| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,660.20 |
$2,767 |
2.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,208.29 |
$3,680.48 |
2.7× |
| Diagnostic colonoscopy (45378) |
$2,115.56 |
$3,525.92 |
2.5× |
| Colonoscopy with biopsy (45380) |
$1,364.96 |
$2,274.92 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,369.89 |
$2,283.15 |
1.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,920.87 |
$3,201.45 |
2.4× |
| CT head/brain without contrast (70450) |
$1,180.07 |
$1,966.78 |
12.5× |
| MRI brain without contrast (70551) |
$1,903.69 |
$3,172.82 |
8.8× |
| MRI brain with contrast (70552) |
$1,684.99 |
$2,808.32 |
5.3× |
| MRI brain without and with contrast (70553) |
$2,650.42 |
$4,417.37 |
8.4× |
| X-ray lower spine, 4+ views (72110) |
$356.66 |
$594.44 |
3.8× |
| MRI lumbar spine without contrast (72148) |
$1,865.24 |
$3,108.74 |
8.6× |
| CT pelvis with contrast (72193) |
$1,622.44 |
$2,704.06 |
10.2× |
| MRI lower-extremity joint without contrast (73721) |
$1,836.05 |
$3,060.09 |
8.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,743.45 |
$4,572.42 |
8.7× |
| Ultrasound, abdomen complete (76700) |
$665.48 |
$1,109.14 |
7.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$379.88 |
$633.14 |
4.0× |
| Ultrasound, transvaginal (76830) |
$421.27 |
$702.11 |
4.4× |
| Mammography, one breast (diagnostic) (77065) |
$257.15 |
$428.59 |
3.0× |
| Mammography, both breasts (diagnostic) (77066) |
$327.92 |
$546.54 |
3.0× |
| Mammography, screening (bilateral) (77067) |
$273.64 |
$456.06 |
3.0× |
| Basic metabolic panel (80048) |
$111.40 |
$185.67 |
13.2× |
| Comprehensive metabolic panel (80053) |
$117.73 |
$196.21 |
11.1× |
| Obstetric panel (80055) |
$258.08 |
$430.13 |
5.4× |
| Lipid panel (80061) |
$70.67 |
$117.79 |
5.3× |
| Renal function panel (80069) |
$91.85 |
$153.08 |
10.6× |
| Hepatic function panel (80076) |
$98.42 |
$164.03 |
12.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$10.85 |
$18.08 |
2.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$11.54 |
$19.23 |
3.3× |
| PSA, total (84153) |
$84.59 |
$140.99 |
4.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$87.58 |
$145.96 |
5.2× |
| CBC with automated differential (85025) |
$56.66 |
$94.43 |
7.3× |
| CBC, automated (85027) |
$69.33 |
$115.55 |
10.7× |
| Prothrombin time (PT) (85610) |
$45.62 |
$76.03 |
10.6× |
| Partial thromboplastin time (PTT) (85730) |
$66.65 |
$111.09 |
11.1× |
| Psychotherapy, 30 minutes (90832) |
$124.52 |
$207.53 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$295.71 |
$492.85 |
1.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$212.40 |
$354 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$240.51 |
$400.85 |
1.5× |
| Group psychotherapy (90853) |
$140.53 |
$234.21 |
1.5× |
| Sleep study (attended polysomnography) (95810) |
$2,728.19 |
$4,546.98 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$88.41 |
$147.35 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$105.95 |
$176.59 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$162.40 |
$270.67 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$258.15 |
$430.25 |
2.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$150.28 |
$250.46 |
1.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$214.44 |
$357.40 |
1.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$116.94 |
$194.89 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$152.40 |
$254 |
— |