| Breast lesion removal (open) (19120) |
$3,455.25 |
$4,607 |
0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,815.75 |
$2,421 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,769 |
$3,692 |
2.5× |
| Diagnostic colonoscopy (45378) |
$2,912.25 |
$3,883 |
2.6× |
| Colonoscopy with biopsy (45380) |
$1,965.75 |
$2,621 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$1,963.50 |
$2,618 |
1.4× |
| Inguinal hernia repair (age 5+) (49505) |
$2,077.50 |
$2,770 |
0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,783.50 |
$2,378 |
1.7× |
| CT head/brain without contrast (70450) |
$1,371 |
$1,828 |
10.9× |
| MRI brain without contrast (70551) |
$3,858 |
$5,144 |
13.5× |
| MRI brain with contrast (70552) |
$4,269.75 |
$5,693 |
10.2× |
| MRI brain without and with contrast (70553) |
$4,860.75 |
$6,481 |
11.6× |
| X-ray lower spine, 4+ views (72110) |
$626.25 |
$835 |
5.0× |
| MRI lumbar spine without contrast (72148) |
$3,281.25 |
$4,375 |
11.5× |
| CT pelvis with contrast (72193) |
$1,983.75 |
$2,645 |
9.4× |
| MRI lower-extremity joint without contrast (73721) |
$2,499 |
$3,332 |
8.7× |
| CT abdomen and pelvis with contrast (74177) |
$2,130 |
$2,840 |
5.1× |
| Ultrasound, abdomen complete (76700) |
$740.25 |
$987 |
5.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$759 |
$1,012 |
6.1× |
| Ultrasound, transvaginal (76830) |
$663 |
$884 |
5.3× |
| Mammography, one breast (diagnostic) (77065) |
$485.25 |
$647 |
5.6× |
| Mammography, both breasts (diagnostic) (77066) |
$596.25 |
$795 |
5.4× |
| Mammography, screening (bilateral) (77067) |
$505.50 |
$674 |
5.5× |
| Basic metabolic panel (80048) |
$110.25 |
$147 |
13.0× |
| Comprehensive metabolic panel (80053) |
$133.50 |
$178 |
12.6× |
| Lipid panel (80061) |
$124.50 |
$166 |
9.3× |
| Renal function panel (80069) |
$126 |
$168 |
14.5× |
| Hepatic function panel (80076) |
$107.25 |
$143 |
13.1× |
| PSA, total (84153) |
$159.75 |
$213 |
8.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$150 |
$200 |
8.9× |
| CBC with automated differential (85025) |
$93.75 |
$125 |
12.1× |
| CBC, automated (85027) |
$72 |
$96 |
11.1× |
| Prothrombin time (PT) (85610) |
$52.50 |
$70 |
12.2× |
| Partial thromboplastin time (PTT) (85730) |
$78.75 |
$105 |
13.1× |
| Psychotherapy, 30 minutes (90832) |
$192.38 |
$256.50 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$268.88 |
$358.50 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$399.38 |
$532.50 |
1.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$285 |
$380 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$316.88 |
$422.50 |
1.5× |
| Group psychotherapy (90853) |
$95.25 |
$127 |
0.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$171 |
$228 |
5.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$371.25 |
$495 |
2.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$563.62 |
$751.50 |
3.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$754.12 |
$1,005.50 |
4.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$267.38 |
$356.50 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$325.88 |
$434.50 |
— |