| Upper GI endoscopy (EGD), diagnostic (43235) |
$426.60 |
$2,844 |
0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$384.60 |
$2,564 |
0.5× |
| Colonoscopy with biopsy (45380) |
$484.05 |
$3,227 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$266.10 |
$1,774 |
0.3× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$251.55 |
$1,677 |
0.5× |
| CT head/brain without contrast (70450) |
$531.75 |
$3,545 |
5.6× |
| MRI brain without contrast (70551) |
$604.95 |
$4,033 |
2.8× |
| MRI brain with contrast (70552) |
$636.75 |
$4,245 |
2.0× |
| MRI brain without and with contrast (70553) |
$668.55 |
$4,457 |
2.1× |
| X-ray lower spine, 4+ views (72110) |
$69.30 |
$462 |
0.7× |
| MRI lumbar spine without contrast (72148) |
$604.95 |
$4,033 |
2.8× |
| CT pelvis with contrast (72193) |
$617.10 |
$4,114 |
3.9× |
| MRI lower-extremity joint without contrast (73721) |
$609.90 |
$4,066 |
2.8× |
| CT abdomen and pelvis with contrast (74177) |
$559.65 |
$3,731 |
1.8× |
| Ultrasound, abdomen complete (76700) |
$101.55 |
$677 |
1.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$101.55 |
$677 |
1.1× |
| Ultrasound, transvaginal (76830) |
$101.55 |
$677 |
1.1× |
| Mammography, one breast (diagnostic) (77065) |
$74.10 |
$494 |
0.9× |
| Mammography, both breasts (diagnostic) (77066) |
$85.50 |
$570 |
0.8× |
| Mammography, screening (bilateral) (77067) |
$72.22 |
$481.50 |
0.8× |
| Basic metabolic panel (80048) |
$14.40 |
$96 |
1.7× |
| Comprehensive metabolic panel (80053) |
$17.70 |
$118 |
1.7× |
| Obstetric panel (80055) |
$71.85 |
$479 |
1.5× |
| Lipid panel (80061) |
$23.40 |
$156 |
1.7× |
| Renal function panel (80069) |
$14.70 |
$98 |
1.7× |
| Hepatic function panel (80076) |
$13.65 |
$91 |
1.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$4.35 |
$29 |
1.3× |
| PSA, total (84153) |
$32.25 |
$215 |
1.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$29.40 |
$196 |
1.7× |
| CBC with automated differential (85025) |
$13.50 |
$90 |
1.7× |
| CBC, automated (85027) |
$11.40 |
$76 |
1.8× |
| Prothrombin time (PT) (85610) |
$6.90 |
$46 |
1.6× |
| Partial thromboplastin time (PTT) (85730) |
$10.50 |
$70 |
1.7× |
| Psychotherapy, 30 minutes (90832) |
$44.10 |
$294 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$44.85 |
$299 |
0.3× |
| Psychotherapy, 60 minutes (90837) |
$49.65 |
$331 |
0.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$76.80 |
$512 |
0.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$81.45 |
$543 |
0.5× |
| Group psychotherapy (90853) |
$49.65 |
$331 |
0.5× |
| Left heart catheterization (93452) |
$2,405.40 |
$16,036 |
0.8× |
| Sleep study (attended polysomnography) (95810) |
$548.85 |
$3,659 |
0.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$30.90 |
$206 |
1.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$39.15 |
$261 |
0.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$51 |
$340 |
0.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$65.55 |
$437 |
0.5× |