| Upper GI endoscopy (EGD), diagnostic (43235) |
$426 |
$852 |
0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$405 |
$810 |
0.4× |
| Diagnostic colonoscopy (45378) |
$519 |
$1,038 |
0.6× |
| Colonoscopy with biopsy (45380) |
$462 |
$924 |
0.4× |
| Colonoscopy with lesion removal (45385) |
$484.50 |
$969 |
0.4× |
| Colonoscopy with endoscopic ultrasound (45391) |
$674.50 |
$1,349 |
0.6× |
| Inguinal hernia repair (age 5+) (49505) |
$8,491.50 |
$16,983 |
2.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$4,033 |
$8,066 |
4.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$5,877.50 |
$11,755 |
6.6× |
| CT head/brain without contrast (70450) |
$1,120 |
$2,240 |
10.7× |
| MRI brain without contrast (70551) |
$1,335.50 |
$2,671 |
5.6× |
| MRI brain with contrast (70552) |
$1,469.50 |
$2,939 |
4.2× |
| MRI brain without and with contrast (70553) |
$1,615.50 |
$3,231 |
4.6× |
| X-ray lower spine, 4+ views (72110) |
$686 |
$1,372 |
6.5× |
| MRI lumbar spine without contrast (72148) |
$1,056 |
$2,112 |
4.4× |
| CT pelvis with contrast (72193) |
$1,124 |
$2,248 |
6.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,230 |
$2,460 |
5.1× |
| CT abdomen and pelvis with contrast (74177) |
$2,362 |
$4,724 |
6.7× |
| Ultrasound, abdomen complete (76700) |
$989.50 |
$1,979 |
9.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$922 |
$1,844 |
8.8× |
| Ultrasound, transvaginal (76830) |
$904.50 |
$1,809 |
8.6× |
| Mammography, one breast (diagnostic) (77065) |
$307.50 |
$615 |
3.6× |
| Mammography, both breasts (diagnostic) (77066) |
$475.50 |
$951 |
4.3× |
| Mammography, screening (bilateral) (77067) |
$332.50 |
$665 |
3.6× |
| Basic metabolic panel (80048) |
$328 |
$656 |
38.8× |
| Comprehensive metabolic panel (80053) |
$572.50 |
$1,145 |
54.2× |
| Obstetric panel (80055) |
$493.50 |
$987 |
10.3× |
| Lipid panel (80061) |
$126.75 |
$253.50 |
9.5× |
| Renal function panel (80069) |
$402.50 |
$805 |
46.4× |
| Hepatic function panel (80076) |
$346.50 |
$693 |
42.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$65 |
$130 |
16.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$25 |
$50 |
7.2× |
| PSA, total (84153) |
$74 |
$148 |
4.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$146.50 |
$293 |
8.7× |
| CBC with automated differential (85025) |
$153.75 |
$307.50 |
19.8× |
| CBC, automated (85027) |
$133 |
$266 |
20.6× |
| Prothrombin time (PT) (85610) |
$137.50 |
$275 |
32.1× |
| Partial thromboplastin time (PTT) (85730) |
$169.50 |
$339 |
28.2× |
| Psychotherapy, 30 minutes (90832) |
$184 |
$368 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$247 |
$494 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$316 |
$632 |
1.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$296.50 |
$593 |
1.7× |
| Group psychotherapy (90853) |
$341.50 |
$683 |
3.3× |
| Left heart catheterization (93452) |
$4,380 |
$8,760 |
1.3× |
| Sleep study (attended polysomnography) (95810) |
$4,055 |
$8,110 |
4.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$116.50 |
$233 |
4.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$272 |
$544 |
2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$313 |
$626 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$336 |
$672 |
2.5× |