| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,027.90 |
$2,897 |
2.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,277.80 |
$3,254 |
2.4× |
| Diagnostic colonoscopy (45378) |
$1,763.30 |
$2,519 |
1.8× |
| Colonoscopy with biopsy (45380) |
$3,347.40 |
$4,782 |
2.7× |
| Colonoscopy with lesion removal (45385) |
$3,347.40 |
$4,782 |
2.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,448.60 |
$3,498 |
1.9× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,556.10 |
$2,223 |
1.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,597 |
$3,710 |
2.8× |
| CT head/brain without contrast (70450) |
$1,974.70 |
$2,821 |
17.9× |
| MRI brain without contrast (70551) |
$2,169.30 |
$3,099 |
8.6× |
| MRI brain with contrast (70552) |
$2,597 |
$3,710 |
7.1× |
| MRI brain without and with contrast (70553) |
$2,951.90 |
$4,217 |
8.0× |
| X-ray lower spine, 4+ views (72110) |
$613.90 |
$877 |
5.6× |
| MRI lumbar spine without contrast (72148) |
$2,156.70 |
$3,081 |
8.6× |
| CT pelvis with contrast (72193) |
$1,691.20 |
$2,416 |
9.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,841 |
$2,630 |
7.3× |
| CT abdomen and pelvis with contrast (74177) |
$4,653.60 |
$6,648 |
12.6× |
| Ultrasound, abdomen complete (76700) |
$822.50 |
$1,175 |
7.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$822.50 |
$1,175 |
7.5× |
| Ultrasound, transvaginal (76830) |
$822.50 |
$1,175 |
7.5× |
| Mammography, one breast (diagnostic) (77065) |
$406 |
$580 |
4.7× |
| Mammography, both breasts (diagnostic) (77066) |
$493.50 |
$705 |
4.5× |
| Mammography, screening (bilateral) (77067) |
$361.55 |
$516.50 |
4.0× |
| Basic metabolic panel (80048) |
$183.40 |
$262 |
21.7× |
| Comprehensive metabolic panel (80053) |
$230.30 |
$329 |
21.8× |
| Obstetric panel (80055) |
$118.30 |
$169 |
2.5× |
| Lipid panel (80061) |
$216.58 |
$309.40 |
16.2× |
| Renal function panel (80069) |
$123.90 |
$177 |
14.3× |
| Hepatic function panel (80076) |
$190.40 |
$272 |
23.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$66.50 |
$95 |
19.1× |
| PSA, total (84153) |
$266.70 |
$381 |
14.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$326.20 |
$466 |
19.4× |
| CBC with automated differential (85025) |
$198.80 |
$284 |
25.6× |
| CBC, automated (85027) |
$107.80 |
$154 |
16.7× |
| Prothrombin time (PT) (85610) |
$86.80 |
$124 |
20.2× |
| Partial thromboplastin time (PTT) (85730) |
$82.74 |
$118.20 |
13.8× |
| Psychotherapy, 45 minutes (90834) |
$358.40 |
$512 |
1.9× |
| Psychotherapy, 60 minutes (90837) |
$428.40 |
$612 |
2.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$226.80 |
$324 |
1.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$431.20 |
$616 |
2.3× |
| Group psychotherapy (90853) |
$291.20 |
$416 |
2.7× |
| Left heart catheterization (93452) |
$8,044.40 |
$11,492 |
2.4× |
| Sleep study (attended polysomnography) (95810) |
$5,615.40 |
$8,022 |
6.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$88.20 |
$126 |
3.0× |