| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,651.25 |
$5,302.50 |
2.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,562.20 |
$5,124.40 |
2.7× |
| Diagnostic colonoscopy (45378) |
$3,785.50 |
$7,571 |
3.9× |
| Colonoscopy with biopsy (45380) |
$4,113 |
$8,226 |
3.3× |
| Colonoscopy with lesion removal (45385) |
$3,942.25 |
$7,884.50 |
3.2× |
| Laparoscopic gallbladder removal (47562) |
$11,147.58 |
$22,295.16 |
1.8× |
| Inguinal hernia repair (age 5+) (49505) |
$8,140.28 |
$16,280.55 |
2.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$787.50 |
$1,575 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$886.50 |
$1,773 |
1.0× |
| CT head/brain without contrast (70450) |
$1,769 |
$3,538 |
16.2× |
| MRI brain without contrast (70551) |
$2,170.75 |
$4,341.50 |
8.7× |
| MRI brain with contrast (70552) |
$2,393.50 |
$4,787 |
6.6× |
| MRI brain without and with contrast (70553) |
$2,539.50 |
$5,079 |
7.0× |
| X-ray lower spine, 4+ views (72110) |
$489.50 |
$979 |
4.5× |
| MRI lumbar spine without contrast (72148) |
$2,208 |
$4,416 |
8.9× |
| CT pelvis with contrast (72193) |
$1,916 |
$3,832 |
10.5× |
| MRI lower-extremity joint without contrast (73721) |
$2,208 |
$4,416 |
8.9× |
| CT abdomen and pelvis with contrast (74177) |
$3,166 |
$6,332 |
8.7× |
| Ultrasound, abdomen complete (76700) |
$533.50 |
$1,067 |
4.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$533.50 |
$1,067 |
4.9× |
| Ultrasound, transvaginal (76830) |
$533.50 |
$1,067 |
4.9× |
| Mammography, one breast (diagnostic) (77065) |
$224 |
$448 |
2.6× |
| Mammography, both breasts (diagnostic) (77066) |
$334.75 |
$669.50 |
3.0× |
| Mammography, screening (bilateral) (77067) |
$261.25 |
$522.50 |
2.9× |
| Basic metabolic panel (80048) |
$58 |
$116 |
6.9× |
| Comprehensive metabolic panel (80053) |
$68.50 |
$137 |
6.5× |
| Obstetric panel (80055) |
$83 |
$166 |
1.7× |
| Lipid panel (80061) |
$51.50 |
$103 |
3.8× |
| Renal function panel (80069) |
$41 |
$82 |
4.7× |
| Hepatic function panel (80076) |
$43.50 |
$87 |
5.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$21.50 |
$43 |
5.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$32 |
$64 |
9.2× |
| PSA, total (84153) |
$95 |
$190 |
5.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$92.50 |
$185 |
5.5× |
| CBC with automated differential (85025) |
$43.50 |
$87 |
5.6× |
| CBC, automated (85027) |
$32 |
$64 |
4.9× |
| Prothrombin time (PT) (85610) |
$41 |
$82 |
9.6× |
| Partial thromboplastin time (PTT) (85730) |
$49 |
$98 |
8.2× |
| Psychotherapy, 30 minutes (90832) |
$178 |
$356 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$183 |
$366 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$188 |
$376 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$178 |
$356 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$183 |
$366 |
1.0× |
| Group psychotherapy (90853) |
$154.50 |
$309 |
1.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$59.50 |
$119 |
2.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$467.50 |
$935 |
3.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$687.50 |
$1,375 |
4.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$935 |
$1,870 |
6.7× |