| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,280 |
$2,850 |
2.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,332.80 |
$2,916 |
2.2× |
| Diagnostic colonoscopy (45378) |
$2,635.20 |
$3,294 |
2.4× |
| Colonoscopy with biopsy (45380) |
$3,264 |
$4,080 |
2.3× |
| Colonoscopy with lesion removal (45385) |
$3,360 |
$4,200 |
2.4× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,939.20 |
$3,674 |
2.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,236 |
$2,795 |
2.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,681.60 |
$3,352 |
2.6× |
| CT head/brain without contrast (70450) |
$1,501.60 |
$1,877 |
12.4× |
| MRI brain without contrast (70551) |
$2,275.20 |
$2,844 |
8.2× |
| MRI brain with contrast (70552) |
$3,031.20 |
$3,789 |
7.5× |
| MRI brain without and with contrast (70553) |
$3,583.20 |
$4,479 |
8.8× |
| X-ray lower spine, 4+ views (72110) |
$424 |
$530 |
3.5× |
| MRI lumbar spine without contrast (72148) |
$2,605.60 |
$3,257 |
9.4× |
| CT pelvis with contrast (72193) |
$2,869.60 |
$3,587 |
14.1× |
| MRI lower-extremity joint without contrast (73721) |
$2,167.20 |
$2,709 |
7.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,982.40 |
$3,728 |
7.4× |
| Ultrasound, abdomen complete (76700) |
$757.60 |
$947 |
6.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$905.60 |
$1,132 |
7.5× |
| Ultrasound, transvaginal (76830) |
$450.40 |
$563 |
3.7× |
| Mammography, one breast (diagnostic) (77065) |
$483.20 |
$604 |
5.6× |
| Mammography, both breasts (diagnostic) (77066) |
$588 |
$735 |
5.3× |
| Mammography, screening (bilateral) (77067) |
$509.60 |
$637 |
5.6× |
| Basic metabolic panel (80048) |
$89.60 |
$112 |
10.6× |
| Comprehensive metabolic panel (80053) |
$108.80 |
$136 |
10.3× |
| Obstetric panel (80055) |
$304.80 |
$381 |
6.4× |
| Lipid panel (80061) |
$108.80 |
$136 |
8.1× |
| Renal function panel (80069) |
$108.80 |
$136 |
12.5× |
| Hepatic function panel (80076) |
$84.80 |
$106 |
10.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$48 |
$60 |
11.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$32.80 |
$41 |
9.4× |
| PSA, total (84153) |
$143.20 |
$179 |
7.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$216 |
$270 |
12.9× |
| CBC with automated differential (85025) |
$94.40 |
$118 |
12.1× |
| CBC, automated (85027) |
$64.80 |
$81 |
10.0× |
| Prothrombin time (PT) (85610) |
$66.40 |
$83 |
15.5× |
| Partial thromboplastin time (PTT) (85730) |
$72 |
$90 |
12.0× |
| Psychotherapy, 30 minutes (90832) |
$120 |
$150 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$180 |
$225 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$240 |
$300 |
1.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$284 |
$355 |
1.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$284 |
$355 |
1.4× |
| Left heart catheterization (93452) |
$6,547.20 |
$8,184 |
1.7× |
| Sleep study (attended polysomnography) (95810) |
$4,129.60 |
$5,162 |
4.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$110.40 |
$138 |
3.8× |
| Preventive visit, new patient (age 40–64) (99386) |
$279.20 |
$349 |
— |