| Upper GI endoscopy (EGD), diagnostic (43235) |
$642 |
$642 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$711 |
$711 |
0.7× |
| Diagnostic colonoscopy (45378) |
$903 |
$903 |
0.9× |
| Colonoscopy with biopsy (45380) |
$460 |
$460 |
0.4× |
| Colonoscopy with lesion removal (45385) |
$1,498 |
$1,498 |
1.2× |
Laparoscopic gallbladder removal (47562)
likely a partial charge — not the full procedure |
$1,508 |
$1,508 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$861 |
$861 |
0.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$428 |
$428 |
0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,796 |
$1,796 |
1.9× |
| CT head/brain without contrast (70450) |
$2,304 |
$2,304 |
20.9× |
| MRI brain without contrast (70551) |
$3,328 |
$3,328 |
13.2× |
| MRI brain with contrast (70552) |
$3,403 |
$3,403 |
9.2× |
| MRI brain without and with contrast (70553) |
$5,400 |
$5,400 |
14.7× |
| X-ray lower spine, 4+ views (72110) |
$524 |
$524 |
4.8× |
| MRI lumbar spine without contrast (72148) |
$3,328 |
$3,328 |
13.2× |
| CT pelvis with contrast (72193) |
$2,994 |
$2,994 |
16.2× |
| MRI lower-extremity joint without contrast (73721) |
$3,328 |
$3,328 |
13.2× |
| CT abdomen and pelvis with contrast (74177) |
$5,419 |
$5,419 |
14.7× |
| Ultrasound, abdomen complete (76700) |
$732 |
$732 |
6.6× |
| Ultrasound, transvaginal (76830) |
$732 |
$732 |
6.6× |
| Basic metabolic panel (80048) |
$177 |
$177 |
20.9× |
| Comprehensive metabolic panel (80053) |
$228 |
$228 |
21.6× |
| Lipid panel (80061) |
$227 |
$227 |
17.0× |
| Renal function panel (80069) |
$116 |
$116 |
13.4× |
| Hepatic function panel (80076) |
$171 |
$171 |
20.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$33 |
$33 |
9.5× |
| PSA, total (84153) |
$297 |
$297 |
16.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$211 |
$211 |
12.6× |
| CBC with automated differential (85025) |
$87 |
$87 |
11.2× |
| CBC, automated (85027) |
$108 |
$108 |
16.7× |
| Prothrombin time (PT) (85610) |
$100.50 |
$100.50 |
23.4× |
| Partial thromboplastin time (PTT) (85730) |
$97 |
$97 |
16.1× |
| Psychotherapy, 30 minutes (90832) |
$412 |
$412 |
2.2× |
| Psychotherapy, 45 minutes (90834) |
$424 |
$424 |
2.3× |
| Psychotherapy, 60 minutes (90837) |
$530 |
$530 |
2.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$140 |
$140 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$144 |
$144 |
0.8× |
| Group psychotherapy (90853) |
$38 |
$38 |
0.4× |
| Sleep study (attended polysomnography) (95810) |
$3,747 |
$3,747 |
4.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$154.50 |
$154.50 |
5.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$336.50 |
$336.50 |
2.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$492 |
$492 |
3.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$666 |
$666 |
4.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$502 |
$502 |
3.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$712 |
$712 |
5.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$615 |
$615 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$676 |
$676 |
— |