| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,624.25 |
$3,499 |
3.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,846.25 |
$3,795 |
3.3× |
| Diagnostic colonoscopy (45378) |
$2,602.50 |
$3,470 |
3.0× |
| Colonoscopy with biopsy (45380) |
$2,640 |
$3,520 |
2.3× |
| Colonoscopy with lesion removal (45385) |
$2,571.75 |
$3,429 |
2.3× |
| Colonoscopy with endoscopic ultrasound (45391) |
$3,201 |
$4,268 |
2.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,876.50 |
$2,502 |
2.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,459.50 |
$1,946 |
2.8× |
| CT head/brain without contrast (70450) |
$1,233 |
$1,644 |
12.5× |
| MRI brain without contrast (70551) |
$2,243.25 |
$2,991 |
9.9× |
| MRI brain with contrast (70552) |
$2,466 |
$3,288 |
7.5× |
| MRI brain without and with contrast (70553) |
$2,614.50 |
$3,486 |
7.9× |
| X-ray lower spine, 4+ views (72110) |
$513 |
$684 |
5.2× |
| MRI lumbar spine without contrast (72148) |
$2,244 |
$2,992 |
9.9× |
| CT pelvis with contrast (72193) |
$1,678.50 |
$2,238 |
10.1× |
| MRI lower-extremity joint without contrast (73721) |
$2,577.75 |
$3,437 |
11.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,446.50 |
$3,262 |
7.4× |
| Ultrasound, abdomen complete (76700) |
$1,114.50 |
$1,486 |
11.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$855.75 |
$1,141 |
8.7× |
| Ultrasound, transvaginal (76830) |
$921 |
$1,228 |
9.3× |
| Mammography, one breast (diagnostic) (77065) |
$371.25 |
$495 |
4.3× |
| Mammography, both breasts (diagnostic) (77066) |
$520.50 |
$694 |
4.7× |
| Mammography, screening (bilateral) (77067) |
$377.25 |
$503 |
4.1× |
| Basic metabolic panel (80048) |
$122.25 |
$163 |
14.5× |
| Comprehensive metabolic panel (80053) |
$198 |
$264 |
18.8× |
Lipid panel (80061)
range across 2 matching MRF lines |
$45.75–$143.25 |
$61–$191 |
varies |
| Renal function panel (80069) |
$188.25 |
$251 |
21.7× |
| Hepatic function panel (80076) |
$141.75 |
$189 |
17.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$69.75 |
$93 |
17.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$34.50 |
$46 |
9.9× |
| PSA, total (84153) |
$139.50 |
$186 |
7.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$184.50 |
$246 |
11.0× |
| CBC with automated differential (85025) |
$98.25 |
$131 |
12.6× |
| CBC, automated (85027) |
$90.75 |
$121 |
14.0× |
| Prothrombin time (PT) (85610) |
$69 |
$92 |
16.1× |
| Partial thromboplastin time (PTT) (85730) |
$69 |
$92 |
11.5× |
| Psychotherapy, 30 minutes (90832) |
$193.50 |
$258 |
1.2× |
| Psychotherapy, 45 minutes (90834) |
$267 |
$356 |
1.6× |
| Psychotherapy, 60 minutes (90837) |
$328.50 |
$438 |
2.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$634.50 |
$846 |
3.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$423 |
$564 |
2.5× |
Group psychotherapy (90853)
range across 8 matching MRF lines |
$69.75–$405 |
$93–$540 |
varies |
| Left heart catheterization (93452) |
$15,714.75 |
$20,953 |
5.1× |
| Sleep study (attended polysomnography) (95810) |
$6,070.50 |
$8,094 |
7.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$134.25 |
$179 |
4.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$210 |
$280 |
1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$309 |
$412 |
2.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$417.75 |
$557 |
3.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$138 |
$184 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$141 |
$188 |
— |