| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,299.81 |
$3,513 |
1.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,299.81 |
$3,513 |
1.3× |
| Diagnostic colonoscopy (45378) |
$1,254.67 |
$3,391 |
1.2× |
| Colonoscopy with biopsy (45380) |
$1,512.19 |
$4,087 |
1.2× |
| Colonoscopy with lesion removal (45385) |
$1,512.19 |
$4,087 |
1.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$540.57 |
$1,461 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,944.72 |
$5,256 |
2.0× |
| CT head/brain without contrast (70450) |
$650.46 |
$1,758 |
5.7× |
| MRI brain without contrast (70551) |
$1,335.70 |
$3,610 |
5.1× |
| MRI brain with contrast (70552) |
$1,616.90 |
$4,370 |
4.2× |
| MRI brain without and with contrast (70553) |
$2,140.82 |
$5,786 |
5.6× |
| X-ray lower spine, 4+ views (72110) |
$286.75 |
$775 |
2.5× |
| MRI lumbar spine without contrast (72148) |
$1,386.39 |
$3,747 |
5.3× |
| CT pelvis with contrast (72193) |
$1,076.33 |
$2,909 |
5.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,408.96 |
$3,808 |
5.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,699.04 |
$4,592 |
4.5× |
| Ultrasound, abdomen complete (76700) |
$579.79 |
$1,567 |
5.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$517.26 |
$1,398 |
4.5× |
| Ultrasound, transvaginal (76830) |
$429.94 |
$1,162 |
3.8× |
| Mammography, one breast (diagnostic) (77065) |
$276.76 |
$748 |
3.2× |
| Mammography, both breasts (diagnostic) (77066) |
$347.43 |
$939 |
3.1× |
| Mammography, screening (bilateral) (77067) |
$314.50 |
$850 |
3.4× |
| Basic metabolic panel (80048) |
$36.26 |
$98 |
4.3× |
| Comprehensive metabolic panel (80053) |
$45.14 |
$122 |
4.3× |
| Lipid panel (80061) |
$56.24 |
$152 |
4.2× |
| Renal function panel (80069) |
$45.14 |
$122 |
5.2× |
| Hepatic function panel (80076) |
$39.22 |
$106 |
4.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$17.02 |
$46 |
4.9× |
| PSA, total (84153) |
$69.56 |
$188 |
3.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$59.94 |
$162 |
3.6× |
| CBC with automated differential (85025) |
$40.70 |
$110 |
5.2× |
| CBC, automated (85027) |
$29.97 |
$81 |
4.6× |
| Prothrombin time (PT) (85610) |
$35.52 |
$96 |
8.3× |
| Partial thromboplastin time (PTT) (85730) |
$43.66 |
$118 |
7.3× |
| Psychotherapy, 30 minutes (90832) |
$78.44 |
$212 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$106.56 |
$288 |
0.5× |
| Psychotherapy, 60 minutes (90837) |
$145.78 |
$394 |
0.8× |
| Group psychotherapy (90853) |
$94.72 |
$256 |
0.9× |
| Left heart catheterization (93452) |
$2,553.37 |
$6,901 |
0.7× |
| Sleep study (attended polysomnography) (95810) |
$2,543.75 |
$6,875 |
2.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$60.31 |
$163 |
2.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$59.57 |
$161 |
0.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$95.09 |
$257 |
0.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$145.41 |
$393 |
1.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$140.60 |
$380 |
1.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$207.20 |
$560 |
1.4× |