| Breast lesion removal (open) (19120) |
$7,043.03 |
$7,043.03 |
2.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$294 |
$294 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$991 |
$991 |
1.2× |
| Diagnostic colonoscopy (45378) |
$444 |
$444 |
0.5× |
| Colonoscopy with biopsy (45380) |
$878.50 |
$878.50 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$1,039.50 |
$1,039.50 |
1.0× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$1,690.50 |
$1,690.50 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,175 |
$1,175 |
0.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$204 |
$204 |
0.3× |
| CT head/brain without contrast (70450) |
$1,129.50 |
$1,129.50 |
11.9× |
| MRI brain without contrast (70551) |
$1,980 |
$1,980 |
9.1× |
| MRI brain with contrast (70552) |
$2,200 |
$2,200 |
6.9× |
| MRI brain without and with contrast (70553) |
$2,420 |
$2,420 |
7.6× |
| X-ray lower spine, 4+ views (72110) |
$287 |
$287 |
3.0× |
| MRI lumbar spine without contrast (72148) |
$1,980 |
$1,980 |
9.1× |
| CT pelvis with contrast (72193) |
$1,307.75 |
$1,307.75 |
8.2× |
| MRI lower-extremity joint without contrast (73721) |
$1,800 |
$1,800 |
8.3× |
| CT abdomen and pelvis with contrast (74177) |
$1,500 |
$1,500 |
4.7× |
| Ultrasound, abdomen complete (76700) |
$462.05 |
$462.05 |
4.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$287.20 |
$287.20 |
3.0× |
| Ultrasound, transvaginal (76830) |
$427.75 |
$427.75 |
4.5× |
| Mammography, one breast (diagnostic) (77065) |
$302 |
$302 |
3.5× |
| Mammography, both breasts (diagnostic) (77066) |
$380 |
$380 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$307 |
$307 |
3.4× |
| Basic metabolic panel (80048) |
$94 |
$94 |
11.1× |
| Comprehensive metabolic panel (80053) |
$113.80 |
$113.80 |
10.8× |
| Lipid panel (80061) |
$99.65 |
$99.65 |
7.4× |
| Renal function panel (80069) |
$59 |
$59 |
6.8× |
| Hepatic function panel (80076) |
$56.95 |
$56.95 |
7.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$15 |
$15 |
3.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$9 |
$9 |
2.6× |
| PSA, total (84153) |
$84.25 |
$84.25 |
4.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$110.40 |
$110.40 |
6.6× |
| CBC with automated differential (85025) |
$23.75 |
$23.75 |
3.1× |
| CBC, automated (85027) |
$21.10 |
$21.10 |
3.3× |
| Prothrombin time (PT) (85610) |
$34.75 |
$34.75 |
8.1× |
| Partial thromboplastin time (PTT) (85730) |
$50.20 |
$50.20 |
8.4× |
| Psychotherapy, 30 minutes (90832) |
$400 |
$400 |
2.5× |
| Psychotherapy, 45 minutes (90834) |
$420 |
$420 |
2.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$450 |
$450 |
2.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$500 |
$500 |
3.1× |
| Group psychotherapy (90853) |
$252 |
$420 |
2.7× |
| Sleep study (attended polysomnography) (95810) |
$2,420.50 |
$2,420.50 |
3.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$73 |
$73 |
2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$252.28 |
$252.28 |
2.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$386.18 |
$386.18 |
3.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$486.60 |
$486.60 |
4.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$251.60 |
$251.60 |
2.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$369.50 |
$369.50 |
3.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$150 |
$150 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$150 |
$150 |
— |