| Breast lesion removal (open) (19120) |
$786.80 |
$1,124 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$917.70 |
$1,311 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,062.60 |
$1,518 |
1.2× |
| Diagnostic colonoscopy (45378) |
$1,140.58 |
$1,629.40 |
1.2× |
| Colonoscopy with biopsy (45380) |
$1,001 |
$1,430 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$1,402.32 |
$2,003.31 |
1.2× |
| Laparoscopic gallbladder removal (47562) |
$7,287.98 |
$10,411.40 |
1.2× |
| Inguinal hernia repair (age 5+) (49505) |
$3,310.30 |
$4,729 |
0.9× |
| Obstetric care, vaginal delivery (global) (59400) |
$1,504.30 |
$2,149 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$761.60 |
$1,088 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$340.90 |
$487 |
0.4× |
| CT head/brain without contrast (70450) |
$1,102.50 |
$1,575 |
10.5× |
| MRI brain without contrast (70551) |
$1,353.80 |
$1,934 |
5.6× |
| MRI brain with contrast (70552) |
$1,866.90 |
$2,667 |
5.3× |
| MRI brain without and with contrast (70553) |
$810.60 |
$1,158 |
2.3× |
| X-ray lower spine, 4+ views (72110) |
$236.60 |
$338 |
2.3× |
| MRI lumbar spine without contrast (72148) |
$484.40 |
$692 |
2.0× |
| CT pelvis with contrast (72193) |
$423.50 |
$605 |
2.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,617 |
$2,310 |
4.6× |
| Ultrasound, abdomen complete (76700) |
$236.60 |
$338 |
2.3× |
| Ultrasound, transvaginal (76830) |
$236.60 |
$338 |
2.3× |
| Mammography, one breast (diagnostic) (77065) |
$268.80 |
$384 |
3.1× |
| Mammography, both breasts (diagnostic) (77066) |
$263.20 |
$376 |
2.4× |
| Mammography, screening (bilateral) (77067) |
$273.70 |
$391 |
3.0× |
| Basic metabolic panel (80048) |
$70 |
$100 |
8.3× |
| Comprehensive metabolic panel (80053) |
$131.60 |
$188 |
12.5× |
| Lipid panel (80061) |
$118.30 |
$169 |
8.8× |
| Renal function panel (80069) |
$25.20 |
$36 |
2.9× |
| Hepatic function panel (80076) |
$91.70 |
$131 |
11.2× |
| PSA, total (84153) |
$103.60 |
$148 |
5.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$94.50 |
$135 |
5.6× |
| Prothrombin time (PT) (85610) |
$37.10 |
$53 |
8.6× |
| Partial thromboplastin time (PTT) (85730) |
$39.20 |
$56 |
6.5× |
| Psychotherapy, 30 minutes (90832) |
$103.46 |
$147.80 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$211.40 |
$302 |
1.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$170.10 |
$243 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$176.40 |
$252 |
1.0× |
| Electrocardiogram (ECG), complete (93000) |
$96.60 |
$138 |
1.6× |
| Sleep study (attended polysomnography) (95810) |
$1,986.60 |
$2,838 |
2.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$98 |
$140 |
3.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$152.21 |
$217.44 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$256.72 |
$366.74 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$147.70 |
$211 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$158.90 |
$227 |
1.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$101.50 |
$145 |
— |