| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,857.75 |
$2,477 |
2.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,078.25 |
$2,771 |
2.4× |
| Diagnostic colonoscopy (45378) |
$2,029.50 |
$2,706 |
2.3× |
| Colonoscopy with biopsy (45380) |
$1,800.75 |
$2,401 |
1.6× |
| Colonoscopy with lesion removal (45385) |
$1,875 |
$2,500 |
1.6× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,496 |
$3,328 |
2.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,623.75 |
$2,165 |
1.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,513.50 |
$2,018 |
1.8× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,459.50 |
$1,946 |
2.7× |
| CT head/brain without contrast (70450) |
$1,557 |
$2,076 |
15.4× |
| MRI brain without contrast (70551) |
$2,682 |
$3,576 |
11.6× |
| MRI brain with contrast (70552) |
$2,854.50 |
$3,806 |
8.4× |
| MRI brain without and with contrast (70553) |
$2,919.75 |
$3,893 |
8.6× |
| X-ray lower spine, 4+ views (72110) |
$418.50 |
$558 |
4.1× |
| MRI lumbar spine without contrast (72148) |
$2,854.50 |
$3,806 |
12.3× |
| CT pelvis with contrast (72193) |
$1,602.75 |
$2,137 |
9.4× |
| MRI lower-extremity joint without contrast (73721) |
$2,854.50 |
$3,806 |
12.3× |
| CT abdomen and pelvis with contrast (74177) |
$3,180.75 |
$4,241 |
9.4× |
| Ultrasound, abdomen complete (76700) |
$998.25 |
$1,331 |
9.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$703.50 |
$938 |
6.9× |
| Ultrasound, transvaginal (76830) |
$704.25 |
$939 |
6.9× |
| Mammography, one breast (diagnostic) (77065) |
$418.50 |
$558 |
4.9× |
| Mammography, both breasts (diagnostic) (77066) |
$524.25 |
$699 |
4.7× |
| Mammography, screening (bilateral) (77067) |
$444 |
$592 |
4.9× |
| Basic metabolic panel (80048) |
$62.25 |
$83 |
7.4× |
| Comprehensive metabolic panel (80053) |
$90.75 |
$121 |
8.6× |
Lipid panel (80061)
range across 2 matching MRF lines |
$45.75–$109.50 |
$61–$146 |
varies |
| Renal function panel (80069) |
$135 |
$180 |
15.6× |
| Hepatic function panel (80076) |
$55.50 |
$74 |
6.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$18 |
$24 |
5.2× |
| PSA, total (84153) |
$168.75 |
$225 |
9.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$155.25 |
$207 |
9.2× |
| CBC with automated differential (85025) |
$66.75 |
$89 |
8.6× |
| CBC, automated (85027) |
$66.75 |
$89 |
10.3× |
| Prothrombin time (PT) (85610) |
$36.75 |
$49 |
8.6× |
| Partial thromboplastin time (PTT) (85730) |
$58.50 |
$78 |
9.7× |
| Psychotherapy, 30 minutes (90832) |
$206.25 |
$275 |
1.2× |
| Psychotherapy, 45 minutes (90834) |
$266.25 |
$355 |
1.5× |
| Psychotherapy, 60 minutes (90837) |
$328.50 |
$438 |
1.9× |
| Left heart catheterization (93452) |
$8,518.50 |
$11,358 |
2.7× |
| Sleep study (attended polysomnography) (95810) |
$6,070.50 |
$8,094 |
7.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$117 |
$156 |
4.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$167.25 |
$223 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$148.50 |
$198 |
— |