| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,456.30 |
$3,509 |
2.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,525.60 |
$3,608 |
2.8× |
| Diagnostic colonoscopy (45378) |
$2,640.40 |
$3,772 |
2.9× |
| Colonoscopy with biopsy (45380) |
$2,920.40 |
$4,172 |
2.5× |
| Colonoscopy with lesion removal (45385) |
$2,988.30 |
$4,269 |
2.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$3,381 |
$4,830 |
2.9× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,061.50 |
$2,945 |
2.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,263.50 |
$1,805 |
1.4× |
| CT head/brain without contrast (70450) |
$749.70 |
$1,071 |
7.2× |
| MRI brain without contrast (70551) |
$1,283.80 |
$1,834 |
5.4× |
| MRI brain with contrast (70552) |
$1,474.90 |
$2,107 |
4.3× |
| MRI brain without and with contrast (70553) |
$1,771 |
$2,530 |
5.1× |
| X-ray lower spine, 4+ views (72110) |
$318.50 |
$455 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$1,100.40 |
$1,572 |
4.7× |
| CT pelvis with contrast (72193) |
$1,484.70 |
$2,121 |
8.6× |
| MRI lower-extremity joint without contrast (73721) |
$888.30 |
$1,269 |
3.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,924.60 |
$4,178 |
8.5× |
| Ultrasound, abdomen complete (76700) |
$483 |
$690 |
4.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$340.90 |
$487 |
3.3× |
| Ultrasound, transvaginal (76830) |
$375.90 |
$537 |
3.6× |
| Basic metabolic panel (80048) |
$62.30 |
$89 |
7.4× |
| Comprehensive metabolic panel (80053) |
$64.40 |
$92 |
6.1× |
| Lipid panel (80061) |
$115.50 |
$165 |
8.6× |
| Renal function panel (80069) |
$69.30 |
$99 |
8.0× |
| Hepatic function panel (80076) |
$99.40 |
$142 |
12.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$40.60 |
$58 |
11.7× |
| PSA, total (84153) |
$139.30 |
$199 |
7.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$49 |
$70 |
2.9× |
| CBC with automated differential (85025) |
$46.20 |
$66 |
5.9× |
| CBC, automated (85027) |
$28 |
$40 |
4.3× |
| Prothrombin time (PT) (85610) |
$24.50 |
$35 |
5.7× |
| Partial thromboplastin time (PTT) (85730) |
$58.80 |
$84 |
9.8× |
| Psychotherapy, 30 minutes (90832) |
$70 |
$100 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$93.10 |
$133 |
0.5× |
| Group psychotherapy (90853) |
$259 |
$370 |
2.6× |
| Left heart catheterization (93452) |
$2,776.90 |
$3,967 |
0.9× |
Sleep study (attended polysomnography) (95810)
range across 3 matching MRF lines |
$1,505.70–$3,638.60 |
$2,151–$5,198 |
varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$97.30 |
$139 |
3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$60.20 |
$86 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$119 |
$170 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$154 |
$220 |
1.2× |