| Upper GI endoscopy (EGD), diagnostic (43235) |
$972.66 |
$2,262 |
1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,162.29 |
$2,703 |
1.5× |
| Diagnostic colonoscopy (45378) |
$984.70 |
$2,290 |
1.2× |
| Colonoscopy with biopsy (45380) |
$1,291.72 |
$3,004 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,328.70 |
$3,090 |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$818.72 |
$1,904 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,210.45 |
$2,815 |
1.6× |
| CT head/brain without contrast (70450) |
$889.67 |
$2,069 |
9.9× |
| MRI brain without contrast (70551) |
$1,604.76 |
$3,732 |
7.8× |
| MRI brain with contrast (70552) |
$1,699.79 |
$3,953 |
5.7× |
| MRI brain without and with contrast (70553) |
$2,180.96 |
$5,072 |
7.3× |
| X-ray lower spine, 4+ views (72110) |
$269.61 |
$627 |
3.0× |
| MRI lumbar spine without contrast (72148) |
$1,417.71 |
$3,297 |
6.9× |
| CT pelvis with contrast (72193) |
$1,248.72 |
$2,904 |
8.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,550.15 |
$3,605 |
7.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,242.02 |
$5,214 |
7.5× |
| Ultrasound, abdomen complete (76700) |
$390.44 |
$908 |
4.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$464.83 |
$1,081 |
5.2× |
| Ultrasound, transvaginal (76830) |
$334.54 |
$778 |
3.7× |
| Mammography, one breast (diagnostic) (77065) |
$113.52 |
$264 |
1.3× |
| Mammography, both breasts (diagnostic) (77066) |
$146.63 |
$341 |
1.3× |
| Mammography, screening (bilateral) (77067) |
$137.17 |
$319 |
1.5× |
| Basic metabolic panel (80048) |
$20.21 |
$47 |
2.4× |
| Comprehensive metabolic panel (80053) |
$25.37 |
$59 |
2.4× |
| Obstetric panel (80055) |
$196.08 |
$456 |
4.1× |
| Lipid panel (80061) |
$22.36 |
$52 |
1.7× |
| Renal function panel (80069) |
$76.54 |
$178 |
8.8× |
| Hepatic function panel (80076) |
$24.08 |
$56 |
2.9× |
| PSA, total (84153) |
$27.09 |
$63 |
1.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$78.26 |
$182 |
4.7× |
| CBC with automated differential (85025) |
$12.90 |
$30 |
1.7× |
| CBC, automated (85027) |
$11.18 |
$26 |
1.7× |
| Prothrombin time (PT) (85610) |
$39.13 |
$91 |
9.1× |
| Partial thromboplastin time (PTT) (85730) |
$43 |
$100 |
7.2× |
| Psychotherapy, 30 minutes (90832) |
$76.97 |
$179 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$139.75 |
$325 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$100.62 |
$234 |
0.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$138.03 |
$321 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$159.10 |
$370 |
1.0× |
| Group psychotherapy (90853) |
$118.25 |
$275 |
1.4× |
| Left heart catheterization (93452) |
$4,732.15 |
$11,005 |
1.7× |
| Sleep study (attended polysomnography) (95810) |
$1,559.40 |
$3,626.50 |
2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$53.75 |
$125 |
1.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$128.14 |
$298 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$160.39 |
$373 |
1.4× |