| Breast lesion removal (open) (19120) |
$511.20 |
$852 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$208.80 |
$348 |
0.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$279 |
$465 |
0.3× |
| Diagnostic colonoscopy (45378) |
$309.60 |
$516 |
0.4× |
| Colonoscopy with biopsy (45380) |
$373.32 |
$622.20 |
0.3× |
| Colonoscopy with lesion removal (45385) |
$443.40 |
$739 |
0.4× |
| CT head/brain without contrast (70450) |
$1,818 |
$3,030 |
19.2× |
| MRI brain without contrast (70551) |
$2,679.60 |
$4,466 |
12.4× |
| MRI brain with contrast (70552) |
$4,167 |
$6,945 |
13.2× |
| MRI brain without and with contrast (70553) |
$4,827.60 |
$8,046 |
15.3× |
| X-ray lower spine, 4+ views (72110) |
$246.90 |
$411.50 |
2.6× |
| MRI lumbar spine without contrast (72148) |
$1,818 |
$3,030 |
8.4× |
| CT pelvis with contrast (72193) |
$2,302.80 |
$3,838 |
14.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,524.60 |
$2,541 |
7.0× |
| CT abdomen and pelvis with contrast (74177) |
$3,471 |
$5,785 |
11.0× |
| Ultrasound, abdomen complete (76700) |
$828.60 |
$1,381 |
8.7× |
| Basic metabolic panel (80048) |
$118.20 |
$197 |
14.0× |
| Comprehensive metabolic panel (80053) |
$214.80 |
$358 |
20.3× |
| Lipid panel (80061) |
$61.20 |
$102 |
4.6× |
| Renal function panel (80069) |
$187.20 |
$312 |
21.6× |
| Hepatic function panel (80076) |
$148.80 |
$248 |
18.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$31.80 |
$53 |
7.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$34.80 |
$58 |
10.0× |
| PSA, total (84153) |
$151.80 |
$253 |
8.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$222.60 |
$371 |
13.2× |
| CBC with automated differential (85025) |
$78.60 |
$131 |
10.1× |
| CBC, automated (85027) |
$39.90 |
$66.50 |
6.2× |
| Prothrombin time (PT) (85610) |
$34.20 |
$57 |
8.0× |
| Partial thromboplastin time (PTT) (85730) |
$58.20 |
$97 |
9.7× |
| Psychotherapy, 30 minutes (90832) |
$15 |
$25 |
0.1× |
| Psychotherapy, 45 minutes (90834) |
$15 |
$25 |
0.1× |
| Psychotherapy, 60 minutes (90837) |
$15 |
$25 |
0.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$69.30 |
$115.50 |
0.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$71.40 |
$119 |
0.4× |
| Electrocardiogram (ECG), complete (93000) |
$24 |
$40 |
0.4× |
| Sleep study (attended polysomnography) (95810) |
$262.20 |
$437 |
0.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$103.80 |
$173 |
3.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$127.80 |
$213 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$213 |
$355 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$277.80 |
$463 |
2.3× |
| Office consultation (low complexity, ~30 min) (99243) |
$150.60 |
$251 |
1.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$219.60 |
$366 |
1.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$15 |
$25 |
— |