| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,655 |
$1,839 |
1.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,434 |
$2,704 |
2.6× |
| Diagnostic colonoscopy (45378) |
$1,655 |
$1,839 |
1.7× |
| Colonoscopy with biopsy (45380) |
$2,045 |
$2,272 |
1.6× |
| Colonoscopy with lesion removal (45385) |
$1,461 |
$1,623 |
1.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$250 |
$278 |
0.3× |
| CT head/brain without contrast (70450) |
$2,022 |
$2,247 |
18.6× |
| MRI brain without contrast (70551) |
$3,433 |
$3,814 |
13.9× |
| MRI brain without and with contrast (70553) |
$4,055 |
$4,506 |
11.2× |
| X-ray lower spine, 4+ views (72110) |
$527 |
$586 |
4.9× |
| MRI lumbar spine without contrast (72148) |
$3,362 |
$3,735 |
13.6× |
| CT pelvis with contrast (72193) |
$2,534 |
$2,815 |
13.9× |
| MRI lower-extremity joint without contrast (73721) |
$3,083.50 |
$3,426 |
12.4× |
| CT abdomen and pelvis with contrast (74177) |
$4,416 |
$4,907 |
12.2× |
| Ultrasound, abdomen complete (76700) |
$850 |
$944 |
7.8× |
| Ultrasound, transvaginal (76830) |
$680 |
$755 |
6.3× |
| Mammography, one breast (diagnostic) (77065) |
$352 |
$391 |
4.1× |
| Mammography, both breasts (diagnostic) (77066) |
$418 |
$464 |
3.8× |
| Mammography, screening (bilateral) (77067) |
$373 |
$414 |
4.1× |
| Basic metabolic panel (80048) |
$140 |
$156 |
16.5× |
| Comprehensive metabolic panel (80053) |
$162 |
$180 |
15.3× |
| Lipid panel (80061) |
$116 |
$129 |
8.7× |
| Renal function panel (80069) |
$149 |
$166 |
17.2× |
| Hepatic function panel (80076) |
$137 |
$152 |
16.8× |
| PSA, total (84153) |
$132 |
$147 |
7.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$114 |
$127 |
6.8× |
| CBC with automated differential (85025) |
$103 |
$114 |
13.3× |
| CBC, automated (85027) |
$80 |
$89 |
12.4× |
| Prothrombin time (PT) (85610) |
$62 |
$69 |
14.5× |
| Partial thromboplastin time (PTT) (85730) |
$97 |
$108 |
16.1× |
| Psychotherapy, 30 minutes (90832) |
$549 |
$610 |
3.0× |
| Psychotherapy, 45 minutes (90834) |
$680 |
$755 |
3.7× |
| Psychotherapy, 60 minutes (90837) |
$693 |
$770 |
3.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$725 |
$805 |
3.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$761 |
$845 |
4.1× |
| Group psychotherapy (90853) |
$662 |
$735 |
6.3× |
| Electrocardiogram (ECG), complete (93000) |
$180 |
$200 |
2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$91 |
$101 |
3.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$244 |
$271 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$365 |
$405 |
2.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$482 |
$535 |
3.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$243 |
$270 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$280 |
$311 |
— |