| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,827 |
$3,827 |
3.4× |
| CT head/brain without contrast (70450) |
$2,089 |
$2,089 |
16.0× |
| MRI brain without contrast (70551) |
$4,342 |
$4,342 |
14.6× |
| MRI brain with contrast (70552) |
$7,115 |
$7,115 |
16.3× |
| MRI brain without and with contrast (70553) |
$7,115 |
$7,115 |
16.3× |
| X-ray lower spine, 4+ views (72110) |
$2,089 |
$2,089 |
16.0× |
| MRI lumbar spine without contrast (72148) |
$4,342 |
$4,342 |
14.6× |
| CT pelvis with contrast (72193) |
$3,396 |
$3,396 |
15.5× |
| MRI lower-extremity joint without contrast (73721) |
$4,342 |
$4,342 |
14.6× |
| CT abdomen and pelvis with contrast (74177) |
$7,115 |
$7,115 |
16.3× |
| Ultrasound, abdomen complete (76700) |
$2,089 |
$2,089 |
16.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$2,089 |
$2,089 |
16.0× |
| Ultrasound, transvaginal (76830) |
$2,089 |
$2,089 |
16.0× |
| Mammography, one breast (diagnostic) (77065) |
$727 |
$727 |
8.4× |
| Mammography, both breasts (diagnostic) (77066) |
$915 |
$915 |
8.3× |
| Mammography, screening (bilateral) (77067) |
$771 |
$771 |
8.5× |
| Basic metabolic panel (80048) |
$135 |
$135 |
16.0× |
| Comprehensive metabolic panel (80053) |
$168 |
$168 |
15.9× |
| Lipid panel (80061) |
$214 |
$214 |
16.0× |
| Renal function panel (80069) |
$138 |
$138 |
15.9× |
| Hepatic function panel (80076) |
$131 |
$131 |
16.0× |
| PSA, total (84153) |
$293 |
$293 |
15.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$268 |
$268 |
16.0× |
| CBC with automated differential (85025) |
$125 |
$125 |
16.1× |
| CBC, automated (85027) |
$103 |
$103 |
15.9× |
| Prothrombin time (PT) (85610) |
$68 |
$68 |
15.9× |
| Partial thromboplastin time (PTT) (85730) |
$96 |
$96 |
16.0× |
| Psychotherapy, 30 minutes (90832) |
$571 |
$571 |
2.6× |
| Psychotherapy, 45 minutes (90834) |
$682 |
$682 |
3.1× |
| Psychotherapy, 60 minutes (90837) |
$579 |
$579 |
2.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$682 |
$682 |
3.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$682 |
$682 |
3.1× |
| Group psychotherapy (90853) |
$1,120 |
$1,120 |
8.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$632 |
$632 |
21.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$673 |
$673 |
4.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$923 |
$923 |
5.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,105 |
$1,105 |
6.6× |