| Breast lesion removal (open) (19120) |
$3,340.71 |
$6,424.45 |
0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,311.63 |
$2,522.37 |
1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,311.63 |
$2,522.37 |
1.2× |
| Diagnostic colonoscopy (45378) |
$1,276.34 |
$2,454.50 |
1.1× |
| Colonoscopy with biopsy (45380) |
$1,673.52 |
$3,218.30 |
1.2× |
| Colonoscopy with lesion removal (45385) |
$1,673.52 |
$3,218.30 |
1.2× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,673.52 |
$3,218.30 |
1.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$969.76 |
$1,864.93 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,220.50 |
$2,347.12 |
1.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$898.13 |
$1,727.17 |
1.4× |
| CT head/brain without contrast (70450) |
$411.93 |
$792.17 |
3.3× |
| MRI brain without contrast (70551) |
$802.78 |
$1,543.81 |
2.8× |
| MRI brain with contrast (70552) |
$1,078.28 |
$2,073.61 |
2.6× |
| MRI brain without and with contrast (70553) |
$1,303.20 |
$2,506.16 |
3.1× |
| X-ray lower spine, 4+ views (72110) |
$215.45 |
$414.32 |
1.7× |
| MRI lumbar spine without contrast (72148) |
$802.78 |
$1,543.81 |
2.8× |
| CT pelvis with contrast (72193) |
$704.80 |
$1,355.39 |
3.4× |
| MRI lower-extremity joint without contrast (73721) |
$802.78 |
$1,543.81 |
2.8× |
| CT abdomen and pelvis with contrast (74177) |
$1,144.65 |
$2,201.25 |
2.7× |
| Ultrasound, abdomen complete (76700) |
$235.99 |
$453.82 |
1.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$235.99 |
$453.82 |
1.9× |
| Ultrasound, transvaginal (76830) |
$235.99 |
$453.82 |
1.9× |
| Mammography, one breast (diagnostic) (77065) |
$242.31 |
$465.98 |
2.8× |
| Mammography, both breasts (diagnostic) (77066) |
$302.89 |
$582.48 |
2.7× |
| Mammography, screening (bilateral) (77067) |
$252.84 |
$486.24 |
2.8× |
| Basic metabolic panel (80048) |
$26.40 |
$50.76 |
3.1× |
| Comprehensive metabolic panel (80053) |
$32.95 |
$63.36 |
3.1× |
| Obstetric panel (80055) |
$149.17 |
$286.86 |
3.1× |
| Lipid panel (80061) |
$41.78 |
$80.34 |
3.1× |
| Renal function panel (80069) |
$27.08 |
$52.08 |
3.1× |
| Hepatic function panel (80076) |
$25.52 |
$49.08 |
3.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$12.54 |
$24.12 |
3.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$10.86 |
$20.88 |
3.1× |
| PSA, total (84153) |
$97.76 |
$188 |
5.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$89.96 |
$173 |
5.4× |
| CBC with automated differential (85025) |
$24.24 |
$46.62 |
3.1× |
| CBC, automated (85027) |
$20.19 |
$38.82 |
3.1× |
| Prothrombin time (PT) (85610) |
$20.80 |
$40 |
4.8× |
| Partial thromboplastin time (PTT) (85730) |
$32.24 |
$62 |
5.4× |
| Psychotherapy, 30 minutes (90832) |
$123.13 |
$236.78 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$194.31 |
$373.68 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$228.68 |
$439.77 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$241.25 |
$463.95 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$164.94 |
$317.19 |
0.8× |
| Group psychotherapy (90853) |
$38.84 |
$74.70 |
0.3× |
| Electrocardiogram (ECG), complete (93000) |
$429.31 |
$825.60 |
6.1× |
| Left heart catheterization (93452) |
$4,762.97 |
$9,159.55 |
1.2× |
| Sleep study (attended polysomnography) (95810) |
$2,005.04 |
$3,855.85 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$170.14 |
$327.20 |
5.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$197.54 |
$379.88 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$308.68 |
$593.62 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$390.60 |
$751.14 |
2.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$90.60 |
$174.24 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$97.45 |
$187.41 |
— |