| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,951.89 |
$3,253.15 |
2.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,129.45 |
$3,549.09 |
2.4× |
| Diagnostic colonoscopy (45378) |
$1,660.57 |
$2,767.61 |
1.9× |
| Colonoscopy with biopsy (45380) |
$2,147.55 |
$3,579.25 |
1.9× |
| Colonoscopy with lesion removal (45385) |
$2,147.55 |
$3,579.25 |
1.9× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,147.55 |
$3,579.25 |
1.9× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,443.10 |
$2,405.16 |
1.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,128.58 |
$3,547.64 |
2.5× |
| CT head/brain without contrast (70450) |
$660 |
$1,100 |
6.6× |
| MRI brain without contrast (70551) |
$1,020 |
$1,700 |
4.5× |
| MRI brain with contrast (70552) |
$1,380 |
$2,300 |
4.1× |
| MRI brain without and with contrast (70553) |
$1,800 |
$3,000 |
5.4× |
| X-ray lower spine, 4+ views (72110) |
$408.37 |
$680.61 |
4.1× |
| MRI lumbar spine without contrast (72148) |
$1,200 |
$2,000 |
5.2× |
| CT pelvis with contrast (72193) |
$1,020 |
$1,700 |
6.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,800 |
$3,000 |
7.9× |
| CT abdomen and pelvis with contrast (74177) |
$2,040 |
$3,400 |
6.1× |
| Ultrasound, abdomen complete (76700) |
$666.71 |
$1,111.18 |
6.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$529.29 |
$882.15 |
5.3× |
| Ultrasound, transvaginal (76830) |
$475.09 |
$791.81 |
4.7× |
| Mammography, one breast (diagnostic) (77065) |
$124.75 |
$207.91 |
1.4× |
| Mammography, both breasts (diagnostic) (77066) |
$155.36 |
$258.93 |
1.4× |
| Mammography, screening (bilateral) (77067) |
$155.36 |
$258.93 |
1.7× |
| Basic metabolic panel (80048) |
$36 |
$60 |
4.3× |
| Comprehensive metabolic panel (80053) |
$48 |
$80 |
4.5× |
| Obstetric panel (80055) |
$90 |
$150 |
1.9× |
| Lipid panel (80061) |
$51 |
$85 |
3.8× |
| Renal function panel (80069) |
$54 |
$90 |
6.2× |
| Hepatic function panel (80076) |
$33 |
$55 |
4.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$27 |
$45 |
6.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$25.41 |
$42.35 |
7.3× |
| PSA, total (84153) |
$56.86 |
$94.76 |
3.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$54 |
$90 |
3.2× |
| CBC with automated differential (85025) |
$36 |
$60 |
4.6× |
| CBC, automated (85027) |
$36 |
$60 |
5.6× |
| Prothrombin time (PT) (85610) |
$27 |
$45 |
6.3× |
| Partial thromboplastin time (PTT) (85730) |
$39 |
$65 |
6.5× |
| Psychotherapy, 45 minutes (90834) |
$289.21 |
$482.01 |
1.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$289.21 |
$482.01 |
1.7× |
| Left heart catheterization (93452) |
$6,563.06 |
$10,938.44 |
2.1× |
| Sleep study (attended polysomnography) (95810) |
$2,788.26 |
$4,647.10 |
3.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$110.27 |
$183.79 |
3.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$205.57 |
$342.61 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$222.11 |
$370.19 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$334.30 |
$557.17 |
2.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$227.84 |
$379.74 |
1.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$258 |
$430 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$264 |
$440 |
— |