| Breast lesion removal (open) (19120) |
$1,594.13 |
$1,875.44 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,409.58 |
$993.98 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$873.48 |
$1,027.62 |
1.0× |
| Diagnostic colonoscopy (45378) |
$978.35 |
$1,151 |
1.1× |
| Colonoscopy with biopsy (45380) |
$1,147.48 |
$1,349.98 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,243.20 |
$1,462.59 |
1.1× |
| Laparoscopic gallbladder removal (47562) |
$3,674.83 |
$4,323.33 |
0.7× |
| Inguinal hernia repair (age 5+) (49505) |
$2,876.53 |
$3,384.16 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$688.20 |
$688.80 |
0.8× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$919.02 |
$1,081.20 |
1.8× |
| Cataract removal with lens insertion (66984) |
$3,822.45 |
$4,497 |
1.8× |
| CT head/brain without contrast (70450) |
$654.50 |
$770 |
6.8× |
| MRI brain without contrast (70551) |
$709.75 |
$835 |
3.2× |
| MRI brain with contrast (70552) |
$731 |
$860 |
2.3× |
| MRI brain without and with contrast (70553) |
$752.25 |
$885 |
2.3× |
| X-ray lower spine, 4+ views (72110) |
$354.45 |
$417 |
3.7× |
| MRI lumbar spine without contrast (72148) |
$709.75 |
$835 |
3.2× |
| CT pelvis with contrast (72193) |
$675.75 |
$795 |
4.2× |
| MRI lower-extremity joint without contrast (73721) |
$709.75 |
$835 |
3.2× |
| CT abdomen and pelvis with contrast (74177) |
$675.75 |
$795 |
2.1× |
| Ultrasound, abdomen complete (76700) |
$302.50 |
$340 |
3.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$448.80 |
$528 |
4.7× |
| Ultrasound, transvaginal (76830) |
$197.77 |
$197.77 |
2.1× |
| Mammography, one breast (diagnostic) (77065) |
$188.70 |
$222 |
2.2× |
| Mammography, both breasts (diagnostic) (77066) |
$240.55 |
$283 |
2.2× |
| Mammography, screening (bilateral) (77067) |
$240.55 |
$283 |
2.6× |
| Basic metabolic panel (80048) |
$28.37 |
$28.37 |
3.4× |
| Comprehensive metabolic panel (80053) |
$33.69 |
$33.69 |
3.2× |
| Lipid panel (80061) |
$65.67 |
$65.67 |
4.9× |
| Renal function panel (80069) |
$29.36 |
$29.36 |
3.4× |
| Hepatic function panel (80076) |
$47.34 |
$47.34 |
5.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$16.63 |
$16.63 |
4.8× |
| PSA, total (84153) |
$112.93 |
$112.93 |
6.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$73.08 |
$73.08 |
4.4× |
| CBC with automated differential (85025) |
$19.84 |
$19.84 |
2.6× |
| CBC, automated (85027) |
$20.64 |
$20.64 |
3.2× |
| Prothrombin time (PT) (85610) |
$23.88 |
$23.88 |
5.6× |
| Partial thromboplastin time (PTT) (85730) |
$30.12 |
$30.12 |
5.0× |
| Psychotherapy, 30 minutes (90832) |
$306 |
$360 |
1.9× |
| Psychotherapy, 45 minutes (90834) |
$361.25 |
$425 |
2.2× |
| Psychotherapy, 60 minutes (90837) |
$344.25 |
$405 |
2.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$212.50 |
$250 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$367.62 |
$432.50 |
2.3× |
| Group psychotherapy (90853) |
$981.75 |
$1,155 |
10.5× |
| Sleep study (attended polysomnography) (95810) |
$1,485.44 |
$1,747.58 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$81 |
$81 |
2.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$137.06 |
$112 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$170.92 |
$170.85 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$192.95 |
$227 |
1.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$204 |
$240 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$230.35 |
$271 |
— |