| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,005.25 |
$3,005.25 |
2.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,455.44 |
$3,455.44 |
3.2× |
| Diagnostic colonoscopy (45378) |
$3,066.03 |
$3,066.03 |
2.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,348.25 |
$2,348.25 |
2.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$4,930.70 |
$4,930.70 |
4.7× |
| CT head/brain without contrast (70450) |
$2,748.96 |
$2,748.96 |
21.9× |
| MRI brain without contrast (70551) |
$827 |
$827 |
2.9× |
| MRI brain with contrast (70552) |
$8,952.80 |
$8,952.80 |
21.4× |
| MRI brain without and with contrast (70553) |
$11,305.60 |
$11,305.60 |
27.0× |
| X-ray lower spine, 4+ views (72110) |
$90 |
$90 |
0.7× |
| MRI lumbar spine without contrast (72148) |
$290 |
$290 |
1.0× |
| CT pelvis with contrast (72193) |
$3,165.47 |
$3,165.47 |
15.1× |
| MRI lower-extremity joint without contrast (73721) |
$190.50 |
$190.50 |
0.7× |
| CT abdomen and pelvis with contrast (74177) |
$3,379 |
$3,379 |
8.1× |
| Ultrasound, abdomen complete (76700) |
$274 |
$274 |
2.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$2,074.31 |
$2,074.31 |
16.6× |
| Ultrasound, transvaginal (76830) |
$139 |
$139 |
1.1× |
| Mammography, one breast (diagnostic) (77065) |
$1,003.91 |
$1,003.91 |
11.7× |
| Mammography, both breasts (diagnostic) (77066) |
$1,360.21 |
$1,360.21 |
12.3× |
| Mammography, screening (bilateral) (77067) |
$1,454.74 |
$1,454.74 |
16.0× |
| Basic metabolic panel (80048) |
$24,407.80 |
$24,407.80 |
2885.1× |
| Comprehensive metabolic panel (80053) |
$60,054.40 |
$60,054.40 |
5687.0× |
| Lipid panel (80061) |
$146.62 |
$146.62 |
10.9× |
| Renal function panel (80069) |
$1,108.45 |
$1,108.45 |
127.7× |
| Hepatic function panel (80076) |
$7,170.58 |
$7,170.58 |
877.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$10 |
$10 |
2.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$25 |
$25 |
7.2× |
| PSA, total (84153) |
$3,202.68 |
$3,202.68 |
174.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$22,620.82 |
$22,620.82 |
1346.5× |
| CBC with automated differential (85025) |
$79.44 |
$79.44 |
10.2× |
| CBC, automated (85027) |
$10,286.44 |
$10,286.44 |
1589.9× |
| Prothrombin time (PT) (85610) |
$136.43 |
$136.43 |
31.8× |
| Partial thromboplastin time (PTT) (85730) |
$433.78 |
$433.78 |
72.2× |
| Psychotherapy, 30 minutes (90832) |
$455.83 |
$455.83 |
2.1× |
| Psychotherapy, 45 minutes (90834) |
$822.74 |
$822.74 |
3.9× |
| Psychotherapy, 60 minutes (90837) |
$911.04 |
$911.04 |
4.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$379.58 |
$379.58 |
1.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$379.58 |
$379.58 |
1.8× |
| Group psychotherapy (90853) |
$131.76 |
$131.76 |
1.1× |
| Left heart catheterization (93452) |
$28,171.77 |
$28,171.77 |
7.2× |
| Sleep study (attended polysomnography) (95810) |
$3,192.78 |
$3,192.78 |
3.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$685.07 |
$685.07 |
4.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$453 |
$453 |
2.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$701.80 |
$701.80 |
4.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$661.23 |
$661.23 |
4.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$575.74 |
$575.74 |
3.6× |