| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,475 |
$4,125 |
2.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,727 |
$4,545 |
3.1× |
| Diagnostic colonoscopy (45378) |
$1,503.61 |
$2,506.01 |
1.7× |
| Colonoscopy with biopsy (45380) |
$2,172.60 |
$3,621 |
1.9× |
| Colonoscopy with lesion removal (45385) |
$1,988.40 |
$3,314 |
1.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,504.20 |
$2,507 |
1.3× |
| CT head/brain without contrast (70450) |
$2,035.80 |
$3,393 |
20.2× |
| MRI brain without contrast (70551) |
$2,379.60 |
$3,966 |
10.4× |
| MRI brain with contrast (70552) |
$2,806.80 |
$4,678 |
8.4× |
| MRI brain without and with contrast (70553) |
$2,855.40 |
$4,759 |
8.5× |
| X-ray lower spine, 4+ views (72110) |
$535.20 |
$892 |
5.3× |
| MRI lumbar spine without contrast (72148) |
$2,347.20 |
$3,912 |
10.2× |
| CT pelvis with contrast (72193) |
$2,446.80 |
$4,078 |
14.5× |
| MRI lower-extremity joint without contrast (73721) |
$2,344.20 |
$3,907 |
10.2× |
| CT abdomen and pelvis with contrast (74177) |
$3,998.40 |
$6,664 |
11.9× |
| Ultrasound, abdomen complete (76700) |
$963 |
$1,605 |
9.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$596.40 |
$994 |
5.9× |
| Ultrasound, transvaginal (76830) |
$721.80 |
$1,203 |
7.2× |
| Mammography, one breast (diagnostic) (77065) |
$240 |
$400 |
2.8× |
| Mammography, both breasts (diagnostic) (77066) |
$279.60 |
$466 |
2.5× |
| Mammography, screening (bilateral) (77067) |
$162.90 |
$271.50 |
1.8× |
| Basic metabolic panel (80048) |
$81.90 |
$136.50 |
9.7× |
| Comprehensive metabolic panel (80053) |
$99.60 |
$166 |
9.4× |
| Obstetric panel (80055) |
$419.70 |
$699.50 |
8.8× |
| Lipid panel (80061) |
$75.60 |
$126 |
5.6× |
| Renal function panel (80069) |
$75.90 |
$126.50 |
8.7× |
| Hepatic function panel (80076) |
$75.90 |
$126.50 |
9.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$21.30 |
$35.50 |
6.1× |
| PSA, total (84153) |
$83.40 |
$139 |
4.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$57.30 |
$95.50 |
3.4× |
| CBC with automated differential (85025) |
$51.30 |
$85.50 |
6.6× |
| CBC, automated (85027) |
$46.80 |
$78 |
7.2× |
| Prothrombin time (PT) (85610) |
$27.90 |
$46.50 |
6.5× |
| Partial thromboplastin time (PTT) (85730) |
$32.40 |
$54 |
5.4× |
| Psychotherapy, 30 minutes (90832) |
$156 |
$260 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$266.40 |
$444 |
1.6× |
| Psychotherapy, 60 minutes (90837) |
$306.60 |
$511 |
1.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$397.80 |
$663 |
2.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$397.80 |
$663 |
2.3× |
| Group psychotherapy (90853) |
$159 |
$265 |
1.6× |
| Left heart catheterization (93452) |
$9,200.40 |
$15,334 |
3.0× |
| Sleep study (attended polysomnography) (95810) |
$4,098 |
$6,830 |
5.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$97.80 |
$163 |
3.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$130.80 |
$218 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$201 |
$335 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$202.20 |
$337 |
1.6× |