| Upper GI endoscopy (EGD), diagnostic (43235) |
$289 |
$2,890 |
0.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$317.90 |
$3,179 |
0.3× |
| Diagnostic colonoscopy (45378) |
$283.30 |
$2,833 |
0.3× |
| Colonoscopy with biopsy (45380) |
$626.10 |
$6,261 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$660.50 |
$6,605 |
0.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$392.60 |
$3,926 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$193.75 |
$1,937.50 |
0.2× |
| CT head/brain without contrast (70450) |
$588.50 |
$5,885 |
5.6× |
| MRI brain without contrast (70551) |
$645.90 |
$6,459 |
2.7× |
| MRI brain with contrast (70552) |
$768.60 |
$7,686 |
2.2× |
| MRI brain without and with contrast (70553) |
$873.90 |
$8,739 |
2.5× |
| X-ray lower spine, 4+ views (72110) |
$108.10 |
$1,081 |
1.0× |
| MRI lumbar spine without contrast (72148) |
$910.50 |
$9,105 |
3.8× |
| CT pelvis with contrast (72193) |
$797.30 |
$7,973 |
4.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,365.75 |
$13,657.50 |
5.7× |
| CT abdomen and pelvis with contrast (74177) |
$1,594.70 |
$15,947 |
4.6× |
| Ultrasound, abdomen complete (76700) |
$146.80 |
$1,468 |
1.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$189.10 |
$1,891 |
1.8× |
| Ultrasound, transvaginal (76830) |
$146.80 |
$1,468 |
1.4× |
| Mammography, one breast (diagnostic) (77065) |
$103.90 |
$1,039 |
1.2× |
| Mammography, both breasts (diagnostic) (77066) |
$111.30 |
$1,113 |
1.0× |
| Mammography, screening (bilateral) (77067) |
$74.70 |
$747 |
0.8× |
| Basic metabolic panel (80048) |
$29.20 |
$292 |
3.5× |
| Comprehensive metabolic panel (80053) |
$42.70 |
$427 |
4.0× |
| Lipid panel (80061) |
$27.60 |
$276 |
2.1× |
| Renal function panel (80069) |
$42.70 |
$427 |
4.9× |
| Hepatic function panel (80076) |
$40.30 |
$403 |
4.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$18.30 |
$183 |
4.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$6.30 |
$63 |
1.8× |
| PSA, total (84153) |
$47.20 |
$472 |
2.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$43 |
$430 |
2.6× |
| CBC with automated differential (85025) |
$27.50 |
$275 |
3.5× |
| CBC, automated (85027) |
$50.50 |
$505 |
7.8× |
| Prothrombin time (PT) (85610) |
$18.20 |
$182 |
4.2× |
| Partial thromboplastin time (PTT) (85730) |
$25.40 |
$254 |
4.2× |
| Psychotherapy, 30 minutes (90832) |
$53.20 |
$532 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$66.30 |
$663 |
0.4× |
| Psychotherapy, 60 minutes (90837) |
$85.90 |
$859 |
0.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$112.80 |
$1,128 |
0.6× |
| Group psychotherapy (90853) |
$85.90 |
$859 |
0.8× |
| Left heart catheterization (93452) |
$1,217.90 |
$12,179 |
0.4× |
| Sleep study (attended polysomnography) (95810) |
$1,660.10 |
$16,601 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$49.50 |
$495 |
1.7× |