| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,809.70 |
$2,689 |
1.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,083.61 |
$3,096 |
2.2× |
| Diagnostic colonoscopy (45378) |
$1,902.57 |
$2,827 |
2.0× |
| Colonoscopy with biopsy (45380) |
$2,062.07 |
$3,064 |
1.7× |
| Colonoscopy with lesion removal (45385) |
$2,249.17 |
$3,342 |
1.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$957.68 |
$1,423 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,299.56 |
$1,931 |
1.4× |
| CT head/brain without contrast (70450) |
$1,269.95 |
$1,887 |
11.7× |
| MRI brain without contrast (70551) |
$1,994.77 |
$2,964 |
8.1× |
| MRI brain with contrast (70552) |
$2,086.30 |
$3,100 |
5.8× |
| MRI brain without and with contrast (70553) |
$2,675.18 |
$3,975 |
7.4× |
| X-ray lower spine, 4+ views (72110) |
$445.53 |
$662 |
4.1× |
| MRI lumbar spine without contrast (72148) |
$1,942.28 |
$2,886 |
7.9× |
| CT pelvis with contrast (72193) |
$1,323.12 |
$1,966 |
7.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,972.56 |
$2,931 |
8.0× |
| CT abdomen and pelvis with contrast (74177) |
$2,664.41 |
$3,959 |
7.4× |
| Ultrasound, abdomen complete (76700) |
$656.85 |
$976 |
6.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$515.52 |
$766 |
4.8× |
| Ultrasound, transvaginal (76830) |
$407.84 |
$606 |
3.8× |
| Mammography, one breast (diagnostic) (77065) |
$298.14 |
$443 |
3.5× |
| Mammography, both breasts (diagnostic) (77066) |
$364.77 |
$542 |
3.3× |
| Mammography, screening (bilateral) (77067) |
$302.85 |
$450 |
3.3× |
| Basic metabolic panel (80048) |
$158.16 |
$235 |
18.7× |
| Comprehensive metabolic panel (80053) |
$222.09 |
$330 |
21.0× |
| Lipid panel (80061) |
$67.98 |
$101 |
5.1× |
| Renal function panel (80069) |
$200.55 |
$298 |
23.1× |
| Hepatic function panel (80076) |
$137.29 |
$204 |
16.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$20.19 |
$30 |
5.8× |
| PSA, total (84153) |
$95.57 |
$142 |
5.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$105.66 |
$157 |
6.3× |
| CBC with automated differential (85025) |
$114.41 |
$170 |
14.7× |
| CBC, automated (85027) |
$105.66 |
$157 |
16.3× |
| Prothrombin time (PT) (85610) |
$43.07 |
$64 |
10.0× |
| Partial thromboplastin time (PTT) (85730) |
$67.30 |
$100 |
11.2× |
| Psychotherapy, 30 minutes (90832) |
$116.43 |
$173 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$172.29 |
$256 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$182.05 |
$270.50 |
1.0× |
| Group psychotherapy (90853) |
$192.48 |
$286 |
1.8× |
| Sleep study (attended polysomnography) (95810) |
$3,240.50 |
$4,815 |
3.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$92.20 |
$137 |
3.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$97.58 |
$145 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$151.43 |
$225 |
1.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$191.13 |
$284 |
1.4× |