 |
$11,098.63 |
6.6× |
| CT head/brain without contrast (70450) |
$764.32 |
$1,528.63 |
7.7× |
| MRI brain without contrast (70551) |
$1,159.83 |
$2,319.65 |
5.1× |
| MRI brain with contrast (70552) |
$1,258.52 |
$2,517.04 |
3.8× |
| MRI brain without and with contrast (70553) |
$1,495.18 |
$2,990.35 |
4.5× |
| X-ray lower spine, 4+ views (72110) |
$304.14 |
$608.28 |
3.0× |
| MRI lumbar spine without contrast (72148) |
$1,144.25 |
$2,288.50 |
5.0× |
| CT pelvis with contrast (72193) |
$1,008.12 |
$2,016.23 |
6.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,116 |
$4,232 |
9.3× |
| CT abdomen and pelvis with contrast (74177) |
$2,016.23 |
$4,032.45 |
6.1× |
| Ultrasound, abdomen complete (76700) |
$409.20 |
$818.40 |
4.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$177.50 |
$355 |
1.8× |
| Ultrasound, transvaginal (76830) |
$409.20 |
$818.40 |
4.1× |
| Mammography, one breast (diagnostic) (77065) |
$326.03 |
$652.05 |
3.8× |
| Mammography, both breasts (diagnostic) (77066) |
$374.90 |
$749.80 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$143.75 |
$287.50 |
1.6× |
| Basic metabolic panel (80048) |
$20.11 |
$40.22 |
2.4× |
| Comprehensive metabolic panel (80053) |
$28.97 |
$57.93 |
2.7× |
| Lipid panel (80061) |
$34.88 |
$69.76 |
2.6× |
| Renal function panel (80069) |
$23.81 |
$47.62 |
2.7× |
| Hepatic function panel (80076) |
$17.33 |
$34.66 |
2.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$6.33 |
$12.65 |
1.8× |
| PSA, total (84153) |
$43.86 |
$87.71 |
2.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$40.06 |
$80.12 |
2.4× |
| CBC with automated differential (85025) |
$21.32 |
$42.63 |
2.7× |
| CBC, automated (85027) |
$17.74 |
$35.47 |
2.7× |
| Prothrombin time (PT) (85610) |
$10.80 |
$21.59 |
2.5× |
| Partial thromboplastin time (PTT) (85730) |
$16.47 |
$32.94 |
2.7× |
| Psychotherapy, 30 minutes (90832) |
$281.18 |
$562.35 |
1.7× |
| Psychotherapy, 45 minutes (90834) |
$281.18 |
$562.35 |
1.7× |
| Psychotherapy, 60 minutes (90837) |
$281.18 |
$562.35 |
1.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$196.88 |
$393.75 |
1.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$281.18 |
$562.35 |
1.7× |
| Group psychotherapy (90853) |
$190.55 |
$381.09 |
2.0× |
| Sleep study (attended polysomnography) (95810) |
$2,697.88 |
$5,395.76 |
3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$111.58 |
$223.15 |
3.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$94.82 |
$189.63 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$115.21 |
$230.42 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$129 |
$257.99 |
1.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$71.67 |
$143.33 |
0.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$104.74 |
$209.48 |
0.8× |