| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,587.48 |
$2,587.48 |
3.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,923.09 |
$2,923.09 |
3.3× |
| Diagnostic colonoscopy (45378) |
$3,500 |
$3,500 |
3.9× |
| Colonoscopy with biopsy (45380) |
$3,700 |
$3,700 |
3.2× |
| Colonoscopy with lesion removal (45385) |
$4,792 |
$4,792 |
4.2× |
| Laparoscopic radical prostatectomy (55866) |
$7,590.47 |
$7,590.47 |
0.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,605.61 |
$1,605.61 |
1.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,022.59 |
$2,022.59 |
2.4× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,178.22 |
$1,178.22 |
2.2× |
| CT head/brain without contrast (70450) |
$1,400 |
$1,400 |
13.9× |
| MRI brain without contrast (70551) |
$2,000 |
$2,000 |
8.7× |
| MRI brain with contrast (70552) |
$2,500 |
$2,500 |
7.4× |
| MRI brain without and with contrast (70553) |
$3,000 |
$3,000 |
8.9× |
| X-ray lower spine, 4+ views (72110) |
$500 |
$500 |
5.0× |
| MRI lumbar spine without contrast (72148) |
$2,000 |
$2,000 |
8.7× |
| CT pelvis with contrast (72193) |
$1,718.08 |
$1,718.08 |
10.2× |
| MRI lower-extremity joint without contrast (73721) |
$2,000 |
$2,000 |
8.7× |
| CT abdomen and pelvis with contrast (74177) |
$3,237.82 |
$3,237.82 |
9.6× |
| Ultrasound, abdomen complete (76700) |
$875 |
$875 |
8.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$860.97 |
$860.97 |
8.5× |
| Ultrasound, transvaginal (76830) |
$650 |
$650 |
6.4× |
| Mammography, one breast (diagnostic) (77065) |
$300 |
$300 |
3.5× |
| Mammography, both breasts (diagnostic) (77066) |
$433.38 |
$433.38 |
3.9× |
| Mammography, screening (bilateral) (77067) |
$327.50 |
$327.50 |
3.6× |
| Basic metabolic panel (80048) |
$62.89 |
$62.89 |
7.4× |
| Comprehensive metabolic panel (80053) |
$162 |
$162 |
15.3× |
| Lipid panel (80061) |
$52.51 |
$52.51 |
3.9× |
| Renal function panel (80069) |
$81 |
$81 |
9.3× |
| Hepatic function panel (80076) |
$62.89 |
$62.89 |
7.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$40.72 |
$40.72 |
11.7× |
| PSA, total (84153) |
$100.18 |
$100.18 |
5.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$75 |
$75 |
4.5× |
| CBC with automated differential (85025) |
$65.36 |
$65.36 |
8.4× |
| CBC, automated (85027) |
$55.36 |
$55.36 |
8.6× |
| Prothrombin time (PT) (85610) |
$62.14 |
$62.14 |
14.5× |
| Partial thromboplastin time (PTT) (85730) |
$65.92 |
$65.92 |
11.0× |
| Psychotherapy, 30 minutes (90832) |
$116.70 |
$116.70 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$159.14 |
$159.14 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$238.70 |
$238.70 |
1.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$136.80 |
$136.80 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$147.22 |
$147.22 |
0.9× |
| Group psychotherapy (90853) |
$91.58 |
$91.58 |
0.9× |
| Electrocardiogram (ECG), complete (93000) |
$293.15 |
$293.15 |
5.2× |
| Sleep study (attended polysomnography) (95810) |
$2,862.55 |
$2,862.55 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$154.11 |
$154.11 |
5.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$265.23 |
$265.23 |
2.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$315 |
$315 |
2.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$415 |
$415 |
3.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$157.43 |
$157.43 |
1.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$315 |
$315 |
2.5× |
| Preventive visit, new patient (age 40–64) (99386) |
$100 |
$100 |
— |