| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,455.68 |
$4,549 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,541.44 |
$4,817 |
1.7× |
| Diagnostic colonoscopy (45378) |
$1,541.44 |
$4,817 |
1.7× |
| Colonoscopy with biopsy (45380) |
$1,541.44 |
$4,817 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,541.44 |
$4,817 |
1.3× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,061.52 |
$3,317.25 |
0.9× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,481.04 |
$4,628.25 |
1.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$885.52 |
$2,767.25 |
1.0× |
| CT head/brain without contrast (70450) |
$1,026.88 |
$3,209 |
9.8× |
| MRI brain without contrast (70551) |
$1,667.36 |
$5,210.50 |
7.0× |
| MRI brain with contrast (70552) |
$2,035.52 |
$6,361 |
5.8× |
| MRI brain without and with contrast (70553) |
$2,417.20 |
$7,553.75 |
6.9× |
| X-ray lower spine, 4+ views (72110) |
$753.92 |
$2,356 |
7.2× |
| MRI lumbar spine without contrast (72148) |
$1,929.84 |
$6,030.75 |
8.1× |
| CT pelvis with contrast (72193) |
$1,986.72 |
$6,208.50 |
11.3× |
| MRI lower-extremity joint without contrast (73721) |
$2,012.70 |
$6,289.69 |
8.4× |
| CT abdomen and pelvis with contrast (74177) |
$3,195.84 |
$9,987 |
9.1× |
| Ultrasound, abdomen complete (76700) |
$1,177.60 |
$3,680 |
11.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$917.76 |
$2,868 |
8.7× |
| Ultrasound, transvaginal (76830) |
$757.04 |
$2,365.75 |
7.2× |
| Mammography, one breast (diagnostic) (77065) |
$145.92 |
$456 |
1.7× |
| Mammography, both breasts (diagnostic) (77066) |
$153.20 |
$478.75 |
1.4× |
| Mammography, screening (bilateral) (77067) |
$144.16 |
$450.50 |
1.6× |
| Basic metabolic panel (80048) |
$214.24 |
$669.50 |
25.3× |
| Comprehensive metabolic panel (80053) |
$288.40 |
$901.25 |
27.3× |
| Lipid panel (80061) |
$305.68 |
$955.25 |
22.8× |
| Renal function panel (80069) |
$62.88 |
$196.50 |
7.2× |
| Hepatic function panel (80076) |
$128.96 |
$403 |
15.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$130.16 |
$406.75 |
37.4× |
| PSA, total (84153) |
$65.44 |
$204.50 |
3.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$56.20 |
$175.62 |
3.3× |
| CBC with automated differential (85025) |
$101.44 |
$317 |
13.1× |
| CBC, automated (85027) |
$50.88 |
$159 |
7.9× |
| Prothrombin time (PT) (85610) |
$34.80 |
$108.75 |
8.1× |
| Partial thromboplastin time (PTT) (85730) |
$26.32 |
$82.25 |
4.4× |
| Psychotherapy, 30 minutes (90832) |
$220.88 |
$690.25 |
1.2× |
| Psychotherapy, 45 minutes (90834) |
$287.52 |
$898.50 |
1.6× |
| Psychotherapy, 60 minutes (90837) |
$315.20 |
$985 |
1.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$258.40 |
$807.50 |
1.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$281.92 |
$881 |
1.6× |
| Group psychotherapy (90853) |
$268.48 |
$839 |
2.6× |
| Left heart catheterization (93452) |
$2,988.40 |
$9,338.75 |
0.9× |
| Sleep study (attended polysomnography) (95810) |
$1,606.88 |
$5,021.50 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$112.24 |
$350.75 |
3.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$35.28 |
$110.25 |
0.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$51.20 |
$160 |
0.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$54.40 |
$170 |
0.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$178.92 |
$559.12 |
1.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$162.32 |
$507.25 |
1.2× |