| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,811 |
$1,811 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,499 |
$1,499 |
1.4× |
| Diagnostic colonoscopy (45378) |
$1,126 |
$1,126 |
1.0× |
| Colonoscopy with biopsy (45380) |
$1,126 |
$1,126 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$1,276.50 |
$1,276.50 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$922 |
$922 |
0.9× |
| CT head/brain without contrast (70450) |
$1,295 |
$1,295 |
10.3× |
| X-ray lower spine, 4+ views (72110) |
$668 |
$668 |
5.3× |
| CT pelvis with contrast (72193) |
$1,370 |
$1,370 |
6.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,868 |
$2,868 |
6.9× |
| Ultrasound, abdomen complete (76700) |
$880 |
$880 |
7.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$843 |
$843 |
6.7× |
| Ultrasound, transvaginal (76830) |
$537 |
$537 |
4.3× |
| Mammography, one breast (diagnostic) (77065) |
$666 |
$666 |
7.7× |
| Mammography, both breasts (diagnostic) (77066) |
$713 |
$713 |
6.4× |
| Mammography, screening (bilateral) (77067) |
$601 |
$601 |
6.6× |
| Basic metabolic panel (80048) |
$98 |
$98 |
11.6× |
| Comprehensive metabolic panel (80053) |
$202 |
$202 |
19.1× |
| Lipid panel (80061) |
$236 |
$236 |
17.6× |
| Renal function panel (80069) |
$95 |
$95 |
10.9× |
| Hepatic function panel (80076) |
$121 |
$121 |
14.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$32 |
$32 |
8.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$13 |
$13 |
3.7× |
| PSA, total (84153) |
$105 |
$105 |
5.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$112 |
$112 |
6.7× |
| CBC with automated differential (85025) |
$43 |
$43 |
5.5× |
| CBC, automated (85027) |
$32 |
$32 |
4.9× |
| Prothrombin time (PT) (85610) |
$33 |
$33 |
7.7× |
| Partial thromboplastin time (PTT) (85730) |
$37 |
$37 |
6.2× |
| Psychotherapy, 30 minutes (90832) |
$359 |
$359 |
1.7× |
| Psychotherapy, 45 minutes (90834) |
$507.50 |
$507.50 |
2.4× |
| Psychotherapy, 60 minutes (90837) |
$210 |
$210 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$163 |
$163 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$606 |
$606 |
2.8× |
| Group psychotherapy (90853) |
$123 |
$123 |
1.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$88 |
$88 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$305 |
$305 |
1.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$304.50 |
$304.50 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$402.50 |
$402.50 |
2.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$219.50 |
$219.50 |
1.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$322.50 |
$322.50 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$335 |
$335 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$380 |
$380 |
— |