| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,864.40 |
$4,661 |
2.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,894.40 |
$4,736 |
2.0× |
| Diagnostic colonoscopy (45378) |
$1,961.60 |
$4,904 |
2.0× |
| Colonoscopy with biopsy (45380) |
$2,109.60 |
$5,274 |
1.7× |
| Colonoscopy with lesion removal (45385) |
$2,109.60 |
$5,274 |
1.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,055.20 |
$5,138 |
1.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,077.60 |
$2,694 |
1.2× |
| CT head/brain without contrast (70450) |
$1,772 |
$4,430 |
16.2× |
| MRI brain without contrast (70551) |
$1,345.40 |
$3,363.50 |
5.4× |
| MRI brain with contrast (70552) |
$1,654.80 |
$4,137 |
4.5× |
| MRI brain without and with contrast (70553) |
$1,993.20 |
$4,983 |
5.5× |
| X-ray lower spine, 4+ views (72110) |
$454.80 |
$1,137 |
4.2× |
| MRI lumbar spine without contrast (72148) |
$1,531.20 |
$3,828 |
6.1× |
| CT pelvis with contrast (72193) |
$2,084.40 |
$5,211 |
11.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,195.60 |
$2,989 |
4.8× |
| CT abdomen and pelvis with contrast (74177) |
$3,147.60 |
$7,869 |
8.6× |
| Ultrasound, abdomen complete (76700) |
$853.60 |
$2,134 |
7.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$369.60 |
$924 |
3.4× |
| Ultrasound, transvaginal (76830) |
$135.20 |
$338 |
1.2× |
| Mammography, one breast (diagnostic) (77065) |
$184.80 |
$462 |
2.1× |
| Mammography, both breasts (diagnostic) (77066) |
$234.40 |
$586 |
2.1× |
| Mammography, screening (bilateral) (77067) |
$184.80 |
$462 |
2.0× |
| Basic metabolic panel (80048) |
$42 |
$105 |
5.0× |
| Comprehensive metabolic panel (80053) |
$53.40 |
$133.50 |
5.1× |
| Lipid panel (80061) |
$42.80 |
$107 |
3.2× |
| Renal function panel (80069) |
$26.55 |
$66.38 |
3.1× |
| Hepatic function panel (80076) |
$44 |
$110 |
5.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$12.37 |
$30.92 |
3.6× |
| PSA, total (84153) |
$52.40 |
$131 |
2.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$48.40 |
$121 |
2.9× |
| CBC with automated differential (85025) |
$36.69 |
$91.72 |
4.7× |
| CBC, automated (85027) |
$32.37 |
$80.92 |
5.0× |
| Prothrombin time (PT) (85610) |
$25.40 |
$63.50 |
5.9× |
| Partial thromboplastin time (PTT) (85730) |
$29.78 |
$74.45 |
5.0× |
| Psychotherapy, 30 minutes (90832) |
$98.80 |
$247 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$148 |
$370 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$197.60 |
$494 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$138.40 |
$346 |
0.7× |
| Group psychotherapy (90853) |
$97.60 |
$244 |
0.9× |
| Left heart catheterization (93452) |
$8,928.40 |
$22,321 |
2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$87.20 |
$218 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$116.40 |
$291 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$178.40 |
$446 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$257.80 |
$644.50 |
1.9× |