| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,970 |
$1,970 |
1.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,139 |
$2,139 |
2.0× |
| Diagnostic colonoscopy (45378) |
$2,097 |
$2,097 |
1.9× |
| Colonoscopy with biopsy (45380) |
$2,097 |
$2,097 |
1.5× |
| Colonoscopy with lesion removal (45385) |
$3,248 |
$3,248 |
2.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$7,126.50 |
$7,126.50 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$3,172 |
$3,172 |
3.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,887 |
$1,887 |
1.8× |
| CT head/brain without contrast (70450) |
$1,387 |
$1,387 |
11.1× |
| MRI brain without contrast (70551) |
$2,648 |
$2,648 |
9.3× |
| MRI brain with contrast (70552) |
$3,832 |
$3,832 |
9.2× |
| MRI brain without and with contrast (70553) |
$4,533 |
$4,533 |
10.8× |
| X-ray lower spine, 4+ views (72110) |
$578 |
$578 |
4.6× |
| MRI lumbar spine without contrast (72148) |
$2,741 |
$2,741 |
9.6× |
| CT pelvis with contrast (72193) |
$1,905 |
$1,905 |
9.1× |
| MRI lower-extremity joint without contrast (73721) |
$4,222 |
$4,222 |
14.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,432 |
$2,432 |
5.8× |
| Ultrasound, abdomen complete (76700) |
$1,002 |
$1,002 |
8.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$753 |
$753 |
6.0× |
| Ultrasound, transvaginal (76830) |
$739 |
$739 |
5.9× |
| Mammography, one breast (diagnostic) (77065) |
$542.50 |
$542.50 |
6.3× |
| Mammography, both breasts (diagnostic) (77066) |
$699 |
$699 |
6.3× |
| Mammography, screening (bilateral) (77067) |
$595 |
$595 |
6.5× |
| Basic metabolic panel (80048) |
$74 |
$74 |
8.7× |
| Comprehensive metabolic panel (80053) |
$136 |
$136 |
12.9× |
| Obstetric panel (80055) |
$372 |
$372 |
7.8× |
| Lipid panel (80061) |
$104 |
$104 |
7.8× |
| Renal function panel (80069) |
$93 |
$93 |
10.7× |
| Hepatic function panel (80076) |
$73 |
$73 |
8.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$15 |
$15 |
3.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$49 |
$49 |
14.1× |
| PSA, total (84153) |
$177 |
$177 |
9.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$151 |
$151 |
9.0× |
| CBC with automated differential (85025) |
$70 |
$70 |
9.0× |
| CBC, automated (85027) |
$58 |
$58 |
9.0× |
| Prothrombin time (PT) (85610) |
$40 |
$40 |
9.3× |
| Partial thromboplastin time (PTT) (85730) |
$54 |
$54 |
9.0× |
| Psychotherapy, 30 minutes (90832) |
$249 |
$249 |
1.2× |
| Psychotherapy, 45 minutes (90834) |
$231.50 |
$231.50 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$340 |
$340 |
1.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$382 |
$382 |
1.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$435 |
$435 |
2.0× |
| Group psychotherapy (90853) |
$207 |
$207 |
1.7× |
| Electrocardiogram (ECG), complete (93000) |
$219 |
$219 |
3.1× |
| Left heart catheterization (93452) |
$8,905 |
$8,905 |
2.3× |
| Sleep study (attended polysomnography) (95810) |
$4,018 |
$4,018 |
3.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$149 |
$149 |
5.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$203 |
$203 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$276 |
$276 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$276 |
$276 |
1.7× |