| Breast lesion removal (open) (19120) |
$9,334 |
$14,360 |
2.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,504.15 |
$5,391 |
3.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,504.15 |
$5,391 |
3.7× |
| Diagnostic colonoscopy (45378) |
$3,407.95 |
$5,243 |
3.5× |
| Colonoscopy with biopsy (45380) |
$4,407 |
$6,780 |
3.5× |
| Colonoscopy with lesion removal (45385) |
$4,407 |
$6,780 |
3.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$4,407 |
$6,780 |
3.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$4,991.35 |
$7,679 |
5.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$4,991.35 |
$7,679 |
5.4× |
| CT head/brain without contrast (70450) |
$596.70 |
$918 |
5.5× |
| MRI brain without contrast (70551) |
$1,355.25 |
$2,085 |
5.4× |
| MRI brain with contrast (70552) |
$2,002 |
$3,080 |
5.5× |
| MRI brain without and with contrast (70553) |
$2,002 |
$3,080 |
5.5× |
| X-ray lower spine, 4+ views (72110) |
$596.70 |
$918 |
5.5× |
| MRI lumbar spine without contrast (72148) |
$1,355.25 |
$2,085 |
5.4× |
| CT pelvis with contrast (72193) |
$997.75 |
$1,535 |
5.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,355.25 |
$2,085 |
5.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,002 |
$3,080 |
5.5× |
| Ultrasound, abdomen complete (76700) |
$596.70 |
$918 |
5.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$596.70 |
$918 |
5.5× |
| Ultrasound, transvaginal (76830) |
$596.70 |
$918 |
5.5× |
| Mammography, one breast (diagnostic) (77065) |
$457.60 |
$704 |
5.3× |
| Mammography, both breasts (diagnostic) (77066) |
$573.95 |
$883 |
5.2× |
| Mammography, screening (bilateral) (77067) |
$494.65 |
$761 |
5.4× |
| Basic metabolic panel (80048) |
$100.10 |
$154 |
11.8× |
| Comprehensive metabolic panel (80053) |
$198.90 |
$306 |
18.8× |
| Obstetric panel (80055) |
$263.90 |
$406 |
5.5× |
| Lipid panel (80061) |
$66.95 |
$103 |
5.0× |
| Renal function panel (80069) |
$93.60 |
$144 |
10.8× |
| Hepatic function panel (80076) |
$93.60 |
$144 |
11.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$16.90 |
$26 |
4.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$24.70 |
$38 |
7.1× |
| PSA, total (84153) |
$70.20 |
$108 |
3.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$101.40 |
$156 |
6.0× |
| CBC with automated differential (85025) |
$100.10 |
$154 |
12.9× |
| CBC, automated (85027) |
$93.60 |
$144 |
14.5× |
| Prothrombin time (PT) (85610) |
$52.98 |
$81.50 |
12.3× |
| Partial thromboplastin time (PTT) (85730) |
$22.42 |
$34.50 |
3.7× |
| Psychotherapy, 30 minutes (90832) |
$391.95 |
$603 |
2.1× |
| Psychotherapy, 45 minutes (90834) |
$391.95 |
$603 |
2.1× |
| Psychotherapy, 60 minutes (90837) |
$391.95 |
$603 |
2.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$391.95 |
$603 |
2.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$391.95 |
$603 |
2.1× |
| Group psychotherapy (90853) |
$226.20 |
$348 |
2.1× |
| Electrocardiogram (ECG), complete (93000) |
$337.35 |
$519 |
5.5× |
| Left heart catheterization (93452) |
$15,026.70 |
$23,118 |
4.4× |
| Sleep study (attended polysomnography) (95810) |
$5,703.75 |
$8,775 |
6.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$209.95 |
$323 |
7.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$113.10 |
$174 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$141.70 |
$218 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$191.10 |
$294 |
1.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$149.50 |
$230 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$206.70 |
$318 |
— |