| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,758.04 |
$3,758.04 |
3.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,758.04 |
$3,758.04 |
3.5× |
| Diagnostic colonoscopy (45378) |
$3,685.77 |
$3,685.77 |
3.3× |
| Colonoscopy with biopsy (45380) |
$4,814.72 |
$4,814.72 |
3.4× |
| Colonoscopy with lesion removal (45385) |
$4,814.72 |
$4,814.72 |
3.4× |
| Colonoscopy with endoscopic ultrasound (45391) |
$3,333.76 |
$3,333.76 |
2.3× |
| MRI brain without and with contrast (70553) |
$2,504 |
$2,504 |
6.0× |
| X-ray lower spine, 4+ views (72110) |
$399 |
$399 |
3.2× |
| CT pelvis with contrast (72193) |
$2,192 |
$2,192 |
10.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,619 |
$1,619 |
5.7× |
| Ultrasound, abdomen complete (76700) |
$399 |
$399 |
3.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$399 |
$399 |
3.2× |
| Ultrasound, transvaginal (76830) |
$399 |
$399 |
3.2× |
| Mammography, one breast (diagnostic) (77065) |
$267 |
$267 |
3.1× |
| Mammography, both breasts (diagnostic) (77066) |
$267 |
$267 |
2.4× |
| Mammography, screening (bilateral) (77067) |
$267 |
$267 |
2.9× |
| Basic metabolic panel (80048) |
$246 |
$246 |
29.1× |
| Comprehensive metabolic panel (80053) |
$469 |
$469 |
44.4× |
| Lipid panel (80061) |
$130 |
$130 |
9.7× |
| Renal function panel (80069) |
$314 |
$314 |
36.2× |
| Hepatic function panel (80076) |
$253 |
$253 |
31.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$37 |
$37 |
10.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$101 |
$101 |
6.0× |
| CBC with automated differential (85025) |
$66 |
$66 |
8.5× |
| CBC, automated (85027) |
$39 |
$39 |
6.0× |
| Prothrombin time (PT) (85610) |
$14 |
$14 |
3.3× |
| Partial thromboplastin time (PTT) (85730) |
$58 |
$58 |
9.7× |
| Psychotherapy, 30 minutes (90832) |
$577.07 |
$577.07 |
2.7× |
| Psychotherapy, 45 minutes (90834) |
$577.07 |
$577.07 |
2.7× |
| Psychotherapy, 60 minutes (90837) |
$577.07 |
$577.07 |
2.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$577.07 |
$577.07 |
2.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$577.07 |
$577.07 |
2.7× |
| Group psychotherapy (90853) |
$291.27 |
$291.27 |
2.4× |
| Sleep study (attended polysomnography) (95810) |
$6,157.19 |
$6,157.19 |
6.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$159.84 |
$159.84 |
5.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$205 |
$205 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$332.50 |
$332.50 |
2.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$450 |
$450 |
2.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$362.50 |
$362.50 |
2.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$492.50 |
$492.50 |
3.1× |