| Breast lesion removal (open) (19120) |
— |
$1,520.07 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
— |
$803.77 |
— |
| Upper GI endoscopy (EGD) with biopsy (43239) |
— |
$816.64 |
— |
| Diagnostic colonoscopy (45378) |
— |
$1,069.66 |
— |
| Colonoscopy with biopsy (45380) |
— |
$958.93 |
— |
| Colonoscopy with lesion removal (45385) |
— |
$1,459.84 |
— |
| Laparoscopic gallbladder removal (47562) |
— |
$2,750 |
— |
| Inguinal hernia repair (age 5+) (49505) |
— |
$1,795.81 |
— |
| Obstetric care, vaginal delivery (global) (59400) |
— |
$3,685.34 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
— |
$4,078.80 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$210 |
$711 |
0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$260.70 |
$639.50 |
0.3× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$833.85 |
$2,779.50 |
1.6× |
| Cataract removal with lens insertion (66984) |
$1,539.60 |
$5,132 |
0.7× |
| CT head/brain without contrast (70450) |
$535.80 |
$1,786 |
5.6× |
| MRI brain without contrast (70551) |
$298.76 |
$995.87 |
1.4× |
| MRI brain with contrast (70552) |
$382.71 |
$1,275.71 |
1.2× |
| MRI brain without and with contrast (70553) |
$989.25 |
$3,297.50 |
3.1× |
| X-ray lower spine, 4+ views (72110) |
$102.30 |
$341 |
1.1× |
| MRI lumbar spine without contrast (72148) |
$602.70 |
$2,009 |
2.7× |
| CT pelvis with contrast (72193) |
$413.40 |
$1,378 |
2.6× |
| MRI lower-extremity joint without contrast (73721) |
$403.20 |
$1,344 |
1.8× |
| CT abdomen and pelvis with contrast (74177) |
$805.50 |
$2,685 |
2.5× |
| Ultrasound, abdomen complete (76700) |
$139.80 |
$466 |
1.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$110.40 |
$368 |
1.1× |
| Ultrasound, transvaginal (76830) |
$89.10 |
$297 |
0.9× |
| Mammography, one breast (diagnostic) (77065) |
$56.70 |
$189 |
0.7× |
| Mammography, both breasts (diagnostic) (77066) |
$57.90 |
$193 |
0.5× |
| Mammography, screening (bilateral) (77067) |
$37.20 |
$124 |
0.4× |
| Basic metabolic panel (80048) |
$25.50 |
$85 |
3.0× |
| Comprehensive metabolic panel (80053) |
$35.70 |
$119 |
3.4× |
| Lipid panel (80061) |
$31.50 |
$105 |
2.4× |
| Renal function panel (80069) |
$29.10 |
$97 |
3.4× |
| Hepatic function panel (80076) |
$24.60 |
$82 |
3.0× |
| Urinalysis, non-automated, without microscopy (81002) |
— |
$12.36 |
— |
| PSA, total (84153) |
$54 |
$180 |
2.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$39 |
$130 |
2.3× |
| CBC with automated differential (85025) |
$22.50 |
$75 |
2.9× |
| CBC, automated (85027) |
$22.65 |
$75.50 |
3.5× |
| Prothrombin time (PT) (85610) |
$20.40 |
$68 |
4.8× |
| Partial thromboplastin time (PTT) (85730) |
$15.60 |
$52 |
2.6× |
| Electrocardiogram (ECG), complete (93000) |
— |
$86.52 |
— |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$34.50 |
$115 |
1.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$54 |
$180 |
0.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$84 |
$280 |
0.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
— |
$300 |
— |
| Office consultation (low complexity, ~30 min) (99243) |
— |
$225 |
— |
| Office consultation (moderate complexity, ~40 min) (99244) |
— |
$304 |
— |
| Preventive visit, new patient (age 18–39) (99385) |
— |
$234.84 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
— |
$284.28 |
— |