| Upper GI endoscopy (EGD), diagnostic (43235) |
$4,016 |
$4,016 |
3.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,602 |
$2,602 |
2.3× |
| Diagnostic colonoscopy (45378) |
$4,336 |
$4,336 |
3.7× |
| Colonoscopy with biopsy (45380) |
$4,975 |
$4,975 |
3.3× |
| Colonoscopy with lesion removal (45385) |
$5,005 |
$5,005 |
3.4× |
| Colonoscopy with endoscopic ultrasound (45391) |
$4,017 |
$4,017 |
2.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,732 |
$1,732 |
1.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,301 |
$2,301 |
2.1× |
| CT head/brain without contrast (70450) |
$3,128 |
$3,128 |
24.0× |
| MRI brain without contrast (70551) |
$5,689 |
$5,689 |
19.1× |
| MRI brain with contrast (70552) |
$6,693 |
$6,693 |
15.4× |
| MRI brain without and with contrast (70553) |
$8,046 |
$8,046 |
18.5× |
| X-ray lower spine, 4+ views (72110) |
$1,004 |
$1,004 |
7.7× |
| MRI lumbar spine without contrast (72148) |
$5,653 |
$5,653 |
19.0× |
| CT pelvis with contrast (72193) |
$3,688 |
$3,688 |
16.8× |
| MRI lower-extremity joint without contrast (73721) |
$4,725 |
$4,725 |
15.9× |
| CT abdomen and pelvis with contrast (74177) |
$5,613 |
$5,613 |
12.9× |
| Ultrasound, abdomen complete (76700) |
$489 |
$489 |
3.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,006 |
$1,006 |
7.7× |
| Ultrasound, transvaginal (76830) |
$605 |
$605 |
4.6× |
| Mammography, one breast (diagnostic) (77065) |
$611 |
$611 |
7.1× |
| Mammography, both breasts (diagnostic) (77066) |
$799 |
$799 |
7.2× |
| Mammography, screening (bilateral) (77067) |
$640 |
$640 |
7.0× |
| Basic metabolic panel (80048) |
$239 |
$239 |
28.3× |
| Comprehensive metabolic panel (80053) |
$361 |
$361 |
34.2× |
| Lipid panel (80061) |
$298 |
$298 |
22.3× |
| Renal function panel (80069) |
$273 |
$273 |
31.5× |
| Hepatic function panel (80076) |
$236 |
$236 |
28.9× |
| PSA, total (84153) |
$265 |
$265 |
14.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$281 |
$281 |
16.7× |
| CBC with automated differential (85025) |
$210 |
$210 |
27.0× |
| CBC, automated (85027) |
$109 |
$109 |
16.8× |
| Prothrombin time (PT) (85610) |
$25 |
$25 |
5.8× |
| Partial thromboplastin time (PTT) (85730) |
$55 |
$55 |
9.2× |
| Psychotherapy, 30 minutes (90832) |
$307 |
$307 |
1.4× |
| Left heart catheterization (93452) |
$14,183 |
$14,183 |
3.5× |
| Sleep study (attended polysomnography) (95810) |
$1,795 |
$1,795 |
1.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$173 |
$173 |
6.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$493 |
$493 |
3.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$635 |
$635 |
3.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$796 |
$796 |
4.8× |