| Upper GI endoscopy (EGD), diagnostic (43235) |
$643.02 |
$1,531 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,924.86 |
$4,583 |
2.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$657.72 |
$1,566 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,193.43 |
$2,841.50 |
1.3× |
| CT head/brain without contrast (70450) |
$673.68 |
$1,604 |
6.2× |
| MRI brain without contrast (70551) |
$1,454.04 |
$3,462 |
5.9× |
| MRI brain with contrast (70552) |
$1,695.96 |
$4,038 |
4.7× |
| MRI brain without and with contrast (70553) |
$1,863.96 |
$4,438 |
5.1× |
| X-ray lower spine, 4+ views (72110) |
$351.54 |
$837 |
3.2× |
| MRI lumbar spine without contrast (72148) |
$1,424.64 |
$3,392 |
5.8× |
| CT pelvis with contrast (72193) |
$1,051.68 |
$2,504 |
5.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,257.90 |
$2,995 |
5.1× |
| CT abdomen and pelvis with contrast (74177) |
$2,051.28 |
$4,884 |
5.7× |
| Ultrasound, abdomen complete (76700) |
$524.58 |
$1,249 |
4.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$559.86 |
$1,333 |
5.2× |
| Ultrasound, transvaginal (76830) |
$416.64 |
$992 |
3.8× |
| Mammography, one breast (diagnostic) (77065) |
$97.02 |
$231 |
1.1× |
| Mammography, both breasts (diagnostic) (77066) |
$128.10 |
$305 |
1.2× |
| Mammography, screening (bilateral) (77067) |
$128.10 |
$305 |
1.4× |
| Basic metabolic panel (80048) |
$164.64 |
$392 |
19.5× |
| Comprehensive metabolic panel (80053) |
$204.96 |
$488 |
19.4× |
| Obstetric panel (80055) |
$267.54 |
$637 |
5.6× |
| Lipid panel (80061) |
$65.94 |
$157 |
4.9× |
| Renal function panel (80069) |
$151.62 |
$361 |
17.5× |
| Hepatic function panel (80076) |
$133.56 |
$318 |
16.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$36.12 |
$86 |
9.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$22.89 |
$54.50 |
6.6× |
| PSA, total (84153) |
$93.24 |
$222 |
5.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$112.98 |
$269 |
6.7× |
| CBC with automated differential (85025) |
$91.98 |
$219 |
11.8× |
| CBC, automated (85027) |
$70.56 |
$168 |
10.9× |
| Prothrombin time (PT) (85610) |
$55.02 |
$131 |
12.8× |
| Partial thromboplastin time (PTT) (85730) |
$67.20 |
$160 |
11.2× |
| Psychotherapy, 30 minutes (90832) |
$86.10 |
$205 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$92.40 |
$220 |
0.5× |
| Psychotherapy, 60 minutes (90837) |
$109.20 |
$260 |
0.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$202.44 |
$482 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$202.44 |
$482 |
1.1× |
| Group psychotherapy (90853) |
$52.08 |
$124 |
0.5× |
| Left heart catheterization (93452) |
$4,317.18 |
$10,279 |
1.3× |
| Sleep study (attended polysomnography) (95810) |
$1,991.22 |
$4,741 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$56.70 |
$135 |
2.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$221.34 |
$527 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$291.06 |
$693 |
2.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$325.92 |
$776 |
2.4× |