| Breast lesion removal (open) (19120) |
$2,440.35 |
$2,871 |
0.6× |
| Shoulder arthroscopy with decompression (29826) |
$1,179.80 |
$1,388 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,039.55 |
$1,223 |
1.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,104.15 |
$1,299 |
1.2× |
| Diagnostic colonoscopy (45378) |
$1,479.85 |
$1,741 |
1.6× |
| Colonoscopy with biopsy (45380) |
$1,541.90 |
$1,814 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,827.50 |
$2,150 |
1.5× |
| Laparoscopic gallbladder removal (47562) |
$4,932.55 |
$5,803 |
0.8× |
| Inguinal hernia repair (age 5+) (49505) |
$3,444.20 |
$4,052 |
0.9× |
| Obstetric care, vaginal delivery (global) (59400) |
$6,120 |
$7,200 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$6,747.30 |
$7,938 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$782 |
$920 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$291.55 |
$343 |
0.3× |
| CT head/brain without contrast (70450) |
$1,104.66 |
$1,299.60 |
10.3× |
| MRI brain with contrast (70552) |
$2,538.10 |
$2,986 |
7.1× |
| MRI brain without and with contrast (70553) |
$2,949.50 |
$3,470 |
8.3× |
| X-ray lower spine, 4+ views (72110) |
$335.14 |
$394.28 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$1,345.55 |
$1,583 |
5.5× |
| CT pelvis with contrast (72193) |
$2,043.61 |
$2,404.25 |
11.4× |
| CT abdomen and pelvis with contrast (74177) |
$3,191.36 |
$3,754.54 |
9.0× |
| Ultrasound, abdomen complete (76700) |
$782.47 |
$920.55 |
7.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$395.62 |
$465.44 |
3.7× |
| Ultrasound, transvaginal (76830) |
$465.38 |
$547.50 |
4.4× |
| Mammography, one breast (diagnostic) (77065) |
$230.88 |
$271.62 |
2.7× |
| Mammography, both breasts (diagnostic) (77066) |
$355.70 |
$418.47 |
3.2× |
| Mammography, screening (bilateral) (77067) |
$153.72 |
$180.86 |
1.7× |
| Basic metabolic panel (80048) |
$99.73 |
$117.33 |
11.8× |
| Comprehensive metabolic panel (80053) |
$135.78 |
$159.74 |
12.9× |
| Obstetric panel (80055) |
$323 |
$380 |
6.8× |
| Lipid panel (80061) |
$98.96 |
$116.42 |
7.4× |
| Renal function panel (80069) |
$153.42 |
$180.49 |
17.7× |
| Hepatic function panel (80076) |
$118.75 |
$139.70 |
14.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$30.60 |
$36 |
7.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$23.80 |
$28 |
6.8× |
| PSA, total (84153) |
$122.10 |
$143.64 |
6.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$96.53 |
$113.56 |
5.7× |
| CBC with automated differential (85025) |
$77.84 |
$91.58 |
10.0× |
| CBC, automated (85027) |
$78.25 |
$92.06 |
12.1× |
| Prothrombin time (PT) (85610) |
$34.98 |
$41.16 |
8.2× |
| Partial thromboplastin time (PTT) (85730) |
$66.74 |
$78.52 |
11.1× |
| Psychotherapy, 30 minutes (90832) |
$100.94 |
$118.75 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$191.46 |
$225.25 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$273.70 |
$322 |
1.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$245.88 |
$289.28 |
1.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$260.02 |
$305.90 |
1.4× |
| Group psychotherapy (90853) |
$61.37 |
$72.20 |
0.6× |
| Electrocardiogram (ECG), complete (93000) |
$161.50 |
$190 |
2.7× |
| Sleep study (attended polysomnography) (95810) |
$3,603.15 |
$4,239 |
4.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$125.92 |
$148.14 |
4.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$267.32 |
$314.50 |
2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$364.22 |
$428.50 |
2.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$495.98 |
$583.50 |
3.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$318.75 |
$375 |
2.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$492.15 |
$579 |
3.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$271.15 |
$319 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$295.80 |
$348 |
— |