| Upper GI endoscopy (EGD), diagnostic (43235) |
$159 |
$1,534 |
0.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$178 |
$1,697 |
0.2× |
| Diagnostic colonoscopy (45378) |
$238 |
$1,600 |
0.3× |
| Colonoscopy with biopsy (45380) |
$257 |
$1,996 |
0.2× |
| Colonoscopy with lesion removal (45385) |
$323 |
$2,079 |
0.3× |
| CT head/brain without contrast (70450) |
$250 |
$1,757 |
2.4× |
| MRI brain without contrast (70551) |
$400 |
$1,823 |
1.7× |
| MRI brain with contrast (70552) |
$500 |
$2,127 |
1.4× |
| MRI brain without and with contrast (70553) |
$500 |
$3,354 |
1.4× |
| X-ray lower spine, 4+ views (72110) |
$80 |
$571 |
0.8× |
| MRI lumbar spine without contrast (72148) |
$400 |
$2,682 |
1.7× |
| CT pelvis with contrast (72193) |
$300 |
$2,059 |
1.7× |
| MRI lower-extremity joint without contrast (73721) |
$400 |
$3,865 |
1.7× |
| CT abdomen and pelvis with contrast (74177) |
$300 |
$2,009.50 |
0.9× |
| Ultrasound, abdomen complete (76700) |
$200 |
$826 |
1.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$200 |
$739 |
1.9× |
| Ultrasound, transvaginal (76830) |
$167 |
$561 |
1.6× |
| Basic metabolic panel (80048) |
$168 |
$168 |
19.9× |
| Comprehensive metabolic panel (80053) |
$181 |
$181 |
17.1× |
| Lipid panel (80061) |
$119 |
$119 |
8.9× |
| Renal function panel (80069) |
$76 |
$76 |
8.8× |
| Hepatic function panel (80076) |
$223 |
$223 |
27.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$41 |
$41 |
11.8× |
| PSA, total (84153) |
$98 |
$98 |
5.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$80 |
$80 |
4.8× |
| CBC with automated differential (85025) |
$81 |
$81 |
10.4× |
| CBC, automated (85027) |
$54 |
$54 |
8.3× |
| Prothrombin time (PT) (85610) |
$65 |
$65 |
15.2× |
| Partial thromboplastin time (PTT) (85730) |
$65 |
$65 |
10.8× |
| Psychotherapy, 30 minutes (90832) |
$102 |
$88 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$135 |
$180 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$199 |
$263 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$261.50 |
$261.50 |
1.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$151 |
$288 |
0.8× |
| Group psychotherapy (90853) |
$36 |
$146 |
0.4× |
| Sleep study (attended polysomnography) (95810) |
$953 |
$3,147 |
1.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$42 |
$157 |
1.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$104 |
$290 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$170 |
$385 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$232 |
$525 |
1.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$153 |
$153 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$175.50 |
$175.50 |
1.3× |