| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,019.50 |
$2,885 |
2.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,268.70 |
$3,241 |
2.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,171.80 |
$1,674 |
1.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,400 |
$2,000 |
1.5× |
| CT head/brain without contrast (70450) |
$1,911.70 |
$2,731 |
17.1× |
| MRI brain without contrast (70551) |
$3,390.80 |
$4,844 |
13.3× |
| MRI brain with contrast (70552) |
$3,720.50 |
$5,315 |
10.0× |
| MRI brain without and with contrast (70553) |
$4,570.30 |
$6,529 |
12.2× |
| X-ray lower spine, 4+ views (72110) |
$730.80 |
$1,044 |
6.5× |
| MRI lumbar spine without contrast (72148) |
$3,564.40 |
$5,092 |
13.9× |
| CT pelvis with contrast (72193) |
$2,068.50 |
$2,955 |
11.0× |
| MRI lower-extremity joint without contrast (73721) |
$3,403.40 |
$4,862 |
13.3× |
| CT abdomen and pelvis with contrast (74177) |
$4,477.90 |
$6,397 |
12.0× |
| Ultrasound, abdomen complete (76700) |
$1,645 |
$2,350 |
14.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,138.20 |
$1,626 |
10.2× |
| Ultrasound, transvaginal (76830) |
$665 |
$950 |
5.9× |
| Basic metabolic panel (80048) |
$239.40 |
$342 |
28.3× |
| Comprehensive metabolic panel (80053) |
$312.90 |
$447 |
29.6× |
| Lipid panel (80061) |
$282.10 |
$403 |
21.1× |
| Renal function panel (80069) |
$275.80 |
$394 |
31.8× |
| Hepatic function panel (80076) |
$209.30 |
$299 |
25.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$17.50 |
$25 |
5.0× |
| PSA, total (84153) |
$134.40 |
$192 |
7.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$286.30 |
$409 |
17.0× |
| CBC with automated differential (85025) |
$156.10 |
$223 |
20.1× |
| CBC, automated (85027) |
$100.10 |
$143 |
15.5× |
| Prothrombin time (PT) (85610) |
$91 |
$130 |
21.2× |
| Partial thromboplastin time (PTT) (85730) |
$124.60 |
$178 |
20.7× |
| Psychotherapy, 30 minutes (90832) |
$262.50 |
$375 |
1.4× |
| Psychotherapy, 45 minutes (90834) |
$345.10 |
$493 |
1.8× |
| Psychotherapy, 60 minutes (90837) |
$508.90 |
$727 |
2.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$326.20 |
$466 |
1.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$341.60 |
$488 |
1.8× |
| Group psychotherapy (90853) |
$244.30 |
$349 |
2.2× |
| Left heart catheterization (93452) |
$5,889.10 |
$8,413 |
1.7× |
| Sleep study (attended polysomnography) (95810) |
$4,919.60 |
$7,028 |
5.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$121.80 |
$174 |
4.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$385 |
$550 |
2.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$576.10 |
$823 |
4.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$760.90 |
$1,087 |
5.3× |
| Office consultation (low complexity, ~30 min) (99243) |
$382.20 |
$546 |
2.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$545.30 |
$779 |
3.8× |