| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,390 |
$2,780 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,310 |
$4,620 |
2.8× |
| Colonoscopy with biopsy (45380) |
$1,236 |
$2,472 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$979 |
$1,958 |
0.9× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,460.50 |
$2,921 |
1.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,301.50 |
$4,603 |
2.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,034 |
$2,068 |
2.1× |
| Cataract removal with lens insertion (66984) |
$1,989 |
$3,978 |
1.0× |
| CT head/brain without contrast (70450) |
$886 |
$1,772 |
9.4× |
| MRI brain without contrast (70551) |
$1,105 |
$2,210 |
5.1× |
| MRI brain with contrast (70552) |
$1,889.50 |
$3,779 |
6.0× |
| MRI brain without and with contrast (70553) |
$2,008 |
$4,016 |
6.4× |
| X-ray lower spine, 4+ views (72110) |
$314.50 |
$629 |
3.3× |
| MRI lumbar spine without contrast (72148) |
$1,096.50 |
$2,193 |
5.1× |
| CT pelvis with contrast (72193) |
$1,472 |
$2,944 |
9.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,462.50 |
$2,925 |
6.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,657.50 |
$5,315 |
8.4× |
| Ultrasound, abdomen complete (76700) |
$652.50 |
$1,305 |
6.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$143.50 |
$287 |
1.5× |
| Ultrasound, transvaginal (76830) |
$319.50 |
$639 |
3.4× |
| Mammography, one breast (diagnostic) (77065) |
$147 |
$294 |
1.7× |
| Mammography, both breasts (diagnostic) (77066) |
$202 |
$404 |
1.8× |
| Mammography, screening (bilateral) (77067) |
$184 |
$368 |
2.0× |
| Basic metabolic panel (80048) |
$142.50 |
$285 |
16.8× |
| Comprehensive metabolic panel (80053) |
$84.25 |
$168.50 |
8.0× |
| Obstetric panel (80055) |
$84 |
$168 |
1.8× |
| Lipid panel (80061) |
$78.75 |
$157.50 |
5.9× |
| Renal function panel (80069) |
$66.50 |
$133 |
7.7× |
| Hepatic function panel (80076) |
$155 |
$310 |
19.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$6.50 |
$13 |
1.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$43.25 |
$86.50 |
12.4× |
| PSA, total (84153) |
$96 |
$192 |
5.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$95.50 |
$191 |
5.7× |
| CBC with automated differential (85025) |
$65.75 |
$131.50 |
8.5× |
| CBC, automated (85027) |
$35 |
$70 |
5.4× |
| Prothrombin time (PT) (85610) |
$19 |
$38 |
4.4× |
| Partial thromboplastin time (PTT) (85730) |
$44 |
$88 |
7.3× |
| Psychotherapy, 30 minutes (90832) |
$108.50 |
$217 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$112 |
$224 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$167.50 |
$335 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$169.50 |
$339 |
1.1× |
| Group psychotherapy (90853) |
$78 |
$156 |
0.8× |
| Sleep study (attended polysomnography) (95810) |
$2,685.50 |
$5,371 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$47 |
$94 |
1.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$274 |
$548 |
2.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$291.50 |
$583 |
2.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$341 |
$682 |
2.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$203.50 |
$407 |
1.7× |