| Breast lesion removal (open) (19120) |
$3,424 |
$5,707 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,135 |
$1,892 |
1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,135 |
$1,892 |
1.2× |
| Diagnostic colonoscopy (45378) |
$1,258 |
$2,097 |
1.3× |
| Colonoscopy with biopsy (45380) |
$1,258 |
$2,097 |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$6,434 |
$10,723 |
1.0× |
| Inguinal hernia repair (age 5+) (49505) |
$4,420 |
$7,366 |
1.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$254 |
$423 |
0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$896 |
$1,493 |
1.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$2,053 |
$3,421.50 |
3.5× |
| CT head/brain without contrast (70450) |
$86 |
$144 |
0.8× |
| MRI brain without contrast (70551) |
$1,848 |
$3,080 |
7.3× |
| MRI brain with contrast (70552) |
$2,020 |
$3,366 |
5.5× |
| MRI brain without and with contrast (70553) |
$230 |
$383 |
0.6× |
| X-ray lower spine, 4+ views (72110) |
$169.50 |
$282.50 |
1.5× |
| MRI lumbar spine without contrast (72148) |
$149 |
$248 |
0.6× |
| CT pelvis with contrast (72193) |
$116 |
$194 |
0.6× |
| MRI lower-extremity joint without contrast (73721) |
$784 |
$1,306.50 |
3.1× |
| CT abdomen and pelvis with contrast (74177) |
$2,400 |
$4,000 |
6.5× |
| Ultrasound, abdomen complete (76700) |
$481 |
$802 |
4.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$548 |
$913 |
5.0× |
| Ultrasound, transvaginal (76830) |
$363 |
$605 |
3.3× |
| Mammography, one breast (diagnostic) (77065) |
$852 |
$1,420 |
9.9× |
| Mammography, both breasts (diagnostic) (77066) |
$1,065 |
$1,775 |
9.6× |
| Mammography, screening (bilateral) (77067) |
$840 |
$1,400 |
9.2× |
| Basic metabolic panel (80048) |
$76 |
$127 |
9.0× |
| Comprehensive metabolic panel (80053) |
$99 |
$165 |
9.4× |
| Lipid panel (80061) |
$96 |
$159.50 |
7.2× |
| Renal function panel (80069) |
$163 |
$271 |
18.8× |
| Hepatic function panel (80076) |
$119 |
$199 |
14.6× |
| PSA, total (84153) |
$100 |
$167 |
5.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$60.50 |
$101.50 |
3.6× |
| CBC with automated differential (85025) |
$57 |
$95 |
7.3× |
| CBC, automated (85027) |
$63.50 |
$105.50 |
9.8× |
| Prothrombin time (PT) (85610) |
$38 |
$64 |
8.9× |
| Partial thromboplastin time (PTT) (85730) |
$60 |
$100 |
10.0× |
| Psychotherapy, 30 minutes (90832) |
$708 |
$1,180 |
3.8× |
| Psychotherapy, 45 minutes (90834) |
$942 |
$1,570 |
5.0× |
| Psychotherapy, 60 minutes (90837) |
$1,140 |
$1,900 |
6.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$1,002 |
$1,670 |
5.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$1,062 |
$1,770 |
5.7× |
| Group psychotherapy (90853) |
$1,140 |
$1,900 |
10.6× |
| Sleep study (attended polysomnography) (95810) |
$1,770 |
$2,950 |
2.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$67 |
$111 |
2.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$184 |
$307 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$253 |
$421 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$340 |
$567 |
2.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$278 |
$464 |
2.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$238 |
$397 |
1.7× |