| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,786.40 |
$2,552 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,786.40 |
$2,552 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,786.40 |
$2,552 |
1.6× |
| Colonoscopy with biopsy (45380) |
$1,786.40 |
$2,552 |
1.2× |
| Colonoscopy with lesion removal (45385) |
$1,786.40 |
$2,552 |
1.2× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,787.10 |
$2,553 |
1.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,679.60 |
$3,828 |
2.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,572.80 |
$5,104 |
3.4× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,787.10 |
$2,553 |
2.7× |
| CT head/brain without contrast (70450) |
$376.60 |
$538 |
3.0× |
| MRI brain without contrast (70551) |
$795.90 |
$1,137 |
2.8× |
| MRI brain with contrast (70552) |
$1,273.30 |
$1,819 |
3.0× |
| MRI brain without and with contrast (70553) |
$1,273.30 |
$1,819 |
3.0× |
| X-ray lower spine, 4+ views (72110) |
$376.60 |
$538 |
3.0× |
| MRI lumbar spine without contrast (72148) |
$795.90 |
$1,137 |
2.8× |
| CT pelvis with contrast (72193) |
$624.40 |
$892 |
3.0× |
| MRI lower-extremity joint without contrast (73721) |
$795.90 |
$1,137 |
2.8× |
| CT abdomen and pelvis with contrast (74177) |
$1,273.30 |
$1,819 |
3.0× |
| Ultrasound, abdomen complete (76700) |
$387.80 |
$554 |
3.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$376.60 |
$538 |
3.0× |
| Ultrasound, transvaginal (76830) |
$376.60 |
$538 |
3.0× |
| Mammography, one breast (diagnostic) (77065) |
$319.20 |
$456 |
3.7× |
| Mammography, both breasts (diagnostic) (77066) |
$408.10 |
$583 |
3.7× |
| Mammography, screening (bilateral) (77067) |
$337.40 |
$482 |
3.7× |
| Basic metabolic panel (80048) |
$24.50 |
$35 |
2.9× |
| Comprehensive metabolic panel (80053) |
$30.80 |
$44 |
2.9× |
| Lipid panel (80061) |
$38.50 |
$55 |
2.9× |
| Renal function panel (80069) |
$133 |
$190 |
15.3× |
| Hepatic function panel (80076) |
$23.80 |
$34 |
2.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$9.80 |
$14 |
2.8× |
| PSA, total (84153) |
$53.20 |
$76 |
2.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$48.30 |
$69 |
2.9× |
| CBC with automated differential (85025) |
$22.40 |
$32 |
2.9× |
| CBC, automated (85027) |
$18.90 |
$27 |
2.9× |
| Prothrombin time (PT) (85610) |
$11.90 |
$17 |
2.8× |
| Partial thromboplastin time (PTT) (85730) |
$17.50 |
$25 |
2.9× |
| Psychotherapy, 30 minutes (90832) |
$166.60 |
$238 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$247.10 |
$353 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$247.10 |
$353 |
1.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$257.60 |
$368 |
1.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$257.60 |
$368 |
1.2× |
| Group psychotherapy (90853) |
$494.90 |
$707 |
4.1× |
| Left heart catheterization (93452) |
$4,258.80 |
$6,084 |
1.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$98 |
$140 |
3.4× |