| Breast lesion removal (open) (19120) |
$412.80 |
$688 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$294.60 |
$491 |
0.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$313.50 |
$522.50 |
0.4× |
| Diagnostic colonoscopy (45378) |
$202.20 |
$337 |
0.2× |
| Colonoscopy with biopsy (45380) |
$480.60 |
$801 |
0.4× |
| Colonoscopy with lesion removal (45385) |
$543.60 |
$906 |
0.5× |
| Laparoscopic gallbladder removal (47562) |
$7,500 |
$12,500 |
1.3× |
| Inguinal hernia repair (age 5+) (49505) |
$489 |
$815 |
0.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$922.38 |
$1,537.30 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,491 |
$2,485 |
1.8× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$2,643 |
$4,405 |
5.1× |
| Cataract removal with lens insertion (66984) |
$4,020 |
$6,700 |
1.9× |
| CT head/brain without contrast (70450) |
$1,158.60 |
$1,931 |
11.8× |
| MRI brain without contrast (70551) |
$1,995.60 |
$3,326 |
8.9× |
| MRI brain with contrast (70552) |
$1,653.60 |
$2,756 |
5.1× |
| MRI brain without and with contrast (70553) |
$2,002.20 |
$3,337 |
6.1× |
| X-ray lower spine, 4+ views (72110) |
$381.38 |
$635.64 |
3.9× |
| MRI lumbar spine without contrast (72148) |
$1,506.60 |
$2,511 |
6.7× |
| CT pelvis with contrast (72193) |
$1,315.80 |
$2,193 |
8.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,507.20 |
$2,512 |
6.7× |
| CT abdomen and pelvis with contrast (74177) |
$1,866 |
$3,110 |
5.7× |
| Ultrasound, abdomen complete (76700) |
$526.84 |
$878.06 |
5.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$655.18 |
$1,091.96 |
6.7× |
| Ultrasound, transvaginal (76830) |
$433.79 |
$722.98 |
4.4× |
| Mammography, one breast (diagnostic) (77065) |
$144 |
$240 |
1.7× |
| Mammography, both breasts (diagnostic) (77066) |
$173.40 |
$289 |
1.6× |
| Mammography, screening (bilateral) (77067) |
$118.35 |
$197.25 |
1.3× |
| Basic metabolic panel (80048) |
$56.62 |
$94.36 |
6.7× |
| Comprehensive metabolic panel (80053) |
$128.40 |
$214 |
12.2× |
| Lipid panel (80061) |
$114 |
$190 |
8.5× |
| Renal function panel (80069) |
$100.80 |
$168 |
11.6× |
| Hepatic function panel (80076) |
$73.20 |
$122 |
9.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$13.20 |
$22 |
3.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$16.20 |
$27 |
4.7× |
| PSA, total (84153) |
$114 |
$190 |
6.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$111.60 |
$186 |
6.6× |
| CBC with automated differential (85025) |
$95.40 |
$159 |
12.3× |
| CBC, automated (85027) |
$59.40 |
$99 |
9.2× |
| Prothrombin time (PT) (85610) |
$59.40 |
$99 |
13.8× |
| Partial thromboplastin time (PTT) (85730) |
$73.20 |
$122 |
12.2× |
| Psychotherapy, 30 minutes (90832) |
$114 |
$190 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$190.80 |
$318 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$266.40 |
$444 |
1.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$190.80 |
$318 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$205.20 |
$342 |
1.2× |
| Group psychotherapy (90853) |
$205.20 |
$342 |
2.2× |
| Sleep study (attended polysomnography) (95810) |
$3,138 |
$5,230 |
3.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$97.20 |
$162 |
3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$102 |
$170 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$152.40 |
$254 |
1.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$189.60 |
$316 |
1.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$24 |
$40 |
0.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$186 |
$310 |
1.5× |