| Breast lesion removal (open) (19120) |
$3,061.07 |
$3,401.19 |
0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,565.80 |
$3,962 |
3.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,732.88 |
$4,147.64 |
3.5× |
| Diagnostic colonoscopy (45378) |
$3,691.32 |
$4,101.47 |
3.4× |
| Colonoscopy with biopsy (45380) |
$3,724.69 |
$4,138.54 |
2.7× |
| Colonoscopy with lesion removal (45385) |
$3,699.20 |
$4,110.22 |
2.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$3,893.85 |
$4,326.50 |
2.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$349.60 |
$388.44 |
0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,987.60 |
$4,430.66 |
3.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,797.05 |
$1,996.72 |
2.8× |
| CT head/brain without contrast (70450) |
$1,733.54 |
$1,926.16 |
14.3× |
| MRI brain without contrast (70551) |
$2,996.96 |
$3,329.96 |
10.8× |
| MRI brain with contrast (70552) |
$3,374.17 |
$3,749.08 |
8.3× |
| MRI brain without and with contrast (70553) |
$4,129.71 |
$4,588.56 |
10.2× |
| X-ray lower spine, 4+ views (72110) |
$633.08 |
$703.42 |
5.2× |
| MRI lumbar spine without contrast (72148) |
$3,057.40 |
$3,397.11 |
11.0× |
| CT pelvis with contrast (72193) |
$2,608.90 |
$2,898.77 |
12.8× |
| MRI lower-extremity joint without contrast (73721) |
$3,210.46 |
$3,567.18 |
11.6× |
| CT abdomen and pelvis with contrast (74177) |
$4,438.18 |
$4,931.32 |
11.0× |
| Ultrasound, abdomen complete (76700) |
$990.60 |
$1,100.68 |
8.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$813.20 |
$903.56 |
6.7× |
| Ultrasound, transvaginal (76830) |
$552.24 |
$613.60 |
4.5× |
| Mammography, one breast (diagnostic) (77065) |
$545.14 |
$605.72 |
6.3× |
| Mammography, both breasts (diagnostic) (77066) |
$645.10 |
$716.77 |
5.8× |
| Mammography, screening (bilateral) (77067) |
$494.53 |
$549.48 |
5.4× |
| Basic metabolic panel (80048) |
$131.75 |
$146.39 |
15.6× |
| Comprehensive metabolic panel (80053) |
$191.65 |
$212.94 |
18.1× |
| Lipid panel (80061) |
$158.45 |
$176.06 |
11.8× |
| Renal function panel (80069) |
$130.64 |
$145.15 |
15.1× |
| Hepatic function panel (80076) |
$99.30 |
$110.34 |
12.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$12.64 |
$14.04 |
3.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$31.82 |
$35.36 |
9.1× |
| PSA, total (84153) |
$158.45 |
$176.06 |
8.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$146.42 |
$162.69 |
8.7× |
| CBC with automated differential (85025) |
$83.49 |
$92.77 |
10.7× |
| CBC, automated (85027) |
$86.36 |
$95.96 |
13.3× |
| Prothrombin time (PT) (85610) |
$64.38 |
$71.52 |
15.0× |
| Partial thromboplastin time (PTT) (85730) |
$71.15 |
$79.06 |
11.8× |
| Psychotherapy, 30 minutes (90832) |
$237.61 |
$264.01 |
1.2× |
| Psychotherapy, 45 minutes (90834) |
$307.08 |
$341.20 |
1.5× |
| Psychotherapy, 60 minutes (90837) |
$387 |
$430 |
1.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$401.10 |
$445.67 |
1.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$337.33 |
$374.82 |
1.6× |
| Group psychotherapy (90853) |
$234 |
$260 |
2.0× |
| Left heart catheterization (93452) |
$8,980.27 |
$9,978.08 |
2.4× |
| Sleep study (attended polysomnography) (95810) |
$5,864.43 |
$6,516.03 |
5.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$143.36 |
$159.29 |
4.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$288.56 |
$320.62 |
1.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$534.82 |
$594.25 |
3.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$575.55 |
$639.50 |
3.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$201.24 |
$223.60 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$233.96 |
$259.95 |
— |