| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,696 |
$1,696 |
2.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,939 |
$1,939 |
2.2× |
| Colonoscopy with biopsy (45380) |
$8,636 |
$8,636 |
7.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,406 |
$3,406 |
4.0× |
| CT head/brain without contrast (70450) |
$2,848 |
$2,848 |
28.5× |
| MRI brain without contrast (70551) |
$3,896 |
$3,896 |
17.1× |
| MRI brain with contrast (70552) |
$5,604 |
$5,604 |
16.8× |
| MRI brain without and with contrast (70553) |
$7,080 |
$7,080 |
21.2× |
| X-ray lower spine, 4+ views (72110) |
$749 |
$749 |
7.5× |
| MRI lumbar spine without contrast (72148) |
$4,104 |
$4,104 |
18.0× |
| CT pelvis with contrast (72193) |
$4,288 |
$4,288 |
25.6× |
| MRI lower-extremity joint without contrast (73721) |
$4,104 |
$4,104 |
18.0× |
| CT abdomen and pelvis with contrast (74177) |
$8,130 |
$8,130 |
24.4× |
| Ultrasound, abdomen complete (76700) |
$1,319 |
$1,319 |
13.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,051 |
$1,051 |
10.5× |
| Ultrasound, transvaginal (76830) |
$1,003 |
$1,003 |
10.0× |
| Mammography, one breast (diagnostic) (77065) |
$712 |
$712 |
8.3× |
| Mammography, both breasts (diagnostic) (77066) |
$829 |
$829 |
7.5× |
| Mammography, screening (bilateral) (77067) |
$663 |
$663 |
7.3× |
| Basic metabolic panel (80048) |
$165 |
$165 |
19.5× |
| Comprehensive metabolic panel (80053) |
$239 |
$239 |
22.6× |
| Obstetric panel (80055) |
$759 |
$759 |
15.9× |
| Lipid panel (80061) |
$132 |
$132 |
9.9× |
| Renal function panel (80069) |
$180 |
$180 |
20.7× |
| Hepatic function panel (80076) |
$207 |
$207 |
25.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$57.50 |
$57.50 |
16.5× |
| PSA, total (84153) |
$191.50 |
$191.50 |
10.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$131 |
$131 |
7.8× |
| CBC with automated differential (85025) |
$83 |
$83 |
10.7× |
| CBC, automated (85027) |
$70 |
$70 |
10.8× |
| Prothrombin time (PT) (85610) |
$39 |
$39 |
9.1× |
| Partial thromboplastin time (PTT) (85730) |
$81 |
$81 |
13.5× |
| Psychotherapy, 30 minutes (90832) |
$295 |
$295 |
1.7× |
| Psychotherapy, 45 minutes (90834) |
$295 |
$295 |
1.7× |
| Psychotherapy, 60 minutes (90837) |
$295 |
$295 |
1.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$324 |
$324 |
1.9× |
| Group psychotherapy (90853) |
$160 |
$160 |
1.6× |
| Sleep study (attended polysomnography) (95810) |
$3,828 |
$3,828 |
4.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$113 |
$113 |
3.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$339 |
$339 |
2.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$361 |
$361 |
2.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$379 |
$379 |
3.0× |