| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,800 |
$2,800 |
3.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,000 |
$3,000 |
3.2× |
| Diagnostic colonoscopy (45378) |
$2,535 |
$2,535 |
2.6× |
| Colonoscopy with biopsy (45380) |
$3,000 |
$3,000 |
2.4× |
| Colonoscopy with lesion removal (45385) |
$4,825 |
$4,825 |
3.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,200 |
$1,200 |
1.3× |
| CT head/brain without contrast (70450) |
$2,900 |
$2,900 |
26.7× |
| MRI brain without contrast (70551) |
$4,200 |
$4,200 |
17.0× |
| MRI brain with contrast (70552) |
$4,637 |
$4,637 |
12.8× |
| MRI brain without and with contrast (70553) |
$4,564 |
$4,564 |
12.6× |
| X-ray lower spine, 4+ views (72110) |
$571.50 |
$571.50 |
5.3× |
| MRI lumbar spine without contrast (72148) |
$4,700 |
$4,700 |
19.0× |
| CT pelvis with contrast (72193) |
$3,389.50 |
$3,389.50 |
18.6× |
| MRI lower-extremity joint without contrast (73721) |
$3,206.50 |
$3,206.50 |
12.9× |
| CT abdomen and pelvis with contrast (74177) |
$6,300 |
$6,300 |
17.4× |
| Ultrasound, abdomen complete (76700) |
$1,200 |
$1,200 |
11.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,121 |
$1,121 |
10.3× |
| Ultrasound, transvaginal (76830) |
$865 |
$865 |
8.0× |
| Mammography, screening (bilateral) (77067) |
$450 |
$450 |
4.9× |
| Basic metabolic panel (80048) |
$120.50 |
$120.50 |
14.2× |
| Comprehensive metabolic panel (80053) |
$144.50 |
$144.50 |
13.7× |
| Lipid panel (80061) |
$81.75 |
$81.75 |
6.1× |
| Renal function panel (80069) |
$146 |
$146 |
16.8× |
| Hepatic function panel (80076) |
$89.75 |
$89.75 |
11.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$24 |
$24 |
6.9× |
| PSA, total (84153) |
$118 |
$118 |
6.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$109 |
$109 |
6.5× |
| CBC with automated differential (85025) |
$47 |
$47 |
6.0× |
| CBC, automated (85027) |
$77.75 |
$77.75 |
12.0× |
| Prothrombin time (PT) (85610) |
$60 |
$60 |
14.0× |
| Partial thromboplastin time (PTT) (85730) |
$79.75 |
$79.75 |
13.3× |
| Psychotherapy, 30 minutes (90832) |
$379.50 |
$379.50 |
2.1× |
| Psychotherapy, 45 minutes (90834) |
$475.50 |
$475.50 |
2.6× |
| Psychotherapy, 60 minutes (90837) |
$481.50 |
$481.50 |
2.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$482.50 |
$482.50 |
2.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$505.50 |
$505.50 |
2.7× |
| Group psychotherapy (90853) |
$735 |
$735 |
7.0× |
| Electrocardiogram (ECG), complete (93000) |
$90 |
$90 |
1.5× |
| Sleep study (attended polysomnography) (95810) |
$2,730 |
$2,730 |
3.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$120 |
$120 |
4.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$250 |
$250 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$347 |
$347 |
2.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$427 |
$427 |
3.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$257.50 |
$257.50 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$290 |
$290 |
— |