| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,123 |
$1,123 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,123 |
$1,123 |
1.4× |
| Diagnostic colonoscopy (45378) |
$1,177 |
$1,177 |
1.5× |
| Colonoscopy with biopsy (45380) |
$1,518 |
$1,518 |
1.5× |
| Colonoscopy with lesion removal (45385) |
$1,615 |
$1,615 |
1.6× |
| CT head/brain without contrast (70450) |
$1,153 |
$1,153 |
12.8× |
| MRI brain without contrast (70551) |
$1,738 |
$1,738 |
8.4× |
| MRI brain with contrast (70552) |
$2,797 |
$2,797 |
9.3× |
| MRI brain without and with contrast (70553) |
$2,838 |
$2,838 |
9.4× |
| X-ray lower spine, 4+ views (72110) |
$214 |
$214 |
2.4× |
| MRI lumbar spine without contrast (72148) |
$1,795 |
$1,795 |
8.7× |
| CT pelvis with contrast (72193) |
$1,658 |
$1,658 |
11.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,738 |
$1,738 |
8.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,048 |
$2,048 |
6.8× |
| Ultrasound, abdomen complete (76700) |
$499 |
$499 |
5.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$856 |
$856 |
9.5× |
| Ultrasound, transvaginal (76830) |
$382 |
$382 |
4.2× |
| Mammography, one breast (diagnostic) (77065) |
$301 |
$301 |
3.5× |
| Mammography, both breasts (diagnostic) (77066) |
$334 |
$334 |
3.0× |
| Mammography, screening (bilateral) (77067) |
$309 |
$309 |
3.4× |
| Basic metabolic panel (80048) |
$201 |
$201 |
23.8× |
| Comprehensive metabolic panel (80053) |
$214 |
$214 |
20.3× |
| Obstetric panel (80055) |
$67 |
$67 |
1.4× |
| Lipid panel (80061) |
$212 |
$212 |
15.8× |
| Renal function panel (80069) |
$199 |
$199 |
22.9× |
| Hepatic function panel (80076) |
$172 |
$172 |
21.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$4.87 |
$4.87 |
1.4× |
| PSA, total (84153) |
$116 |
$116 |
6.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$95 |
$95 |
5.7× |
| CBC with automated differential (85025) |
$107 |
$107 |
13.8× |
| CBC, automated (85027) |
$94 |
$94 |
14.5× |
| Prothrombin time (PT) (85610) |
$64 |
$64 |
14.9× |
| Partial thromboplastin time (PTT) (85730) |
$71 |
$71 |
11.8× |
| Psychotherapy, 30 minutes (90832) |
$205.48 |
$205.48 |
1.3× |
| Psychotherapy, 45 minutes (90834) |
$278 |
$278 |
1.8× |
| Psychotherapy, 60 minutes (90837) |
$288 |
$288 |
1.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$240 |
$240 |
1.6× |
| Sleep study (attended polysomnography) (95810) |
$2,473.29 |
$2,473.29 |
3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$112 |
$112 |
3.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$349.82 |
$349.82 |
3.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$475.24 |
$475.24 |
4.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$650.24 |
$650.24 |
5.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$176 |
$176 |
1.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$248 |
$248 |
2.2× |