| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,774.74 |
$2,689 |
1.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,923.24 |
$2,914 |
2.0× |
| Diagnostic colonoscopy (45378) |
$1,865.82 |
$2,827 |
1.9× |
| Colonoscopy with biopsy (45380) |
$2,022.24 |
$3,064 |
1.6× |
| Colonoscopy with lesion removal (45385) |
$2,205.72 |
$3,342 |
1.8× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,720.62 |
$2,607 |
1.4× |
| Inguinal hernia repair (age 5+) (49505) |
$2,865.72 |
$4,342 |
0.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,142.46 |
$1,731 |
1.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,274.46 |
$1,931 |
1.4× |
| CT head/brain without contrast (70450) |
$1,195.26 |
$1,811 |
11.0× |
| MRI brain without contrast (70551) |
$1,938.42 |
$2,937 |
7.8× |
| MRI brain with contrast (70552) |
$2,046 |
$3,100 |
5.7× |
| MRI brain without and with contrast (70553) |
$2,591.16 |
$3,926 |
7.2× |
| X-ray lower spine, 4+ views (72110) |
$327.36 |
$496 |
3.0× |
| MRI lumbar spine without contrast (72148) |
$1,869.12 |
$2,832 |
7.6× |
| CT pelvis with contrast (72193) |
$1,297.56 |
$1,966 |
7.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,918.62 |
$2,907 |
7.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,510.64 |
$3,804 |
7.0× |
| Ultrasound, abdomen complete (76700) |
$561.66 |
$851 |
5.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$505.56 |
$766 |
4.7× |
| Ultrasound, transvaginal (76830) |
$399.96 |
$606 |
3.7× |
| Basic metabolic panel (80048) |
$161.70 |
$245 |
19.1× |
| Comprehensive metabolic panel (80053) |
$113.52 |
$172 |
10.8× |
| Lipid panel (80061) |
$97.02 |
$147 |
7.2× |
| Renal function panel (80069) |
$196.68 |
$298 |
22.7× |
| Hepatic function panel (80076) |
$114.84 |
$174 |
14.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$19.80 |
$30 |
5.7× |
| PSA, total (84153) |
$97.02 |
$147 |
5.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$98.34 |
$149 |
5.9× |
| CBC with automated differential (85025) |
$112.20 |
$170 |
14.4× |
| CBC, automated (85027) |
$103.62 |
$157 |
16.0× |
| Prothrombin time (PT) (85610) |
$42.90 |
$65 |
10.0× |
| Partial thromboplastin time (PTT) (85730) |
$59.73 |
$90.50 |
9.9× |
| Psychotherapy, 30 minutes (90832) |
$114.18 |
$173 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$147.84 |
$224 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$192.72 |
$292 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$151.80 |
$230 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$168.30 |
$255 |
0.9× |
| Group psychotherapy (90853) |
$105.60 |
$160 |
1.0× |
| Left heart catheterization (93452) |
$5,973.66 |
$9,051 |
1.8× |
| Sleep study (attended polysomnography) (95810) |
$3,177.90 |
$4,815 |
3.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$90.42 |
$137 |
3.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$116.16 |
$176 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$171.60 |
$260 |
1.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$228.36 |
$346 |
1.7× |