| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,764.69 |
$3,764.69 |
4.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,764.69 |
$3,764.69 |
4.2× |
| Diagnostic colonoscopy (45378) |
$3,660.87 |
$3,660.87 |
4.0× |
| Colonoscopy with biopsy (45380) |
$4,734.46 |
$4,734.46 |
4.0× |
| Colonoscopy with lesion removal (45385) |
$4,734.46 |
$4,734.46 |
4.0× |
| Colonoscopy with endoscopic ultrasound (45391) |
$4,734.46 |
$4,734.46 |
4.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$3,574.89 |
$3,574.89 |
4.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,574.89 |
$3,574.89 |
4.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$2,202.86 |
$2,202.86 |
4.0× |
| CT head/brain without contrast (70450) |
$427 |
$427 |
4.1× |
| MRI brain without contrast (70551) |
$970.62 |
$970.62 |
4.1× |
| MRI brain with contrast (70552) |
$1,434.04 |
$1,434.04 |
4.1× |
| MRI brain without and with contrast (70553) |
$1,434.04 |
$1,434.04 |
4.1× |
| X-ray lower spine, 4+ views (72110) |
$427 |
$427 |
4.1× |
| MRI lumbar spine without contrast (72148) |
$970.62 |
$970.62 |
4.1× |
| CT pelvis with contrast (72193) |
$714.81 |
$714.81 |
4.1× |
| MRI lower-extremity joint without contrast (73721) |
$970.62 |
$970.62 |
4.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,434.04 |
$1,434.04 |
4.1× |
| Ultrasound, abdomen complete (76700) |
$427 |
$427 |
4.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$427 |
$427 |
4.1× |
| Ultrasound, transvaginal (76830) |
$427 |
$427 |
4.1× |
| Mammography, one breast (diagnostic) (77065) |
$223.89 |
$223.89 |
2.6× |
| Mammography, both breasts (diagnostic) (77066) |
$285.18 |
$285.18 |
2.6× |
| Mammography, screening (bilateral) (77067) |
$235.77 |
$235.77 |
2.6× |
| Basic metabolic panel (80048) |
$25.38 |
$25.38 |
3.0× |
| Comprehensive metabolic panel (80053) |
$31.68 |
$31.68 |
3.0× |
| Lipid panel (80061) |
$40.17 |
$40.17 |
3.0× |
| Renal function panel (80069) |
$26.04 |
$26.04 |
3.0× |
| Hepatic function panel (80076) |
$24.51 |
$24.51 |
3.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$10.44 |
$10.44 |
3.0× |
| PSA, total (84153) |
$55.17 |
$55.17 |
3.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$50.40 |
$50.40 |
3.0× |
| CBC with automated differential (85025) |
$23.31 |
$23.31 |
3.0× |
| CBC, automated (85027) |
$19.41 |
$19.41 |
3.0× |
| Prothrombin time (PT) (85610) |
$12.87 |
$12.87 |
3.0× |
| Partial thromboplastin time (PTT) (85730) |
$18.03 |
$18.03 |
3.0× |
| Psychotherapy, 30 minutes (90832) |
$645.15 |
$645.15 |
3.7× |
| Psychotherapy, 60 minutes (90837) |
$645.15 |
$645.15 |
3.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$645.15 |
$645.15 |
3.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$645.15 |
$645.15 |
3.7× |
| Group psychotherapy (90853) |
$371.41 |
$371.41 |
3.7× |
| Left heart catheterization (93452) |
$12,915.16 |
$12,915.16 |
4.0× |
| Sleep study (attended polysomnography) (95810) |
$4,085.23 |
$4,085.23 |
4.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$81.15 |
$81.15 |
2.8× |