| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,308.40 |
$1,635.50 |
1.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,344.40 |
$1,680.50 |
1.3× |
| Diagnostic colonoscopy (45378) |
$1,243.20 |
$1,554 |
1.2× |
| Colonoscopy with biopsy (45380) |
$1,808.40 |
$2,260.50 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$1,934.40 |
$2,418 |
1.5× |
| CT head/brain without contrast (70450) |
$893.20 |
$1,116.50 |
7.7× |
| MRI brain without contrast (70551) |
$1,164 |
$1,455 |
4.4× |
| MRI brain with contrast (70552) |
$1,386 |
$1,732.50 |
3.6× |
| MRI brain without and with contrast (70553) |
$1,581.20 |
$1,976.50 |
4.1× |
| X-ray lower spine, 4+ views (72110) |
$359.20 |
$449 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$1,907.20 |
$2,384 |
7.2× |
| CT pelvis with contrast (72193) |
$1,444 |
$1,805 |
7.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,023.20 |
$1,279 |
3.8× |
| CT abdomen and pelvis with contrast (74177) |
$1,888 |
$2,360 |
4.9× |
| Ultrasound, abdomen complete (76700) |
$288.80 |
$361 |
2.5× |
| Ultrasound, transvaginal (76830) |
$820.80 |
$1,026 |
7.0× |
| Mammography, screening (bilateral) (77067) |
$136.80 |
$171 |
1.5× |
| Basic metabolic panel (80048) |
$92.40 |
$115.50 |
10.9× |
| Comprehensive metabolic panel (80053) |
$115.60 |
$144.50 |
10.9× |
| Lipid panel (80061) |
$127.20 |
$159 |
9.5× |
| Renal function panel (80069) |
$86.40 |
$108 |
10.0× |
| Hepatic function panel (80076) |
$110.80 |
$138.50 |
13.6× |
| Urinalysis, non-automated, with microscopy (81000) |
$41.20 |
$51.50 |
10.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$32.40 |
$40.50 |
9.3× |
| PSA, total (84153) |
$153.60 |
$192 |
8.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$155.20 |
$194 |
9.2× |
| CBC with automated differential (85025) |
$95.20 |
$119 |
12.3× |
| CBC, automated (85027) |
$80.80 |
$101 |
12.5× |
| Prothrombin time (PT) (85610) |
$57.60 |
$72 |
13.4× |
| Partial thromboplastin time (PTT) (85730) |
$67.20 |
$84 |
11.2× |
| Psychotherapy, 30 minutes (90832) |
$159.60 |
$199.50 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$221.60 |
$277 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$325.20 |
$406.50 |
1.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$181.20 |
$226.50 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$364.40 |
$455.50 |
1.8× |
| Group psychotherapy (90853) |
$102.80 |
$128.50 |
0.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$96 |
$120 |
3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$294.40 |
$368 |
2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$467.20 |
$584 |
3.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$635.20 |
$794 |
4.3× |
| Office consultation (low complexity, ~30 min) (99243) |
$404.80 |
$506 |
2.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$645.60 |
$807 |
4.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$422.40 |
$528 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$448.80 |
$561 |
— |