| Breast lesion removal (open) (19120) |
$8,535.74 |
$8,535.74 |
1.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,299.99 |
$2,299.99 |
2.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$4,693.96 |
$4,693.96 |
4.3× |
| Diagnostic colonoscopy (45378) |
$1,850.58 |
$1,850.58 |
1.7× |
| Colonoscopy with biopsy (45380) |
$1,851.76 |
$1,851.76 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,851.76 |
$1,851.76 |
1.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$7,014.40 |
$7,014.40 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,449.98 |
$3,449.98 |
3.3× |
| CT head/brain without contrast (70450) |
$515.17 |
$515.17 |
4.1× |
| MRI brain without contrast (70551) |
$1,075.42 |
$1,075.42 |
3.8× |
| MRI brain with contrast (70552) |
$1,575.54 |
$1,575.54 |
3.8× |
| MRI brain without and with contrast (70553) |
$2,021.36 |
$2,021.36 |
4.8× |
| X-ray lower spine, 4+ views (72110) |
$548.27 |
$548.27 |
4.4× |
| MRI lumbar spine without contrast (72148) |
$1,075.42 |
$1,075.42 |
3.8× |
| CT pelvis with contrast (72193) |
$1,058.55 |
$1,058.55 |
5.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,613.12 |
$1,613.12 |
5.6× |
| CT abdomen and pelvis with contrast (74177) |
$1,531.37 |
$1,531.37 |
3.7× |
| Ultrasound, abdomen complete (76700) |
$668.99 |
$668.99 |
5.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$579.83 |
$579.83 |
4.6× |
| Ultrasound, transvaginal (76830) |
$517.30 |
$517.30 |
4.1× |
| Mammography, one breast (diagnostic) (77065) |
$478.87 |
$478.87 |
5.6× |
| Mammography, both breasts (diagnostic) (77066) |
$611.64 |
$611.64 |
5.5× |
| Mammography, screening (bilateral) (77067) |
$505.79 |
$505.79 |
5.5× |
| Lipid panel (80061) |
$64.79 |
$64.79 |
4.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$12.80 |
$12.80 |
3.7× |
| PSA, total (84153) |
$89.01 |
$89.01 |
4.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$81.34 |
$81.34 |
4.8× |
| CBC with automated differential (85025) |
$37.59 |
$37.59 |
4.8× |
| CBC, automated (85027) |
$31.26 |
$31.26 |
4.8× |
| Prothrombin time (PT) (85610) |
$19 |
$19 |
4.4× |
| Partial thromboplastin time (PTT) (85730) |
$29.09 |
$29.09 |
4.8× |
| Psychotherapy, 45 minutes (90834) |
$169 |
$169 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$400 |
$400 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$159.99 |
$159.99 |
5.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$206.67 |
$206.67 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$353.28 |
$353.28 |
2.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$456.61 |
$456.61 |
2.9× |