| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,040.76 |
$2,159 |
1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,095.71 |
$2,273 |
1.3× |
| Colonoscopy with biopsy (45380) |
$1,334.33 |
$2,768 |
1.2× |
| Colonoscopy with lesion removal (45385) |
$893.73 |
$1,854 |
0.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$737.07 |
$1,529 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$902.41 |
$1,872 |
1.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$701.88 |
$1,456 |
1.4× |
| CT head/brain without contrast (70450) |
$439.64 |
$912 |
4.5× |
| MRI brain without contrast (70551) |
$1,742.64 |
$3,615 |
7.8× |
| MRI brain with contrast (70552) |
$1,365.18 |
$2,832 |
4.2× |
| MRI brain without and with contrast (70553) |
$1,606.21 |
$3,332 |
4.9× |
| X-ray lower spine, 4+ views (72110) |
$196.68 |
$408 |
2.0× |
| MRI lumbar spine without contrast (72148) |
$849.38 |
$1,762 |
3.8× |
| CT pelvis with contrast (72193) |
$903.86 |
$1,875 |
5.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,034.49 |
$2,146 |
4.6× |
| CT abdomen and pelvis with contrast (74177) |
$954.47 |
$1,980 |
2.9× |
| Ultrasound, abdomen complete (76700) |
$592.93 |
$1,230 |
6.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$358.17 |
$743 |
3.7× |
| Ultrasound, transvaginal (76830) |
$524.48 |
$1,088 |
5.3× |
| Mammography, screening (bilateral) (77067) |
$137.87 |
$286 |
1.5× |
| Basic metabolic panel (80048) |
$37.61 |
$78 |
4.4× |
| Comprehensive metabolic panel (80053) |
$205.84 |
$427 |
19.5× |
| Obstetric panel (80055) |
$115.70 |
$240 |
2.4× |
| Lipid panel (80061) |
$57.37 |
$119 |
4.3× |
| Renal function panel (80069) |
$24.59 |
$51 |
2.8× |
| Hepatic function panel (80076) |
$50.62 |
$105 |
6.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$17.84 |
$37 |
5.1× |
| PSA, total (84153) |
$110.40 |
$229 |
6.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$74.24 |
$154 |
4.4× |
| CBC with automated differential (85025) |
$46.76 |
$97 |
6.0× |
| CBC, automated (85027) |
$34.71 |
$72 |
5.4× |
| Prothrombin time (PT) (85610) |
$43.39 |
$90 |
10.1× |
| Partial thromboplastin time (PTT) (85730) |
$82.92 |
$172 |
13.8× |
| Psychotherapy, 30 minutes (90832) |
$159.56 |
$331 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$220.30 |
$457 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$307.56 |
$638 |
1.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$364.44 |
$756 |
2.2× |
| Group psychotherapy (90853) |
$199.09 |
$413 |
2.1× |
| Sleep study (attended polysomnography) (95810) |
$2,642.14 |
$5,481 |
3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$69.18 |
$143.50 |
2.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$181.74 |
$377 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$236.69 |
$491 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$281.04 |
$583 |
2.2× |