| Upper GI endoscopy (EGD), diagnostic (43235) |
$325.80 |
$1,629 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$655.70 |
$3,278.50 |
0.7× |
| Colonoscopy with biopsy (45380) |
$521.60 |
$2,608 |
0.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$361.60 |
$1,808 |
0.4× |
| CT head/brain without contrast (70450) |
$121.80 |
$609 |
1.2× |
| MRI brain without contrast (70551) |
$282.40 |
$1,412 |
1.2× |
| MRI brain with contrast (70552) |
$259.40 |
$1,297 |
0.7× |
| MRI brain without and with contrast (70553) |
$458.20 |
$2,291 |
1.3× |
| X-ray lower spine, 4+ views (72110) |
$48.60 |
$243 |
0.5× |
| MRI lumbar spine without contrast (72148) |
$183.40 |
$917 |
0.8× |
| CT pelvis with contrast (72193) |
$163 |
$815 |
0.9× |
| MRI lower-extremity joint without contrast (73721) |
$297.50 |
$1,487.50 |
1.2× |
| CT abdomen and pelvis with contrast (74177) |
$435.60 |
$2,178 |
1.2× |
| Ultrasound, abdomen complete (76700) |
$146.20 |
$731 |
1.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$97.40 |
$487 |
0.9× |
| Ultrasound, transvaginal (76830) |
$97.40 |
$487 |
0.9× |
| Basic metabolic panel (80048) |
$11.80 |
$59 |
1.4× |
| Comprehensive metabolic panel (80053) |
$14.80 |
$74 |
1.4× |
| Lipid panel (80061) |
$28.30 |
$141.50 |
2.1× |
| Renal function panel (80069) |
$8 |
$40 |
0.9× |
| Hepatic function panel (80076) |
$7.60 |
$38 |
0.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$2.60 |
$13 |
0.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$3.20 |
$16 |
0.9× |
| PSA, total (84153) |
$17.20 |
$86 |
0.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$15.60 |
$78 |
0.9× |
| CBC with automated differential (85025) |
$10.80 |
$54 |
1.4× |
| CBC, automated (85027) |
$17.20 |
$86 |
2.7× |
| Prothrombin time (PT) (85610) |
$4 |
$20 |
0.9× |
| Partial thromboplastin time (PTT) (85730) |
$5.60 |
$28 |
0.9× |
| Psychotherapy, 30 minutes (90832) |
$63.40 |
$317 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$46 |
$230 |
0.3× |
| Psychotherapy, 60 minutes (90837) |
$110.60 |
$553 |
0.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$99.40 |
$497 |
0.6× |
| Left heart catheterization (93452) |
$1,704.60 |
$8,523 |
0.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$47.70 |
$238.50 |
1.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$78.40 |
$392 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$70 |
$350 |
0.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$118.82 |
$594.08 |
0.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$85.20 |
$426 |
0.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$78.80 |
$394 |
0.6× |