| Breast lesion removal (open) (19120) |
$2,504.25 |
$5,008.50 |
0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$899.75 |
$1,799.50 |
1.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$994.24 |
$1,988.46 |
1.2× |
| Diagnostic colonoscopy (45378) |
$685 |
$1,370 |
0.8× |
| Colonoscopy with biopsy (45380) |
$893.75 |
$1,787.50 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$986.75 |
$1,973.50 |
0.9× |
| Laparoscopic gallbladder removal (47562) |
$3,793.75 |
$7,587.50 |
0.7× |
| Inguinal hernia repair (age 5+) (49505) |
$1,839.50 |
$3,679 |
0.6× |
| Obstetric care, cesarean delivery (global) (59510) |
$2,416 |
$4,832 |
— |
| Cataract removal with lens insertion (66984) |
$2,401.50 |
$4,803 |
1.1× |
| CT head/brain without contrast (70450) |
$229 |
$458 |
2.4× |
| MRI brain without contrast (70551) |
$578.50 |
$1,157 |
2.7× |
| MRI brain with contrast (70552) |
$578.50 |
$1,157 |
1.8× |
| MRI brain without and with contrast (70553) |
$350.50 |
$701 |
1.1× |
| X-ray lower spine, 4+ views (72110) |
$143 |
$286 |
1.5× |
| MRI lumbar spine without contrast (72148) |
$900 |
$1,800 |
4.1× |
| CT pelvis with contrast (72193) |
$500 |
$1,000 |
3.1× |
| MRI lower-extremity joint without contrast (73721) |
$225 |
$450 |
1.0× |
| CT abdomen and pelvis with contrast (74177) |
$482.50 |
$965 |
1.5× |
| Ultrasound, abdomen complete (76700) |
$202 |
$404 |
2.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$225 |
$450 |
2.4× |
| Ultrasound, transvaginal (76830) |
$202 |
$404 |
2.1× |
| Mammography, one breast (diagnostic) (77065) |
$74.50 |
$149 |
0.9× |
| Mammography, both breasts (diagnostic) (77066) |
$157.50 |
$315 |
1.4× |
| Mammography, screening (bilateral) (77067) |
$87 |
$174 |
1.0× |
| Basic metabolic panel (80048) |
$16.50 |
$33 |
2.0× |
| Comprehensive metabolic panel (80053) |
$20.50 |
$41 |
1.9× |
| Lipid panel (80061) |
$30 |
$60 |
2.2× |
| Renal function panel (80069) |
$19.50 |
$39 |
2.2× |
| Hepatic function panel (80076) |
$18.50 |
$37 |
2.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$6 |
$12 |
1.7× |
| PSA, total (84153) |
$39.50 |
$79 |
2.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$31.50 |
$63 |
1.9× |
| CBC with automated differential (85025) |
$18.50 |
$37 |
2.4× |
| CBC, automated (85027) |
$14 |
$28 |
2.2× |
| Prothrombin time (PT) (85610) |
$12.50 |
$25 |
2.9× |
| Partial thromboplastin time (PTT) (85730) |
$15 |
$30 |
2.5× |
| Psychotherapy, 30 minutes (90832) |
$83 |
$166 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$109.50 |
$219 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$161.97 |
$323.94 |
1.0× |
| Sleep study (attended polysomnography) (95810) |
$1,128.50 |
$2,257 |
1.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$72 |
$144 |
2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$100 |
$200 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$125 |
$250 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$162.50 |
$325 |
1.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$123 |
$246 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$142.50 |
$285 |
— |