| Upper GI endoscopy (EGD), diagnostic (43235) |
$452 |
$1,130 |
0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$524 |
$1,309 |
0.6× |
| Diagnostic colonoscopy (45378) |
$573 |
$1,431 |
0.6× |
| Colonoscopy with biopsy (45380) |
$630 |
$1,574 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$811 |
$2,028 |
0.7× |
| CT head/brain without contrast (70450) |
$366 |
$915 |
3.6× |
| MRI brain without contrast (70551) |
$1,471 |
$3,677 |
6.4× |
| MRI brain with contrast (70552) |
$1,708 |
$4,270 |
5.1× |
| MRI brain without and with contrast (70553) |
$2,148 |
$5,370 |
6.4× |
| X-ray lower spine, 4+ views (72110) |
$155 |
$386 |
1.5× |
| MRI lumbar spine without contrast (72148) |
$1,193 |
$2,983 |
5.2× |
| CT pelvis with contrast (72193) |
$466 |
$1,165 |
2.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,053 |
$2,632 |
4.6× |
| CT abdomen and pelvis with contrast (74177) |
$651 |
$1,627 |
1.9× |
| Ultrasound, abdomen complete (76700) |
$261 |
$652 |
2.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$261 |
$652 |
2.6× |
| Ultrasound, transvaginal (76830) |
$208 |
$521 |
2.1× |
| Basic metabolic panel (80048) |
$43 |
$106 |
5.1× |
| Comprehensive metabolic panel (80053) |
$103 |
$258 |
9.8× |
| Lipid panel (80061) |
$53.50 |
$133.50 |
4.0× |
| Renal function panel (80069) |
$62 |
$155 |
7.1× |
| Hepatic function panel (80076) |
$41 |
$102.50 |
5.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$29 |
$72 |
7.2× |
| PSA, total (84153) |
$78 |
$194 |
4.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$75 |
$187 |
4.5× |
| CBC with automated differential (85025) |
$44 |
$110.50 |
5.7× |
| Prothrombin time (PT) (85610) |
$23 |
$57 |
5.4× |
| Partial thromboplastin time (PTT) (85730) |
$24 |
$59 |
4.0× |
| Psychotherapy, 30 minutes (90832) |
$165 |
$413 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$226 |
$565 |
1.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$189 |
$473 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$242 |
$606 |
1.4× |
| Group psychotherapy (90853) |
$133 |
$333 |
1.4× |
| Electrocardiogram (ECG), complete (93000) |
$12.50 |
$31.50 |
0.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$51 |
$128 |
1.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$53.50 |
$134 |
0.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$60 |
$150 |
0.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$232 |
$580.50 |
1.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$37.50 |
$93.50 |
0.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$51.50 |
$128.50 |
0.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$76 |
$189 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$48 |
$120.50 |
— |