| Upper GI endoscopy (EGD), diagnostic (43235) |
$44 |
$44 |
0.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$135 |
$135 |
0.1× |
| Diagnostic colonoscopy (45378) |
$178 |
$178 |
0.2× |
| Colonoscopy with biopsy (45380) |
$194 |
$194 |
0.2× |
| Colonoscopy with lesion removal (45385) |
$245 |
$245 |
0.2× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$1,938 |
$1,938 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$499 |
$499 |
0.1× |
| CT head/brain without contrast (70450) |
$1,773 |
$1,773 |
16.4× |
| MRI brain without contrast (70551) |
$2,731 |
$2,731 |
11.1× |
| MRI brain without and with contrast (70553) |
$3,849 |
$3,849 |
10.7× |
| X-ray lower spine, 4+ views (72110) |
$503 |
$503 |
4.7× |
| MRI lumbar spine without contrast (72148) |
$2,992 |
$2,992 |
12.1× |
| MRI lower-extremity joint without contrast (73721) |
$3,495 |
$3,495 |
14.2× |
| CT abdomen and pelvis with contrast (74177) |
$4,179 |
$4,179 |
11.6× |
| Ultrasound, abdomen complete (76700) |
$950 |
$950 |
8.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$945 |
$945 |
8.8× |
| Ultrasound, transvaginal (76830) |
$650 |
$650 |
6.0× |
| Mammography, one breast (diagnostic) (77065) |
$370 |
$370 |
4.3× |
| Mammography, both breasts (diagnostic) (77066) |
$477 |
$477 |
4.3× |
| Mammography, screening (bilateral) (77067) |
$386.50 |
$386.50 |
4.2× |
| Basic metabolic panel (80048) |
$202 |
$202 |
23.9× |
| Comprehensive metabolic panel (80053) |
$269 |
$269 |
25.5× |
| Lipid panel (80061) |
$201 |
$201 |
15.0× |
| Renal function panel (80069) |
$174 |
$174 |
20.0× |
| Hepatic function panel (80076) |
$222 |
$222 |
27.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$30 |
$30 |
8.6× |
| PSA, total (84153) |
$212 |
$212 |
11.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$84.50 |
$84.50 |
5.0× |
| CBC with automated differential (85025) |
$105.50 |
$105.50 |
13.6× |
| CBC, automated (85027) |
$137 |
$137 |
21.2× |
| Prothrombin time (PT) (85610) |
$34 |
$34 |
7.9× |
| Partial thromboplastin time (PTT) (85730) |
$75.50 |
$75.50 |
12.6× |
| Psychotherapy, 30 minutes (90832) |
$567 |
$567 |
3.1× |
| Psychotherapy, 45 minutes (90834) |
$618 |
$618 |
3.4× |
| Psychotherapy, 60 minutes (90837) |
$644 |
$644 |
3.5× |
| Group psychotherapy (90853) |
$464 |
$464 |
4.4× |
| Sleep study (attended polysomnography) (95810) |
$3,369 |
$3,369 |
3.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$144.50 |
$144.50 |
5.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$218.16 |
$218 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$356.65 |
$356.50 |
2.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$210.34 |
$210 |
1.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$175.45 |
$175 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$203.15 |
$203 |
— |