| Diagnostic colonoscopy (45378) |
$1,187.20 |
$1,696 |
1.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$958.30 |
$1,369 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$429.10 |
$613 |
0.5× |
| CT head/brain without contrast (70450) |
$171.50 |
$245 |
1.6× |
| MRI brain without contrast (70551) |
$206.50 |
$295 |
0.8× |
| MRI brain with contrast (70552) |
$296.10 |
$423 |
0.8× |
| MRI brain without and with contrast (70553) |
$455 |
$650 |
1.2× |
| X-ray lower spine, 4+ views (72110) |
$235.90 |
$337 |
2.2× |
| MRI lumbar spine without contrast (72148) |
$208.60 |
$298 |
0.8× |
| CT pelvis with contrast (72193) |
$231 |
$330 |
1.3× |
| MRI lower-extremity joint without contrast (73721) |
$189.70 |
$271 |
0.8× |
| CT abdomen and pelvis with contrast (74177) |
$367.50 |
$525 |
1.0× |
| Ultrasound, abdomen complete (76700) |
$163.10 |
$233 |
1.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$199.50 |
$285 |
1.8× |
| Ultrasound, transvaginal (76830) |
$152.60 |
$218 |
1.4× |
| Mammography, one breast (diagnostic) (77065) |
$401.80 |
$574 |
4.7× |
| Mammography, both breasts (diagnostic) (77066) |
$497.35 |
$710.50 |
4.5× |
| Mammography, screening (bilateral) (77067) |
$416.50 |
$595 |
4.6× |
| Basic metabolic panel (80048) |
$144.55 |
$206.50 |
17.1× |
| Comprehensive metabolic panel (80053) |
$26.60 |
$38 |
2.5× |
| Lipid panel (80061) |
$105.70 |
$151 |
7.9× |
| Renal function panel (80069) |
$26.60 |
$38 |
3.1× |
| Hepatic function panel (80076) |
$23.80 |
$34 |
2.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$33.95 |
$48.50 |
9.8× |
| PSA, total (84153) |
$80.50 |
$115 |
4.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$167.30 |
$239 |
10.0× |
| CBC with automated differential (85025) |
$101.50 |
$145 |
13.1× |
| CBC, automated (85027) |
$53.55 |
$76.50 |
8.3× |
| Prothrombin time (PT) (85610) |
$68.25 |
$97.50 |
15.9× |
| Partial thromboplastin time (PTT) (85730) |
$37.80 |
$54 |
6.3× |
| Psychotherapy, 30 minutes (90832) |
$123.90 |
$177 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$194.60 |
$278 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$317.10 |
$453 |
1.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$138.60 |
$198 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$116.90 |
$167 |
0.6× |
| Group psychotherapy (90853) |
$101.85 |
$145.50 |
1.0× |
| Sleep study (attended polysomnography) (95810) |
$2,265.90 |
$3,237 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$100.10 |
$143 |
3.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$219.80 |
$314 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$313.60 |
$448 |
2.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$425.95 |
$608.50 |
3.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$297.50 |
$425 |
2.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$423.50 |
$605 |
3.0× |