| Breast lesion removal (open) (19120) |
$6,941.60 |
$17,354 |
1.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,120.80 |
$2,802 |
1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$704.80 |
$1,762 |
0.8× |
| Diagnostic colonoscopy (45378) |
$2,199 |
$5,497.50 |
2.3× |
| Colonoscopy with biopsy (45380) |
$1,290.80 |
$3,227 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,031.50 |
$2,578.75 |
0.8× |
| Laparoscopic gallbladder removal (47562) |
$5,932.80 |
$14,832 |
1.0× |
| Inguinal hernia repair (age 5+) (49505) |
$6,185 |
$15,462.50 |
1.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$592.80 |
$1,482 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$906 |
$2,265 |
1.0× |
| Cataract removal with lens insertion (66984) |
$2,640.80 |
$6,602 |
1.1× |
| CT head/brain without contrast (70450) |
$902.80 |
$2,257 |
8.5× |
| MRI brain without contrast (70551) |
$1,572.40 |
$3,931 |
6.5× |
| MRI brain with contrast (70552) |
$1,731.20 |
$4,328 |
4.9× |
| MRI brain without and with contrast (70553) |
$2,729.60 |
$6,824 |
7.7× |
| X-ray lower spine, 4+ views (72110) |
$263.60 |
$659 |
2.5× |
| MRI lumbar spine without contrast (72148) |
$1,648.80 |
$4,122 |
6.8× |
| CT pelvis with contrast (72193) |
$1,598.40 |
$3,996 |
9.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,082 |
$5,205 |
8.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,079.40 |
$5,198.50 |
5.9× |
| Ultrasound, abdomen complete (76700) |
$798.40 |
$1,996 |
7.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$400.80 |
$1,002 |
3.8× |
| Ultrasound, transvaginal (76830) |
$510.80 |
$1,277 |
4.8× |
| Mammography, one breast (diagnostic) (77065) |
$228.40 |
$571 |
2.7× |
| Mammography, both breasts (diagnostic) (77066) |
$294.60 |
$736.50 |
2.7× |
| Mammography, screening (bilateral) (77067) |
$196.20 |
$490.50 |
2.2× |
| Basic metabolic panel (80048) |
$35.60 |
$89 |
4.2× |
| Comprehensive metabolic panel (80053) |
$107.60 |
$269 |
10.2× |
| Obstetric panel (80055) |
$174 |
$435 |
3.6× |
| Lipid panel (80061) |
$35.60 |
$89 |
2.7× |
| Renal function panel (80069) |
$50.80 |
$127 |
5.9× |
| Hepatic function panel (80076) |
$75.60 |
$189 |
9.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$12 |
$30 |
3.4× |
| PSA, total (84153) |
$60.80 |
$152 |
3.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$64.80 |
$162 |
3.9× |
| CBC with automated differential (85025) |
$24.80 |
$62 |
3.2× |
| CBC, automated (85027) |
$17.20 |
$43 |
2.7× |
| Prothrombin time (PT) (85610) |
$38 |
$95 |
8.9× |
| Partial thromboplastin time (PTT) (85730) |
$42 |
$105 |
7.0× |
| Left heart catheterization (93452) |
$4,738 |
$11,845 |
1.4× |
| Sleep study (attended polysomnography) (95810) |
$574 |
$1,435 |
0.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$58.40 |
$146 |
2.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$59.20 |
$148 |
0.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$94.60 |
$236.50 |
0.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$103.60 |
$259 |
0.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$48 |
$120 |
0.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$60 |
$150 |
0.4× |