| Breast lesion removal (open) (19120) |
$1,245 |
$2,075 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,615.73 |
$4,359.55 |
3.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,020 |
$1,700 |
1.2× |
| Diagnostic colonoscopy (45378) |
$3,932.76 |
$6,554.60 |
4.6× |
| Colonoscopy with biopsy (45380) |
$5,263.41 |
$8,772.35 |
4.8× |
| Colonoscopy with lesion removal (45385) |
$4,905.30 |
$8,175.50 |
4.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$817.20 |
$1,362 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,688.76 |
$2,814.60 |
2.1× |
| Cataract removal with lens insertion (66984) |
$4,485.84 |
$7,476.40 |
2.1× |
| CT head/brain without contrast (70450) |
$1,132.80 |
$1,888 |
11.8× |
| MRI brain without contrast (70551) |
$1,650 |
$2,750 |
7.5× |
| MRI brain with contrast (70552) |
$1,830 |
$3,050 |
5.7× |
| MRI brain without and with contrast (70553) |
$2,130 |
$3,550 |
6.6× |
| X-ray lower spine, 4+ views (72110) |
$336.60 |
$561 |
3.5× |
| MRI lumbar spine without contrast (72148) |
$1,728 |
$2,880 |
7.9× |
| CT pelvis with contrast (72193) |
$1,380 |
$2,300 |
8.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,542 |
$2,570 |
7.0× |
| CT abdomen and pelvis with contrast (74177) |
$2,058 |
$3,430 |
6.4× |
| Ultrasound, abdomen complete (76700) |
$645 |
$1,075 |
6.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$480 |
$800 |
5.0× |
| Ultrasound, transvaginal (76830) |
$444 |
$740 |
4.6× |
| Mammography, one breast (diagnostic) (77065) |
$164.40 |
$274 |
1.9× |
| Mammography, both breasts (diagnostic) (77066) |
$246.60 |
$411 |
2.2× |
| Mammography, screening (bilateral) (77067) |
$196.80 |
$328 |
2.2× |
| Basic metabolic panel (80048) |
$78.60 |
$131 |
9.3× |
| Comprehensive metabolic panel (80053) |
$101.40 |
$169 |
9.6× |
| Lipid panel (80061) |
$76.80 |
$128 |
5.7× |
| Renal function panel (80069) |
$82.80 |
$138 |
9.5× |
| Hepatic function panel (80076) |
$64.80 |
$108 |
7.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$9.60 |
$16 |
2.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$12 |
$20 |
3.4× |
| PSA, total (84153) |
$117 |
$195 |
6.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$92.40 |
$154 |
5.5× |
| CBC with automated differential (85025) |
$44.40 |
$74 |
5.7× |
| CBC, automated (85027) |
$46.80 |
$78 |
7.2× |
| Prothrombin time (PT) (85610) |
$33.60 |
$56 |
7.8× |
| Partial thromboplastin time (PTT) (85730) |
$68.40 |
$114 |
11.4× |
| Psychotherapy, 30 minutes (90832) |
$195 |
$325 |
1.2× |
| Psychotherapy, 45 minutes (90834) |
$210 |
$350 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$225 |
$375 |
1.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$225 |
$375 |
1.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$225 |
$375 |
1.4× |
| Group psychotherapy (90853) |
$177 |
$295 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$83.70 |
$139.50 |
2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$66 |
$110 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$66 |
$110 |
0.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$106.20 |
$177 |
0.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$58.80 |
$98 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$66 |
$110 |
— |