| Breast lesion removal (open) (19120) |
$3,039.12 |
$7,236 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$532.56 |
$1,268 |
0.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$756.42 |
$1,801 |
0.9× |
| Diagnostic colonoscopy (45378) |
$751.80 |
$1,790 |
0.9× |
| Colonoscopy with biopsy (45380) |
$756.63 |
$1,801.50 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$625.38 |
$1,489 |
0.6× |
| Laparoscopic gallbladder removal (47562) |
$2,860.20 |
$6,810 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$2,544.99 |
$6,059.50 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$164.22 |
$391 |
0.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$472.08 |
$1,124 |
0.9× |
| Cataract removal with lens insertion (66984) |
$1,980.72 |
$4,716 |
0.9× |
| CT head/brain without contrast (70450) |
$777.84 |
$1,852 |
7.9× |
| MRI brain without contrast (70551) |
$1,196.58 |
$2,849 |
5.3× |
| MRI brain with contrast (70552) |
$1,196.58 |
$2,849 |
3.7× |
| MRI brain without and with contrast (70553) |
$1,674.12 |
$3,986 |
5.1× |
| X-ray lower spine, 4+ views (72110) |
$239.40 |
$570 |
2.4× |
| MRI lumbar spine without contrast (72148) |
$1,076.04 |
$2,562 |
4.8× |
| CT pelvis with contrast (72193) |
$1,136.52 |
$2,706 |
6.9× |
| MRI lower-extremity joint without contrast (73721) |
$1,196.58 |
$2,849 |
5.3× |
| CT abdomen and pelvis with contrast (74177) |
$1,316.28 |
$3,134 |
4.0× |
| Ultrasound, abdomen complete (76700) |
$448.98 |
$1,069 |
4.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$188.58 |
$449 |
1.9× |
| Ultrasound, transvaginal (76830) |
$329.28 |
$784 |
3.4× |
| Mammography, one breast (diagnostic) (77065) |
$97.44 |
$232 |
1.1× |
| Mammography, both breasts (diagnostic) (77066) |
$138.60 |
$330 |
1.3× |
| Mammography, screening (bilateral) (77067) |
$119.70 |
$285 |
1.3× |
| Basic metabolic panel (80048) |
$57.12 |
$136 |
6.8× |
| Comprehensive metabolic panel (80053) |
$69.72 |
$166 |
6.6× |
| Lipid panel (80061) |
$29.40 |
$70 |
2.2× |
| Renal function panel (80069) |
$61.32 |
$146 |
7.1× |
| Hepatic function panel (80076) |
$55.02 |
$131 |
6.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$34.02 |
$81 |
8.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$27.30 |
$65 |
7.8× |
| PSA, total (84153) |
$52.50 |
$125 |
2.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$45.15 |
$107.50 |
2.7× |
| CBC with automated differential (85025) |
$31.08 |
$74 |
4.0× |
| CBC, automated (85027) |
$44.94 |
$107 |
6.9× |
| Prothrombin time (PT) (85610) |
$27.30 |
$65 |
6.4× |
| Partial thromboplastin time (PTT) (85730) |
$28.14 |
$67 |
4.7× |
| Psychotherapy, 30 minutes (90832) |
$56.28 |
$134 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$74.34 |
$177 |
0.4× |
| Psychotherapy, 60 minutes (90837) |
$109.62 |
$261 |
0.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$80.64 |
$192 |
0.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$84 |
$200 |
0.5× |
| Group psychotherapy (90853) |
$19.74 |
$47 |
0.2× |
| Electrocardiogram (ECG), complete (93000) |
$25.20 |
$60 |
0.5× |
| Sleep study (attended polysomnography) (95810) |
$513.03 |
$1,221.50 |
0.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$50.82 |
$121 |
1.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$82.74 |
$197 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$119.70 |
$285 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$160.86 |
$383 |
1.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$91.14 |
$217 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$105.42 |
$251 |
— |