| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,824.75 |
$3,041.25 |
2.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,219.65 |
$2,032.75 |
1.3× |
| Diagnostic colonoscopy (45378) |
$1,858.65 |
$3,097.75 |
2.0× |
| Colonoscopy with biopsy (45380) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy with endoscopic ultrasound (45391) |
$760.95 |
$1,268.25 |
0.6× |
| Inguinal hernia repair (age 5+) (49505) |
$2,863.95 |
$4,773.25 |
0.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,001.25 |
$1,668.75 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,482.45 |
$2,470.75 |
1.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,327.05 |
$2,211.75 |
2.4× |
| CT head/brain without contrast (70450) |
$2,057.70 |
$3,429.50 |
19.6× |
| MRI brain without contrast (70551) |
$2,504.25 |
$4,173.75 |
10.4× |
| MRI brain with contrast (70552) |
$2,504.25 |
$4,173.75 |
7.1× |
| MRI brain without and with contrast (70553) |
$2,830.05 |
$4,716.75 |
8.1× |
| X-ray lower spine, 4+ views (72110) |
$652.50 |
$1,087.50 |
6.2× |
| MRI lumbar spine without contrast (72148) |
$2,394.15 |
$3,990.25 |
10.0× |
| CT pelvis with contrast (72193) |
$2,612.85 |
$4,354.75 |
14.8× |
| MRI lower-extremity joint without contrast (73721) |
$3,264.90 |
$5,441.50 |
13.6× |
| CT abdomen and pelvis with contrast (74177) |
$3,920.40 |
$6,534 |
11.2× |
| Ultrasound, abdomen complete (76700) |
$785.55 |
$1,309.25 |
7.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$381.75 |
$636.25 |
3.6× |
| Ultrasound, transvaginal (76830) |
$589.80 |
$983 |
5.6× |
| Mammography, one breast (diagnostic) (77065) |
$366.15 |
$610.25 |
4.2× |
| Mammography, both breasts (diagnostic) (77066) |
$366.15 |
$610.25 |
3.3× |
| Mammography, screening (bilateral) (77067) |
$313.35 |
$522.25 |
3.4× |
| Basic metabolic panel (80048) |
$255.15 |
$425.25 |
30.2× |
| Comprehensive metabolic panel (80053) |
$376.95 |
$628.25 |
35.7× |
| Obstetric panel (80055) |
$988.35 |
$1,647.25 |
20.7× |
| Lipid panel (80061) |
$391.80 |
$653 |
29.3× |
| Renal function panel (80069) |
$352.50 |
$587.50 |
40.6× |
| Hepatic function panel (80076) |
$343.20 |
$572 |
42.0× |
| PSA, total (84153) |
$127.05 |
$211.75 |
6.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$227.18 |
$378.62 |
13.5× |
| CBC with automated differential (85025) |
$134.70 |
$224.50 |
17.3× |
| CBC, automated (85027) |
$120.30 |
$200.50 |
18.6× |
| Prothrombin time (PT) (85610) |
$105.60 |
$176 |
24.6× |
| Partial thromboplastin time (PTT) (85730) |
$130.65 |
$217.75 |
21.7× |
| Psychotherapy, 30 minutes (90832) |
$164.55 |
$274.25 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$327.15 |
$545.25 |
1.8× |
| Psychotherapy, 60 minutes (90837) |
$488.40 |
$814 |
2.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$377.25 |
$628.75 |
2.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$407.55 |
$679.25 |
2.3× |
| Left heart catheterization (93452) |
$9,316.35 |
$15,527.25 |
2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$123.90 |
$206.50 |
4.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$250.80 |
$418 |
1.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$337.20 |
$562 |
2.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$373.95 |
$623.25 |
2.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$134.70 |
$224.50 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$144.60 |
$241 |
— |