| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,583.33 |
$3,583.33 |
3.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$4,494 |
$4,494 |
4.1× |
| Diagnostic colonoscopy (45378) |
$4,494 |
$4,494 |
4.0× |
| Colonoscopy with biopsy (45380) |
$4,494 |
$4,494 |
3.1× |
| Colonoscopy with lesion removal (45385) |
$4,494 |
$4,494 |
3.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$3,182.59 |
$3,182.59 |
3.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,046.35 |
$3,046.35 |
2.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,994.72 |
$1,994.72 |
3.0× |
| CT head/brain without contrast (70450) |
$1,831.60 |
$1,831.60 |
14.6× |
| MRI brain without contrast (70551) |
$2,182.32 |
$2,182.32 |
7.6× |
| MRI brain with contrast (70552) |
$2,494.08 |
$2,494.08 |
6.0× |
| MRI brain without and with contrast (70553) |
$3,117.59 |
$3,117.59 |
7.5× |
| X-ray lower spine, 4+ views (72110) |
$385.81 |
$385.81 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$2,182.32 |
$2,182.32 |
7.6× |
| CT pelvis with contrast (72193) |
$2,079.43 |
$2,079.43 |
9.9× |
| MRI lower-extremity joint without contrast (73721) |
$2,182.32 |
$2,182.32 |
7.6× |
| CT abdomen and pelvis with contrast (74177) |
$3,897 |
$3,897 |
9.3× |
| Ultrasound, abdomen complete (76700) |
$718.61 |
$718.61 |
5.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$598.58 |
$598.58 |
4.8× |
| Ultrasound, transvaginal (76830) |
$411.52 |
$411.52 |
3.3× |
| Mammography, one breast (diagnostic) (77065) |
$316.39 |
$316.39 |
3.7× |
| Mammography, both breasts (diagnostic) (77066) |
$401.27 |
$401.27 |
3.6× |
| Mammography, screening (bilateral) (77067) |
$347.25 |
$347.25 |
3.8× |
| Basic metabolic panel (80048) |
$288.60 |
$288.60 |
34.1× |
| Comprehensive metabolic panel (80053) |
$362.12 |
$362.12 |
34.3× |
| Lipid panel (80061) |
$98.56 |
$98.56 |
7.4× |
| Renal function panel (80069) |
$344.18 |
$344.18 |
39.7× |
| Hepatic function panel (80076) |
$197.56 |
$197.56 |
24.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$26.36 |
$26.36 |
7.6× |
| PSA, total (84153) |
$80.26 |
$80.26 |
4.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$100.31 |
$100.31 |
6.0× |
| CBC with automated differential (85025) |
$74.08 |
$74.08 |
9.5× |
| CBC, automated (85027) |
$63.29 |
$63.29 |
9.8× |
| Prothrombin time (PT) (85610) |
$38.58 |
$38.58 |
9.0× |
| Partial thromboplastin time (PTT) (85730) |
$139.72 |
$139.72 |
23.2× |
| Psychotherapy, 30 minutes (90832) |
$742.34 |
$742.34 |
3.5× |
| Psychotherapy, 45 minutes (90834) |
$814.76 |
$814.76 |
3.8× |
| Psychotherapy, 60 minutes (90837) |
$952.57 |
$952.57 |
4.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$838.64 |
$838.64 |
3.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$852.26 |
$852.26 |
4.0× |
| Group psychotherapy (90853) |
$349.18 |
$349.18 |
2.9× |
| Electrocardiogram (ECG), complete (93000) |
$315.30 |
$315.30 |
4.5× |
| Sleep study (attended polysomnography) (95810) |
$5,708.45 |
$5,708.45 |
5.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$112.02 |
$112.02 |
3.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$284.86 |
$284.86 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$500.23 |
$500.23 |
3.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$674.10 |
$674.10 |
4.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$254.24 |
$254.24 |
1.6× |