| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,338.75 |
$3,825 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,399.04 |
$3,997.25 |
1.8× |
| Diagnostic colonoscopy (45378) |
$1,338.75 |
$3,825 |
1.6× |
| Colonoscopy with biopsy (45380) |
$1,338.75 |
$3,825 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,338.75 |
$3,825 |
1.3× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$788.55 |
$2,253 |
0.1× |
| CT head/brain without contrast (70450) |
$475.65 |
$1,359 |
5.2× |
| MRI brain without contrast (70551) |
$572.25 |
$1,635 |
2.7× |
| MRI brain with contrast (70552) |
$609 |
$1,740 |
2.0× |
| MRI brain without and with contrast (70553) |
$2,405.64 |
$6,873.25 |
7.9× |
| X-ray lower spine, 4+ views (72110) |
$361.36 |
$1,032.47 |
3.9× |
| MRI lumbar spine without contrast (72148) |
$1,829.46 |
$5,227.02 |
8.7× |
| CT pelvis with contrast (72193) |
$502.25 |
$1,435 |
3.3× |
| MRI lower-extremity joint without contrast (73721) |
$456.75 |
$1,305 |
2.2× |
| CT abdomen and pelvis with contrast (74177) |
$2,237.20 |
$6,392 |
7.3× |
| Ultrasound, abdomen complete (76700) |
$507.50 |
$1,450 |
5.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$168.35 |
$481 |
1.8× |
| Ultrasound, transvaginal (76830) |
$348.25 |
$995 |
3.8× |
| Mammography, one breast (diagnostic) (77065) |
$117.60 |
$336 |
1.4× |
| Mammography, both breasts (diagnostic) (77066) |
$246.89 |
$705.40 |
2.2× |
| Mammography, screening (bilateral) (77067) |
$265.30 |
$758 |
2.9× |
| Basic metabolic panel (80048) |
$43.34 |
$123.84 |
5.1× |
| Comprehensive metabolic panel (80053) |
$96.43 |
$275.52 |
9.1× |
| Lipid panel (80061) |
$69.48 |
$198.50 |
5.2× |
| Renal function panel (80069) |
$40.25 |
$115 |
4.6× |
| Hepatic function panel (80076) |
$79.28 |
$226.50 |
9.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$21 |
$60 |
5.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$11.01 |
$31.46 |
3.2× |
| PSA, total (84153) |
$12.76 |
$36.47 |
0.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$46.55 |
$133 |
2.8× |
| CBC with automated differential (85025) |
$51.16 |
$146.16 |
6.6× |
| CBC, automated (85027) |
$82.08 |
$234.50 |
12.7× |
| Prothrombin time (PT) (85610) |
$49 |
$140 |
11.4× |
| Partial thromboplastin time (PTT) (85730) |
$38.06 |
$108.75 |
6.3× |
| Psychotherapy, 30 minutes (90832) |
$68.95 |
$197 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$104.65 |
$299 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$133.35 |
$381 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$95.20 |
$272 |
0.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$123.55 |
$353 |
0.8× |
| Group psychotherapy (90853) |
$114.10 |
$326 |
1.3× |
| Electrocardiogram (ECG), complete (93000) |
$18.90 |
$54 |
0.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$25.55 |
$73 |
0.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$209.82 |
$599.50 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$181.30 |
$518 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$271.25 |
$775 |
2.3× |