| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,409.70 |
$4,871 |
3.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,409.70 |
$4,871 |
3.6× |
| Diagnostic colonoscopy (45378) |
$3,591.70 |
$5,131 |
3.7× |
| Colonoscopy with biopsy (45380) |
$4,388.30 |
$6,269 |
3.5× |
| Colonoscopy with lesion removal (45385) |
$4,388.30 |
$6,269 |
3.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$3,703.70 |
$5,291 |
3.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$6,363.70 |
$9,091 |
6.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$5,136.60 |
$7,338 |
5.6× |
| CT head/brain without contrast (70450) |
$2,391.20 |
$3,416 |
21.9× |
| MRI brain without contrast (70551) |
$3,974.60 |
$5,678 |
16.0× |
| MRI brain with contrast (70552) |
$7,704.20 |
$11,006 |
21.1× |
| MRI brain without and with contrast (70553) |
$9,474.50 |
$13,535 |
26.0× |
| X-ray lower spine, 4+ views (72110) |
$911.40 |
$1,302 |
8.3× |
| MRI lumbar spine without contrast (72148) |
$3,974.60 |
$5,678 |
16.0× |
| CT pelvis with contrast (72193) |
$5,901.70 |
$8,431 |
32.2× |
| MRI lower-extremity joint without contrast (73721) |
$4,793.25 |
$6,847.50 |
19.2× |
| CT abdomen and pelvis with contrast (74177) |
$7,446.60 |
$10,638 |
20.4× |
| Ultrasound, abdomen complete (76700) |
$1,613.15 |
$2,304.50 |
14.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,384.60 |
$1,978 |
12.7× |
| Ultrasound, transvaginal (76830) |
$1,044.05 |
$1,491.50 |
9.6× |
| Mammography, one breast (diagnostic) (77065) |
$598.50 |
$855 |
6.9× |
| Mammography, screening (bilateral) (77067) |
$804.30 |
$1,149 |
8.8× |
| Basic metabolic panel (80048) |
$385 |
$550 |
45.5× |
| Comprehensive metabolic panel (80053) |
$274.40 |
$392 |
26.0× |
| Lipid panel (80061) |
$22.98 |
$32.84 |
1.7× |
| Renal function panel (80069) |
$766.50 |
$1,095 |
88.3× |
| Hepatic function panel (80076) |
$721.70 |
$1,031 |
88.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$179.20 |
$256 |
44.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$27.30 |
$39 |
7.8× |
| PSA, total (84153) |
$19.60 |
$28 |
1.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$25.20 |
$36 |
1.5× |
| CBC with automated differential (85025) |
$245 |
$350 |
31.5× |
| CBC, automated (85027) |
$574.70 |
$821 |
88.8× |
| Prothrombin time (PT) (85610) |
$347.90 |
$497 |
81.1× |
| Partial thromboplastin time (PTT) (85730) |
$268.10 |
$383 |
44.6× |
| Psychotherapy, 30 minutes (90832) |
$571.20 |
$816 |
3.1× |
| Psychotherapy, 45 minutes (90834) |
$590.80 |
$844 |
3.2× |
| Psychotherapy, 60 minutes (90837) |
$893.20 |
$1,276 |
4.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$571.20 |
$816 |
3.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$610.40 |
$872 |
3.3× |
| Group psychotherapy (90853) |
$343.70 |
$491 |
3.2× |
| Left heart catheterization (93452) |
$6,877.50 |
$9,825 |
2.0× |
| Sleep study (attended polysomnography) (95810) |
$7,773.50 |
$11,105 |
8.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$194.95 |
$278.50 |
6.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$371 |
$530 |
2.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$539.70 |
$771 |
3.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$659.40 |
$942 |
4.7× |