| Diagnostic colonoscopy (45378) |
$313.70 |
$522.83 |
0.4× |
| Colonoscopy with biopsy (45380) |
$234.99 |
$391.65 |
0.2× |
| Colonoscopy with endoscopic ultrasound (45391) |
$303.19 |
$505.32 |
0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$721.44 |
$1,202.40 |
0.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,125.12 |
$1,875.20 |
2.1× |
| CT head/brain without contrast (70450) |
$976.57 |
$1,627.62 |
9.7× |
| MRI brain without contrast (70551) |
$1,787.35 |
$2,978.91 |
7.8× |
| MRI brain with contrast (70552) |
$2,025.47 |
$3,375.79 |
6.1× |
| MRI brain without and with contrast (70553) |
$2,155.37 |
$3,592.28 |
6.4× |
| X-ray lower spine, 4+ views (72110) |
$360.25 |
$600.41 |
3.6× |
| MRI lumbar spine without contrast (72148) |
$2,124.36 |
$3,540.60 |
9.3× |
| CT pelvis with contrast (72193) |
$1,621.69 |
$2,702.81 |
9.6× |
| MRI lower-extremity joint without contrast (73721) |
$2,124.36 |
$3,540.60 |
9.3× |
| CT abdomen and pelvis with contrast (74177) |
$1,621.69 |
$2,702.81 |
4.8× |
| Ultrasound, abdomen complete (76700) |
$420.24 |
$700.40 |
4.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$346.85 |
$578.08 |
3.5× |
| Ultrasound, transvaginal (76830) |
$420.24 |
$700.40 |
4.2× |
| Mammography, one breast (diagnostic) (77065) |
$237.04 |
$395.06 |
2.8× |
| Mammography, both breasts (diagnostic) (77066) |
$296.08 |
$493.47 |
2.7× |
| Mammography, screening (bilateral) (77067) |
$122.05 |
$203.41 |
1.3× |
| Basic metabolic panel (80048) |
$86.82 |
$144.70 |
10.3× |
| Comprehensive metabolic panel (80053) |
$126.64 |
$211.06 |
12.0× |
| Lipid panel (80061) |
$39.83 |
$66.38 |
3.0× |
| Renal function panel (80069) |
$104.34 |
$173.90 |
12.0× |
| Hepatic function panel (80076) |
$74.08 |
$123.46 |
9.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$5.41 |
$9.02 |
1.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$4.68 |
$7.80 |
1.3× |
| PSA, total (84153) |
$69.42 |
$115.70 |
3.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$115.69 |
$192.82 |
6.9× |
| CBC with automated differential (85025) |
$54.68 |
$91.13 |
7.0× |
| CBC, automated (85027) |
$54.68 |
$91.13 |
8.5× |
| Prothrombin time (PT) (85610) |
$10.10 |
$16.84 |
2.4× |
| Partial thromboplastin time (PTT) (85730) |
$43.93 |
$73.21 |
7.3× |
| Psychotherapy, 30 minutes (90832) |
$161.29 |
$268.81 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$188.57 |
$314.28 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$243.11 |
$405.18 |
1.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$221.03 |
$368.39 |
1.3× |
| Electrocardiogram (ECG), complete (93000) |
$49.01 |
$81.68 |
0.9× |
| Sleep study (attended polysomnography) (95810) |
$2,133.58 |
$3,555.96 |
2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$107.40 |
$179 |
3.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$107.47 |
$179.12 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$185.40 |
$309 |
1.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$179.64 |
$299.40 |
1.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$241.46 |
$402.43 |
1.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$210.43 |
$350.72 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$179.87 |
$299.79 |
— |