| Upper GI endoscopy (EGD), diagnostic (43235) |
$628.82 |
$1,257.63 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$710.70 |
$1,421.40 |
0.8× |
| Diagnostic colonoscopy (45378) |
$793.10 |
$1,586.20 |
0.8× |
| Colonoscopy with biopsy (45380) |
$1,047.76 |
$2,095.52 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$870.35 |
$1,740.70 |
0.7× |
| Laparoscopic gallbladder removal (47562) |
$3,975 |
$7,950 |
0.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$607.70 |
$1,215.40 |
1.1× |
| Cataract removal with lens insertion (66984) |
$1,884.90 |
$3,769.80 |
0.8× |
| MRI brain without contrast (70551) |
$418.44 |
$836.88 |
1.7× |
| X-ray lower spine, 4+ views (72110) |
$122.24 |
$244.49 |
1.1× |
| CT pelvis with contrast (72193) |
$469.94 |
$939.88 |
2.6× |
| CT abdomen and pelvis with contrast (74177) |
$841.42 |
$1,682.85 |
2.3× |
| Ultrasound, abdomen complete (76700) |
$316.68 |
$633.37 |
2.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$295.24 |
$590.48 |
2.7× |
| Ultrasound, transvaginal (76830) |
$195.58 |
$391.14 |
1.8× |
| Mammography, one breast (diagnostic) (77065) |
$88.07 |
$176.13 |
1.0× |
| Mammography, both breasts (diagnostic) (77066) |
$114.35 |
$228.70 |
1.0× |
| Mammography, screening (bilateral) (77067) |
$103.26 |
$206.52 |
1.1× |
| Basic metabolic panel (80048) |
$38.63 |
$77.25 |
4.6× |
| Comprehensive metabolic panel (80053) |
$77.25 |
$154.50 |
7.3× |
| Lipid panel (80061) |
$62.32 |
$124.63 |
4.7× |
| Renal function panel (80069) |
$77.25 |
$154.50 |
8.9× |
| Hepatic function panel (80076) |
$38.63 |
$77.25 |
4.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$21.12 |
$42.23 |
5.3× |
| PSA, total (84153) |
$41.72 |
$83.43 |
2.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$46.35 |
$92.70 |
2.8× |
| Prothrombin time (PT) (85610) |
$30.90 |
$61.80 |
7.2× |
| Partial thromboplastin time (PTT) (85730) |
$30.90 |
$61.80 |
5.1× |
| Psychotherapy, 30 minutes (90832) |
$86.93 |
$173.86 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$115.56 |
$231.11 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$169.74 |
$339.48 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$125.07 |
$250.14 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$130.31 |
$260.62 |
0.7× |
| Electrocardiogram (ECG), complete (93000) |
$178.71 |
$357.41 |
2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$54.59 |
$109.18 |
1.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$154.50 |
$309 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$249 |
$498 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$318.78 |
$637.57 |
2.3× |