| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,399.20 |
$2,999 |
2.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,332.80 |
$2,916 |
2.3× |
| Diagnostic colonoscopy (45378) |
$2,725.60 |
$3,407 |
2.6× |
| Colonoscopy with biopsy (45380) |
$3,117.60 |
$3,897 |
2.3× |
| Colonoscopy with lesion removal (45385) |
$3,117.60 |
$3,897 |
2.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,146.40 |
$2,683 |
2.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,409.60 |
$1,762 |
1.4× |
| CT head/brain without contrast (70450) |
$1,548.80 |
$1,936 |
13.0× |
| MRI brain without contrast (70551) |
$2,435.20 |
$3,044 |
9.0× |
| MRI brain with contrast (70552) |
$3,332 |
$4,165 |
8.4× |
| MRI brain without and with contrast (70553) |
$4,059.20 |
$5,074 |
10.2× |
| X-ray lower spine, 4+ views (72110) |
$547.20 |
$684 |
4.6× |
| MRI lumbar spine without contrast (72148) |
$2,865.60 |
$3,582 |
10.5× |
| CT pelvis with contrast (72193) |
$3,534.40 |
$4,418 |
17.7× |
| MRI lower-extremity joint without contrast (73721) |
$2,493.60 |
$3,117 |
9.2× |
| CT abdomen and pelvis with contrast (74177) |
$4,262.40 |
$5,328 |
10.7× |
| Ultrasound, abdomen complete (76700) |
$864.80 |
$1,081 |
7.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$828 |
$1,035 |
7.0× |
| Ultrasound, transvaginal (76830) |
$722.40 |
$903 |
6.1× |
| Mammography, one breast (diagnostic) (77065) |
$648 |
$810 |
7.5× |
| Mammography, screening (bilateral) (77067) |
$519.20 |
$649 |
5.7× |
| 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× |
| 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) |
$160 |
$200 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$240 |
$300 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$345.60 |
$432 |
1.7× |
| Group psychotherapy (90853) |
$247.20 |
$309 |
2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$140 |
$175 |
4.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$312 |
$390 |
2.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$360.80 |
$451 |
2.4× |