| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,472.10 |
$2,103 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,962.80 |
$2,804 |
1.8× |
| Diagnostic colonoscopy (45378) |
$1,893.68 |
$2,705.25 |
1.7× |
| Colonoscopy with biopsy (45380) |
$1,754.02 |
$2,505.75 |
1.2× |
| Colonoscopy with lesion removal (45385) |
$1,893.68 |
$2,705.25 |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$814.80 |
$1,164 |
0.8× |
| CT head/brain without contrast (70450) |
$1,050 |
$1,500 |
8.4× |
| MRI brain without contrast (70551) |
$1,224.30 |
$1,749 |
4.3× |
| MRI brain with contrast (70552) |
$1,298.50 |
$1,855 |
3.1× |
| MRI brain without and with contrast (70553) |
$2,351.48 |
$3,359.25 |
5.6× |
| X-ray lower spine, 4+ views (72110) |
$294 |
$420 |
2.3× |
| MRI lumbar spine without contrast (72148) |
$1,345.05 |
$1,921.50 |
4.7× |
| CT pelvis with contrast (72193) |
$710.50 |
$1,015 |
3.4× |
| MRI lower-extremity joint without contrast (73721) |
$939.40 |
$1,342 |
3.3× |
| CT abdomen and pelvis with contrast (74177) |
$1,290.80 |
$1,844 |
3.1× |
| Ultrasound, abdomen complete (76700) |
$456.40 |
$652 |
3.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$350.70 |
$501 |
2.8× |
| Ultrasound, transvaginal (76830) |
$354.20 |
$506 |
2.8× |
| Mammography, one breast (diagnostic) (77065) |
$301.88 |
$431.25 |
3.5× |
| Mammography, both breasts (diagnostic) (77066) |
$303.10 |
$433 |
2.7× |
| Mammography, screening (bilateral) (77067) |
$386.92 |
$552.75 |
4.2× |
| Basic metabolic panel (80048) |
$21.70 |
$31 |
2.6× |
| Comprehensive metabolic panel (80053) |
$27.30 |
$39 |
2.6× |
| Obstetric panel (80055) |
$117.60 |
$168 |
2.5× |
| Lipid panel (80061) |
$35 |
$50 |
2.6× |
| Renal function panel (80069) |
$22.40 |
$32 |
2.6× |
| Hepatic function panel (80076) |
$20.30 |
$29 |
2.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$9.10 |
$13 |
2.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$8.40 |
$12 |
2.4× |
| PSA, total (84153) |
$45.50 |
$65 |
2.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$43.40 |
$62 |
2.6× |
| CBC with automated differential (85025) |
$18.90 |
$27 |
2.4× |
| CBC, automated (85027) |
$16.10 |
$23 |
2.5× |
| Prothrombin time (PT) (85610) |
$10.50 |
$15 |
2.4× |
| Partial thromboplastin time (PTT) (85730) |
$14.70 |
$21 |
2.4× |
| Psychotherapy, 30 minutes (90832) |
$171.50 |
$245 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$233.80 |
$334 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$271.25 |
$387.50 |
1.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$262.50 |
$375 |
1.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$262.50 |
$375 |
1.2× |
| Group psychotherapy (90853) |
$177.45 |
$253.50 |
1.5× |
| Electrocardiogram (ECG), complete (93000) |
$106.40 |
$152 |
1.5× |
| Left heart catheterization (93452) |
$4,545.80 |
$6,494 |
1.2× |
| Sleep study (attended polysomnography) (95810) |
$2,111.20 |
$3,016 |
2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$116.20 |
$166 |
4.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$177.10 |
$253 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$230.30 |
$329 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$296.10 |
$423 |
1.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$187.60 |
$268 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$187.60 |
$268 |
— |