| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,280.85 |
$4,147 |
2.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,278.10 |
$4,142 |
2.4× |
| Diagnostic colonoscopy (45378) |
$2,483.25 |
$4,515 |
2.6× |
| Colonoscopy with biopsy (45380) |
$2,320.45 |
$4,219 |
1.9× |
| Colonoscopy with lesion removal (45385) |
$2,410.10 |
$4,382 |
1.9× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,470.05 |
$4,491 |
2.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,481.15 |
$2,693 |
1.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,481.15 |
$2,693 |
1.6× |
| CT head/brain without contrast (70450) |
$1,434.95 |
$2,609 |
13.1× |
| MRI brain without contrast (70551) |
$1,606.55 |
$2,921 |
6.4× |
| MRI brain with contrast (70552) |
$1,530.65 |
$2,783 |
4.2× |
| MRI brain without and with contrast (70553) |
$1,647.25 |
$2,995 |
4.5× |
| X-ray lower spine, 4+ views (72110) |
$267.02 |
$485.50 |
2.4× |
| MRI lumbar spine without contrast (72148) |
$1,606.55 |
$2,921 |
6.4× |
| CT pelvis with contrast (72193) |
$1,261.70 |
$2,294 |
6.9× |
| MRI lower-extremity joint without contrast (73721) |
$1,580.70 |
$2,874 |
6.3× |
| CT abdomen and pelvis with contrast (74177) |
$1,306.25 |
$2,375 |
3.6× |
| Ultrasound, abdomen complete (76700) |
$566.50 |
$1,030 |
5.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$466.95 |
$849 |
4.3× |
| Ultrasound, transvaginal (76830) |
$566.50 |
$1,030 |
5.2× |
| Mammography, one breast (diagnostic) (77065) |
$239.80 |
$436 |
2.8× |
| Mammography, both breasts (diagnostic) (77066) |
$479.60 |
$872 |
4.3× |
| Mammography, screening (bilateral) (77067) |
$474.65 |
$863 |
5.2× |
| Basic metabolic panel (80048) |
$37.40 |
$68 |
4.4× |
| Comprehensive metabolic panel (80053) |
$95.70 |
$174 |
9.1× |
| Obstetric panel (80055) |
$189.75 |
$345 |
4.0× |
| Lipid panel (80061) |
$38.50 |
$70 |
2.9× |
| Renal function panel (80069) |
$34.65 |
$63 |
4.0× |
| Hepatic function panel (80076) |
$28.05 |
$51 |
3.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$13.48 |
$24.50 |
3.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$9.90 |
$18 |
2.8× |
| PSA, total (84153) |
$55 |
$100 |
3.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$56.92 |
$103.50 |
3.4× |
| CBC with automated differential (85025) |
$30.80 |
$56 |
4.0× |
| CBC, automated (85027) |
$22.55 |
$41 |
3.5× |
| Prothrombin time (PT) (85610) |
$13.75 |
$25 |
3.2× |
| Partial thromboplastin time (PTT) (85730) |
$18.15 |
$33 |
3.0× |
| Psychotherapy, 30 minutes (90832) |
$243.10 |
$442 |
1.3× |
| Psychotherapy, 45 minutes (90834) |
$297.82 |
$541.50 |
1.6× |
| Psychotherapy, 60 minutes (90837) |
$304.42 |
$553.50 |
1.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$259.05 |
$471 |
1.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$359.70 |
$654 |
1.9× |
| Group psychotherapy (90853) |
$228.25 |
$415 |
2.2× |
| Left heart catheterization (93452) |
$6,437.20 |
$11,704 |
1.9× |
| Sleep study (attended polysomnography) (95810) |
$3,144.35 |
$5,717 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$95.15 |
$173 |
3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$184.25 |
$335 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$202.95 |
$369 |
1.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$358.88 |
$652.50 |
2.6× |