| Breast lesion removal (open) (19120) |
$2,975.12 |
$6,611.38 |
0.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$905.92 |
$2,013.15 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$889.15 |
$1,975.88 |
0.8× |
| Diagnostic colonoscopy (45378) |
$609.30 |
$1,354 |
0.5× |
| Colonoscopy with biopsy (45380) |
$787.95 |
$1,751 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$787.95 |
$1,751 |
0.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$787.95 |
$1,751 |
0.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$838.81 |
$1,864.03 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$960.28 |
$2,133.95 |
0.9× |
| CT head/brain without contrast (70450) |
$203.08 |
$451.28 |
1.6× |
| MRI brain without contrast (70551) |
$449.36 |
$998.58 |
1.6× |
| MRI brain with contrast (70552) |
$661.45 |
$1,469.88 |
1.6× |
| MRI brain without and with contrast (70553) |
$844.62 |
$1,876.94 |
2.0× |
| X-ray lower spine, 4+ views (72110) |
$229.10 |
$509.11 |
1.8× |
| MRI lumbar spine without contrast (72148) |
$449.36 |
$998.58 |
1.6× |
| CT pelvis with contrast (72193) |
$442.32 |
$982.93 |
2.1× |
| MRI lower-extremity joint without contrast (73721) |
$449.36 |
$998.58 |
1.6× |
| CT abdomen and pelvis with contrast (74177) |
$639.88 |
$1,421.95 |
1.5× |
| Ultrasound, abdomen complete (76700) |
$279.53 |
$621.18 |
2.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$242.28 |
$538.39 |
1.9× |
| Ultrasound, transvaginal (76830) |
$216.16 |
$480.36 |
1.7× |
| Mammography, one breast (diagnostic) (77065) |
$175.44 |
$389.86 |
2.0× |
| Mammography, both breasts (diagnostic) (77066) |
$224.07 |
$497.94 |
2.0× |
| Mammography, screening (bilateral) (77067) |
$185.30 |
$411.77 |
2.0× |
| Basic metabolic panel (80048) |
$16.14 |
$35.86 |
1.9× |
| Comprehensive metabolic panel (80053) |
$20.15 |
$44.78 |
1.9× |
| Obstetric panel (80055) |
$84.42 |
$187.61 |
1.8× |
| Lipid panel (80061) |
$25.54 |
$56.76 |
1.9× |
| Renal function panel (80069) |
$16.56 |
$36.81 |
1.9× |
| Hepatic function panel (80076) |
$15.58 |
$34.62 |
1.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$3.78 |
$8.40 |
0.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$5.69 |
$12.65 |
1.6× |
| PSA, total (84153) |
$13.03 |
$28.95 |
0.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$32.06 |
$71.24 |
1.9× |
| CBC with automated differential (85025) |
$14.82 |
$32.94 |
1.9× |
| CBC, automated (85027) |
$12.33 |
$27.39 |
1.9× |
| Prothrombin time (PT) (85610) |
$7.94 |
$17.65 |
1.9× |
| Partial thromboplastin time (PTT) (85730) |
$11.46 |
$25.47 |
1.9× |
| Psychotherapy, 30 minutes (90832) |
$135.83 |
$301.85 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$184.89 |
$410.86 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$184.89 |
$410.86 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$196.24 |
$436.09 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$208.01 |
$462.25 |
1.0× |
| Group psychotherapy (90853) |
$111.60 |
$248 |
0.9× |
| Left heart catheterization (93452) |
$3,483.20 |
$7,740.44 |
0.9× |
| Sleep study (attended polysomnography) (95810) |
$1,632.86 |
$3,628.58 |
1.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$59.68 |
$132.63 |
2.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$111.79 |
$248.43 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$191.42 |
$425.37 |
1.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$247.38 |
$549.74 |
1.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$117.01 |
$260.03 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$117.01 |
$260.03 |
— |