| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,307.50 |
$3,550 |
2.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$570.05 |
$877 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,028.95 |
$1,583 |
1.1× |
| CT head/brain without contrast (70450) |
$1,539.85 |
$2,369 |
14.0× |
| MRI brain without contrast (70551) |
$2,451.15 |
$3,771 |
9.7× |
| MRI brain with contrast (70552) |
$3,212.30 |
$4,942 |
8.7× |
| MRI brain without and with contrast (70553) |
$3,182.40 |
$4,896 |
8.6× |
| X-ray lower spine, 4+ views (72110) |
$348.72 |
$536.50 |
3.2× |
| MRI lumbar spine without contrast (72148) |
$2,773.55 |
$4,267 |
11.0× |
| CT pelvis with contrast (72193) |
$1,811.55 |
$2,787 |
9.8× |
| MRI lower-extremity joint without contrast (73721) |
$2,773.55 |
$4,267 |
11.0× |
| CT abdomen and pelvis with contrast (74177) |
$2,232.10 |
$3,434 |
6.1× |
| Ultrasound, abdomen complete (76700) |
$677.30 |
$1,042 |
6.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$926.25 |
$1,425 |
8.4× |
| Ultrasound, transvaginal (76830) |
$624 |
$960 |
5.7× |
| Basic metabolic panel (80048) |
$137.48 |
$211.50 |
16.2× |
| Comprehensive metabolic panel (80053) |
$182.65 |
$281 |
17.3× |
| Obstetric panel (80055) |
$132.60 |
$204 |
2.8× |
| Lipid panel (80061) |
$66.62 |
$102.50 |
5.0× |
| Renal function panel (80069) |
$130.32 |
$200.50 |
15.0× |
| Hepatic function panel (80076) |
$156 |
$240 |
19.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$77.35 |
$119 |
22.2× |
| PSA, total (84153) |
$70.52 |
$108.50 |
3.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$134.55 |
$207 |
8.0× |
| CBC with automated differential (85025) |
$141.05 |
$217 |
18.2× |
| CBC, automated (85027) |
$118.95 |
$183 |
18.4× |
| Prothrombin time (PT) (85610) |
$88.72 |
$136.50 |
20.7× |
| Partial thromboplastin time (PTT) (85730) |
$118.30 |
$182 |
19.7× |
| Psychotherapy, 30 minutes (90832) |
$314.28 |
$483.50 |
1.7× |
| Psychotherapy, 45 minutes (90834) |
$358.80 |
$552 |
1.9× |
| Psychotherapy, 60 minutes (90837) |
$455 |
$700 |
2.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$431.28 |
$663.50 |
2.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$533.65 |
$821 |
2.9× |
| Group psychotherapy (90853) |
$287.62 |
$442.50 |
2.7× |
| Left heart catheterization (93452) |
$14,565.85 |
$22,409 |
4.3× |
| Sleep study (attended polysomnography) (95810) |
$4,963.40 |
$7,636 |
5.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$88.40 |
$136 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$228.15 |
$351 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$451.10 |
$694 |
3.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$703.30 |
$1,082 |
5.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$235.95 |
$363 |
1.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$302.90 |
$466 |
2.2× |