| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,699.80 |
$5,666 |
1.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,719.30 |
$5,731 |
2.0× |
| Diagnostic colonoscopy (45378) |
$1,424.40 |
$4,748 |
1.6× |
| Colonoscopy with biopsy (45380) |
$1,740.90 |
$5,803 |
1.5× |
| Colonoscopy with lesion removal (45385) |
$1,740.90 |
$5,803 |
1.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,450.20 |
$4,834 |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$918.90 |
$3,063 |
1.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$940.20 |
$3,134 |
1.8× |
| CT head/brain without contrast (70450) |
$1,639.20 |
$5,464 |
16.3× |
| MRI brain without contrast (70551) |
$1,242.90 |
$4,143 |
5.4× |
| MRI brain with contrast (70552) |
$1,366.80 |
$4,556 |
4.1× |
| MRI brain without and with contrast (70553) |
$1,705.20 |
$5,684 |
5.1× |
| X-ray lower spine, 4+ views (72110) |
$690.90 |
$2,303 |
6.9× |
| MRI lumbar spine without contrast (72148) |
$1,380 |
$4,600 |
6.0× |
| CT pelvis with contrast (72193) |
$1,167 |
$3,890 |
6.9× |
| MRI lower-extremity joint without contrast (73721) |
$2,143.12 |
$7,143.75 |
9.3× |
| CT abdomen and pelvis with contrast (74177) |
$2,284.80 |
$7,616 |
6.8× |
| Ultrasound, abdomen complete (76700) |
$810.30 |
$2,701 |
8.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$755.70 |
$2,519 |
7.5× |
| Ultrasound, transvaginal (76830) |
$621 |
$2,070 |
6.2× |
| Mammography, one breast (diagnostic) (77065) |
$285.30 |
$951 |
3.3× |
| Mammography, both breasts (diagnostic) (77066) |
$374.70 |
$1,249 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$340.80 |
$1,136 |
3.7× |
| Basic metabolic panel (80048) |
$197.10 |
$657 |
23.3× |
| Comprehensive metabolic panel (80053) |
$210.90 |
$703 |
20.0× |
| Lipid panel (80061) |
$175.50 |
$585 |
13.1× |
| Renal function panel (80069) |
$198.30 |
$661 |
22.8× |
| Hepatic function panel (80076) |
$88.80 |
$296 |
10.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$69.60 |
$232 |
20.0× |
| PSA, total (84153) |
$165.90 |
$553 |
9.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$297.60 |
$992 |
17.7× |
| CBC with automated differential (85025) |
$185.10 |
$617 |
23.8× |
| CBC, automated (85027) |
$130.50 |
$435 |
20.2× |
| Prothrombin time (PT) (85610) |
$375.60 |
$1,252 |
87.6× |
| Partial thromboplastin time (PTT) (85730) |
$375.60 |
$1,252 |
62.5× |
| Psychotherapy, 30 minutes (90832) |
$292.20 |
$974 |
1.7× |
| Psychotherapy, 45 minutes (90834) |
$392.70 |
$1,309 |
2.3× |
| Psychotherapy, 60 minutes (90837) |
$492.90 |
$1,643 |
2.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$454.50 |
$1,515 |
2.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$454.50 |
$1,515 |
2.7× |
| Group psychotherapy (90853) |
$426 |
$1,420 |
4.4× |
| Left heart catheterization (93452) |
$3,219.60 |
$10,732 |
1.0× |
| Sleep study (attended polysomnography) (95810) |
$2,928 |
$9,760 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$57.30 |
$191 |
2.0× |