| Upper GI endoscopy (EGD), diagnostic (43235) |
$979.80 |
$1,633 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,152.60 |
$1,921 |
1.0× |
| Diagnostic colonoscopy (45378) |
$1,500 |
$2,500 |
1.3× |
| Colonoscopy with biopsy (45380) |
$1,004.40 |
$1,674 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$1,004.40 |
$1,674 |
0.7× |
| Inguinal hernia repair (age 5+) (49505) |
$5,440.80 |
$9,068 |
1.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,845.60 |
$3,076 |
1.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$480.60 |
$801 |
0.4× |
| CT head/brain without contrast (70450) |
$495 |
$825 |
3.8× |
| MRI brain without contrast (70551) |
$682.20 |
$1,137 |
2.3× |
| MRI brain with contrast (70552) |
$736.20 |
$1,227 |
1.7× |
| MRI brain without and with contrast (70553) |
$975 |
$1,625 |
2.2× |
| X-ray lower spine, 4+ views (72110) |
$240 |
$400 |
1.8× |
| MRI lumbar spine without contrast (72148) |
$682.20 |
$1,137 |
2.3× |
| CT pelvis with contrast (72193) |
$669.60 |
$1,116 |
3.1× |
| MRI lower-extremity joint without contrast (73721) |
$685.80 |
$1,143 |
2.3× |
| CT abdomen and pelvis with contrast (74177) |
$474.60 |
$791 |
1.1× |
| Ultrasound, abdomen complete (76700) |
$181.80 |
$303 |
1.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$181.80 |
$303 |
1.4× |
| Ultrasound, transvaginal (76830) |
$181.80 |
$303 |
1.4× |
| Mammography, one breast (diagnostic) (77065) |
$177 |
$295 |
2.1× |
| Mammography, both breasts (diagnostic) (77066) |
$225.60 |
$376 |
2.0× |
| Mammography, screening (bilateral) (77067) |
$205.20 |
$342 |
2.3× |
| Basic metabolic panel (80048) |
$20.40 |
$34 |
2.4× |
| Comprehensive metabolic panel (80053) |
$25.80 |
$43 |
2.4× |
| Obstetric panel (80055) |
$93 |
$155 |
1.9× |
| Lipid panel (80061) |
$32.40 |
$54 |
2.4× |
| Renal function panel (80069) |
$21 |
$35 |
2.4× |
| Hepatic function panel (80076) |
$48 |
$80 |
5.9× |
| PSA, total (84153) |
$45 |
$75 |
2.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$41.40 |
$69 |
2.5× |
| CBC with automated differential (85025) |
$18.60 |
$31 |
2.4× |
| CBC, automated (85027) |
$15.60 |
$26 |
2.4× |
| Prothrombin time (PT) (85610) |
$9.60 |
$16 |
2.2× |
| Partial thromboplastin time (PTT) (85730) |
$14.40 |
$24 |
2.4× |
| Psychotherapy, 30 minutes (90832) |
$158.40 |
$264 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$212.40 |
$354 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$240 |
$400 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$104.40 |
$174 |
0.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$104.40 |
$174 |
0.5× |
| Group psychotherapy (90853) |
$44.40 |
$74 |
0.4× |
| Left heart catheterization (93452) |
$5,552.40 |
$9,254 |
1.4× |
| Sleep study (attended polysomnography) (95810) |
$1,188 |
$1,980 |
1.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$75 |
$125 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$129.60 |
$216 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$165.60 |
$276 |
1.0× |
Office visit, new patient (high complexity, ~60 min) (99205)
range across 2 matching MRF lines |
$214.20–$217.80 |
$357–$363 |
varies |