| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,585.50 |
$2,265 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,132.60 |
$1,618 |
1.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,251.60 |
$1,788 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$920.50 |
$1,315 |
1.0× |
| CT head/brain without contrast (70450) |
$938 |
$1,340 |
8.9× |
| MRI brain without contrast (70551) |
$2,046.80 |
$2,924 |
8.6× |
| MRI brain with contrast (70552) |
$2,475.90 |
$3,537 |
7.1× |
| MRI brain without and with contrast (70553) |
$4,581.50 |
$6,545 |
13.1× |
| X-ray lower spine, 4+ views (72110) |
$210.70 |
$301 |
2.0× |
| MRI lumbar spine without contrast (72148) |
$2,289 |
$3,270 |
9.6× |
| CT pelvis with contrast (72193) |
$1,360.10 |
$1,943 |
7.7× |
| MRI lower-extremity joint without contrast (73721) |
$2,046.80 |
$2,924 |
8.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,738.40 |
$3,912 |
7.8× |
| Ultrasound, abdomen complete (76700) |
$604.80 |
$864 |
5.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$388.50 |
$555 |
3.7× |
| Ultrasound, transvaginal (76830) |
$408.10 |
$583 |
3.9× |
| Mammography, one breast (diagnostic) (77065) |
$423.50 |
$605 |
4.9× |
| Mammography, both breasts (diagnostic) (77066) |
$548.10 |
$783 |
5.0× |
| Mammography, screening (bilateral) (77067) |
$449.40 |
$642 |
4.9× |
| Basic metabolic panel (80048) |
$77.70 |
$111 |
9.2× |
| Comprehensive metabolic panel (80053) |
$89.60 |
$128 |
8.5× |
| Obstetric panel (80055) |
$195.30 |
$279 |
4.1× |
| Lipid panel (80061) |
$120.40 |
$172 |
9.0× |
| Renal function panel (80069) |
$65.80 |
$94 |
7.6× |
| Hepatic function panel (80076) |
$74.20 |
$106 |
9.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$22.40 |
$32 |
6.4× |
| PSA, total (84153) |
$154 |
$220 |
8.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$126.70 |
$181 |
7.5× |
| CBC with automated differential (85025) |
$65.10 |
$93 |
8.4× |
| CBC, automated (85027) |
$51.10 |
$73 |
7.9× |
| Prothrombin time (PT) (85610) |
$32.20 |
$46 |
7.5× |
| Partial thromboplastin time (PTT) (85730) |
$48.30 |
$69 |
8.0× |
| Psychotherapy, 30 minutes (90832) |
$252 |
$360 |
1.4× |
| Psychotherapy, 45 minutes (90834) |
$410.20 |
$586 |
2.3× |
| Psychotherapy, 60 minutes (90837) |
$470.40 |
$672 |
2.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$348.60 |
$498 |
2.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$343.70 |
$491 |
1.9× |
| Group psychotherapy (90853) |
$203.70 |
$291 |
2.0× |
| Left heart catheterization (93452) |
$10,156.30 |
$14,509 |
3.1× |
| Sleep study (attended polysomnography) (95810) |
$2,492 |
$3,560 |
2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$60.20 |
$86 |
2.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$270.20 |
$386 |
2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$387.80 |
$554 |
2.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$504.70 |
$721 |
3.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$399 |
$570 |
3.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$580.30 |
$829 |
4.3× |