| Breast lesion removal (open) (19120) |
$6,409.39 |
$6,409.39 |
1.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,882.76 |
$1,882.76 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,882.76 |
$1,882.76 |
1.7× |
| Diagnostic colonoscopy (45378) |
$1,853.03 |
$1,853.03 |
1.7× |
| Colonoscopy with biopsy (45380) |
$1,853.03 |
$1,853.03 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,853.03 |
$1,853.03 |
1.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,511.16 |
$5,511.16 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,661.48 |
$2,661.48 |
2.5× |
| CT head/brain without contrast (70450) |
$424.99 |
$424.99 |
3.4× |
| MRI brain without contrast (70551) |
$887.19 |
$887.19 |
3.1× |
| MRI brain with contrast (70552) |
$1,299.78 |
$1,299.78 |
3.1× |
| MRI brain without and with contrast (70553) |
$1,667.57 |
$1,667.57 |
4.0× |
| X-ray lower spine, 4+ views (72110) |
$452.31 |
$452.31 |
3.6× |
| MRI lumbar spine without contrast (72148) |
$887.19 |
$887.19 |
3.1× |
| CT pelvis with contrast (72193) |
$873.29 |
$873.29 |
4.2× |
| MRI lower-extremity joint without contrast (73721) |
$887.19 |
$887.19 |
3.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,263.34 |
$1,263.34 |
3.0× |
| Ultrasound, abdomen complete (76700) |
$551.89 |
$551.89 |
4.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$478.35 |
$478.35 |
3.8× |
| Ultrasound, transvaginal (76830) |
$443.09 |
$443.09 |
3.5× |
| Mammography, one breast (diagnostic) (77065) |
$413.80 |
$413.80 |
4.8× |
| Mammography, both breasts (diagnostic) (77066) |
$525.52 |
$525.52 |
4.8× |
| Mammography, screening (bilateral) (77067) |
$425.06 |
$425.06 |
4.7× |
| Lipid panel (80061) |
$50.55 |
$50.55 |
3.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$9.85 |
$9.85 |
2.8× |
| PSA, total (84153) |
$72.01 |
$72.01 |
3.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$62.65 |
$62.65 |
3.7× |
| CBC with automated differential (85025) |
$28.96 |
$28.96 |
3.7× |
| CBC, automated (85027) |
$24.09 |
$24.09 |
3.7× |
| Prothrombin time (PT) (85610) |
$14.64 |
$14.64 |
3.4× |
| Partial thromboplastin time (PTT) (85730) |
$22.40 |
$22.40 |
3.7× |
| Psychotherapy, 30 minutes (90832) |
$505.80 |
$505.80 |
2.4× |
| Psychotherapy, 45 minutes (90834) |
$505.80 |
$505.80 |
2.4× |
| Psychotherapy, 60 minutes (90837) |
$505.80 |
$505.80 |
2.4× |
| Sleep study (attended polysomnography) (95810) |
$3,103.22 |
$3,103.22 |
3.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$135.76 |
$135.76 |
4.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$205.33 |
$205.33 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$351.57 |
$351.57 |
2.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$456.61 |
$456.61 |
2.9× |