| Breast lesion removal (open) (19120) |
$2,270.62 |
$6,487.48 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$565.48 |
$1,615.64 |
0.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$565.48 |
$1,615.64 |
0.6× |
| Diagnostic colonoscopy (45378) |
$622.39 |
$1,778.23 |
0.6× |
| Colonoscopy with biopsy (45380) |
$796.67 |
$2,276.20 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$881.51 |
$2,518.60 |
0.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$683.10 |
$1,951.69 |
0.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$678.98 |
$1,939.93 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$631.70 |
$1,804.83 |
0.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$415.13 |
$1,186.08 |
0.7× |
| CT head/brain without contrast (70450) |
$1,077.01 |
$3,077.15 |
9.8× |
| MRI brain without contrast (70551) |
$1,487.61 |
$4,250.29 |
5.9× |
| MRI brain with contrast (70552) |
$956.66 |
$2,733.31 |
2.6× |
| MRI brain without and with contrast (70553) |
$1,863.11 |
$5,323.16 |
5.1× |
| X-ray lower spine, 4+ views (72110) |
$196.23 |
$560.65 |
1.8× |
| MRI lumbar spine without contrast (72148) |
$1,466.10 |
$4,188.84 |
5.8× |
| CT pelvis with contrast (72193) |
$784.56 |
$2,241.60 |
4.2× |
| MRI lower-extremity joint without contrast (73721) |
$1,286.13 |
$3,674.64 |
5.1× |
| CT abdomen and pelvis with contrast (74177) |
$2,424.26 |
$6,926.43 |
6.6× |
| Ultrasound, abdomen complete (76700) |
$279.53 |
$798.63 |
2.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$198.20 |
$566.27 |
1.8× |
| Ultrasound, transvaginal (76830) |
$196.25 |
$560.69 |
1.8× |
| Mammography, one breast (diagnostic) (77065) |
$56.55 |
$161.57 |
0.7× |
| Mammography, both breasts (diagnostic) (77066) |
$71.47 |
$204.19 |
0.6× |
| Mammography, screening (bilateral) (77067) |
$57.60 |
$164.56 |
0.6× |
| Basic metabolic panel (80048) |
$54.68 |
$156.21 |
6.5× |
| Comprehensive metabolic panel (80053) |
$64.25 |
$183.57 |
6.1× |
| Obstetric panel (80055) |
$45.01 |
$128.58 |
0.9× |
| Lipid panel (80061) |
$31.12 |
$88.92 |
2.3× |
| Renal function panel (80069) |
$45.01 |
$128.58 |
5.2× |
| Hepatic function panel (80076) |
$30.90 |
$88.26 |
3.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$8.42 |
$24.04 |
2.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$9.84 |
$28.10 |
2.8× |
| PSA, total (84153) |
$36.81 |
$105.15 |
2.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$29.15 |
$83.28 |
1.7× |
| CBC with automated differential (85025) |
$26.61 |
$76.01 |
3.4× |
| CBC, automated (85027) |
$24.19 |
$69.09 |
3.7× |
| Prothrombin time (PT) (85610) |
$20.09 |
$57.38 |
4.7× |
| Partial thromboplastin time (PTT) (85730) |
$22.08 |
$63.06 |
3.7× |
| Psychotherapy, 30 minutes (90832) |
$193.51 |
$552.87 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$203.19 |
$580.53 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$212.86 |
$608.17 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$110.95 |
$316.99 |
0.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$123.77 |
$353.62 |
0.7× |
| Group psychotherapy (90853) |
$193.51 |
$552.87 |
1.8× |
| Left heart catheterization (93452) |
$2,324.50 |
$6,641.42 |
0.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$40.57 |
$115.90 |
1.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$82.21 |
$234.86 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$108.92 |
$311.19 |
0.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$149.03 |
$425.78 |
1.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$54.56 |
$155.86 |
0.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$87.32 |
$249.48 |
0.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$89.20 |
$254.83 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$109.26 |
$312.16 |
— |