| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,802.80 |
$4,312 |
2.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,061.15 |
$3,171 |
2.1× |
| Diagnostic colonoscopy (45378) |
$2,516.15 |
$3,871 |
2.5× |
| Colonoscopy with biopsy (45380) |
$2,627.30 |
$4,042 |
2.1× |
| Colonoscopy with lesion removal (45385) |
$2,731.30 |
$4,202 |
2.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,215.20 |
$3,408 |
1.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,112.50 |
$3,250 |
2.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$775.45 |
$1,193 |
1.3× |
| CT head/brain without contrast (70450) |
$1,981.20 |
$3,048 |
17.8× |
| MRI brain without contrast (70551) |
$2,284.10 |
$3,514 |
9.0× |
| MRI brain with contrast (70552) |
$2,557.10 |
$3,934 |
6.9× |
| MRI brain without and with contrast (70553) |
$3,560.05 |
$5,477 |
9.6× |
| X-ray lower spine, 4+ views (72110) |
$765.70 |
$1,178 |
6.9× |
| MRI lumbar spine without contrast (72148) |
$2,765.75 |
$4,255 |
10.9× |
| CT pelvis with contrast (72193) |
$2,811.25 |
$4,325 |
15.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,743 |
$4,220 |
10.8× |
| CT abdomen and pelvis with contrast (74177) |
$4,316 |
$6,640 |
11.6× |
| Ultrasound, abdomen complete (76700) |
$1,340.95 |
$2,063 |
12.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$898.95 |
$1,383 |
8.1× |
| Ultrasound, transvaginal (76830) |
$842.40 |
$1,296 |
7.6× |
| Mammography, one breast (diagnostic) (77065) |
$464.10 |
$714 |
5.4× |
| Mammography, both breasts (diagnostic) (77066) |
$555.10 |
$854 |
5.0× |
| Mammography, screening (bilateral) (77067) |
$456.95 |
$703 |
5.0× |
| Basic metabolic panel (80048) |
$167.70 |
$258 |
19.8× |
| Comprehensive metabolic panel (80053) |
$289.90 |
$446 |
27.5× |
| Lipid panel (80061) |
$65.65 |
$101 |
4.9× |
| Renal function panel (80069) |
$222.30 |
$342 |
25.6× |
| Hepatic function panel (80076) |
$186.55 |
$287 |
22.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$40.30 |
$62 |
11.6× |
| PSA, total (84153) |
$76.70 |
$118 |
4.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$81.90 |
$126 |
4.9× |
| CBC with automated differential (85025) |
$114.72 |
$176.50 |
14.8× |
| CBC, automated (85027) |
$96.85 |
$149 |
15.0× |
| Prothrombin time (PT) (85610) |
$33.15 |
$51 |
7.7× |
| Partial thromboplastin time (PTT) (85730) |
$52 |
$80 |
8.7× |
| Psychotherapy, 30 minutes (90832) |
$126.10 |
$194 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$150.80 |
$232 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$176.15 |
$271 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$137.80 |
$212 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$172.90 |
$266 |
0.9× |
| Group psychotherapy (90853) |
$206.70 |
$318 |
1.9× |
| Left heart catheterization (93452) |
$8,570.90 |
$13,186 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$123.50 |
$190 |
4.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$145.60 |
$224 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$145.60 |
$224 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$145.60 |
$224 |
1.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$133.25 |
$205 |
0.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$133.25 |
$205 |
0.9× |