| Breast lesion removal (open) (19120) |
$965.55 |
$1,609.25 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$598.35 |
$997.25 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$692.70 |
$1,154.50 |
0.8× |
| Diagnostic colonoscopy (45378) |
$817.95 |
$1,363.25 |
0.9× |
| Colonoscopy with biopsy (45380) |
$857.40 |
$1,429 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$1,159.20 |
$1,932 |
1.0× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$2,486.70 |
$4,144.50 |
0.4× |
| Inguinal hernia repair (age 5+) (49505) |
$1,407.90 |
$2,346.50 |
0.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$220.95 |
$368.25 |
0.2× |
| CT head/brain without contrast (70450) |
$754.50 |
$1,257.50 |
7.2× |
| MRI brain without contrast (70551) |
$1,273.80 |
$2,123 |
5.3× |
| MRI brain with contrast (70552) |
$1,760.10 |
$2,933.50 |
5.0× |
| MRI brain without and with contrast (70553) |
$2,080.20 |
$3,467 |
6.0× |
| X-ray lower spine, 4+ views (72110) |
$347.40 |
$579 |
3.3× |
| MRI lumbar spine without contrast (72148) |
$1,239.60 |
$2,066 |
5.2× |
| CT pelvis with contrast (72193) |
$998.10 |
$1,663.50 |
5.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,305.90 |
$2,176.50 |
5.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,547 |
$4,245 |
7.3× |
| Ultrasound, abdomen complete (76700) |
$598.80 |
$998 |
5.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$608.10 |
$1,013.50 |
5.8× |
| Ultrasound, transvaginal (76830) |
$595.80 |
$993 |
5.7× |
| Mammography, both breasts (diagnostic) (77066) |
$387.60 |
$646 |
3.5× |
| Basic metabolic panel (80048) |
$78.60 |
$131 |
9.3× |
| Comprehensive metabolic panel (80053) |
$114.90 |
$191.50 |
10.9× |
| Obstetric panel (80055) |
$9.90 |
$16.50 |
0.2× |
| Lipid panel (80061) |
$96.90 |
$161.50 |
7.2× |
| Renal function panel (80069) |
$89.10 |
$148.50 |
10.3× |
| Hepatic function panel (80076) |
$69.30 |
$115.50 |
8.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$14.55 |
$24.25 |
4.2× |
| PSA, total (84153) |
$61.20 |
$102 |
3.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$118.80 |
$198 |
7.1× |
| CBC with automated differential (85025) |
$66 |
$110 |
8.5× |
| CBC, automated (85027) |
$66 |
$110 |
10.2× |
| Prothrombin time (PT) (85610) |
$36.60 |
$61 |
8.5× |
| Partial thromboplastin time (PTT) (85730) |
$42.60 |
$71 |
7.1× |
| Psychotherapy, 30 minutes (90832) |
$102 |
$170 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$115.20 |
$192 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$204.30 |
$340.50 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$147.75 |
$246.25 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$152.85 |
$254.75 |
0.9× |
| Electrocardiogram (ECG), complete (93000) |
$75.60 |
$126 |
1.3× |
| Sleep study (attended polysomnography) (95810) |
$2,211.90 |
$3,686.50 |
2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$73.50 |
$122.50 |
2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$125.10 |
$208.50 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$208.20 |
$347 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$265.50 |
$442.50 |
2.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$199.20 |
$332 |
1.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$263.40 |
$439 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$202.65 |
$337.75 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$220.95 |
$368.25 |
— |