| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,306.20 |
$3,548 |
2.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,306.20 |
$3,548 |
2.4× |
| Diagnostic colonoscopy (45378) |
$2,165.80 |
$3,332 |
2.2× |
| Colonoscopy with biopsy (45380) |
$2,328.30 |
$3,582 |
1.9× |
| Colonoscopy with lesion removal (45385) |
$2,289.30 |
$3,522 |
1.8× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,100.80 |
$3,232 |
1.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,303.90 |
$2,006 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,411.15 |
$2,171 |
1.5× |
| CT head/brain without contrast (70450) |
$1,103.05 |
$1,697 |
10.1× |
| MRI brain without contrast (70551) |
$1,290.90 |
$1,986 |
5.2× |
| MRI brain with contrast (70552) |
$1,741.35 |
$2,679 |
4.8× |
| MRI brain without and with contrast (70553) |
$2,971.80 |
$4,572 |
8.2× |
| X-ray lower spine, 4+ views (72110) |
$353.60 |
$544 |
3.2× |
| MRI lumbar spine without contrast (72148) |
$2,646.48 |
$4,071.50 |
10.6× |
| CT pelvis with contrast (72193) |
$2,192.45 |
$3,373 |
12.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,489.80 |
$2,292 |
6.0× |
| CT abdomen and pelvis with contrast (74177) |
$3,025.10 |
$4,654 |
8.3× |
| Ultrasound, abdomen complete (76700) |
$531.05 |
$817 |
4.9× |
| Ultrasound, transvaginal (76830) |
$645.45 |
$993 |
5.9× |
| Basic metabolic panel (80048) |
$230.75 |
$355 |
27.3× |
| Comprehensive metabolic panel (80053) |
$353.60 |
$544 |
33.5× |
| Lipid panel (80061) |
$154.70 |
$238 |
11.6× |
| Renal function panel (80069) |
$135.85 |
$209 |
15.7× |
| Hepatic function panel (80076) |
$90.35 |
$139 |
11.1× |
| PSA, total (84153) |
$163.15 |
$251 |
8.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$183.30 |
$282 |
10.9× |
| CBC with automated differential (85025) |
$65.65 |
$101 |
8.4× |
| CBC, automated (85027) |
$72.80 |
$112 |
11.3× |
| Prothrombin time (PT) (85610) |
$50.70 |
$78 |
11.8× |
| Partial thromboplastin time (PTT) (85730) |
$65.65 |
$101 |
10.9× |
| Psychotherapy, 60 minutes (90837) |
$410.15 |
$631 |
2.2× |
| Group psychotherapy (90853) |
$320.45 |
$493 |
3.0× |
| Left heart catheterization (93452) |
$7,499.70 |
$11,538 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$92.30 |
$142 |
3.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$237.90 |
$366 |
1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$325.65 |
$501 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$422.50 |
$650 |
3.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$414.05 |
$637 |
3.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$495.95 |
$763 |
3.6× |