| Breast lesion removal (open) (19120) |
$6,102.92 |
$8,137.22 |
1.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,494.24 |
$1,992.32 |
1.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,494.24 |
$1,992.32 |
1.8× |
| Diagnostic colonoscopy (45378) |
$1,093.12 |
$1,457.50 |
1.3× |
| Colonoscopy with biopsy (45380) |
$1,879.16 |
$2,505.55 |
1.7× |
| Colonoscopy with lesion removal (45385) |
$1,879.16 |
$2,505.55 |
1.7× |
| Laparoscopic gallbladder removal (47562) |
$9,298.52 |
$12,398.02 |
1.7× |
| Inguinal hernia repair (age 5+) (49505) |
$5,624.45 |
$7,499.26 |
1.7× |
| Obstetric care, vaginal delivery (global) (59400) |
$1,827 |
$2,436 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$1,711.88 |
$2,282.50 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$1,275 |
$1,700 |
— |
| CT head/brain without contrast (70450) |
$1,162.50 |
$1,550 |
12.1× |
| MRI brain without contrast (70551) |
$1,743.75 |
$2,325 |
7.9× |
| MRI brain with contrast (70552) |
$1,818.75 |
$2,425 |
5.7× |
| MRI brain without and with contrast (70553) |
$2,613.75 |
$3,485 |
8.1× |
| X-ray lower spine, 4+ views (72110) |
$316.33 |
$421.77 |
3.3× |
| MRI lumbar spine without contrast (72148) |
$1,743.75 |
$2,325 |
7.9× |
| CT pelvis with contrast (72193) |
$1,471.50 |
$1,962 |
9.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,743.75 |
$2,325 |
7.9× |
| CT abdomen and pelvis with contrast (74177) |
$1,237.50 |
$1,650 |
3.9× |
| Ultrasound, abdomen complete (76700) |
$326.25 |
$435 |
3.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$247.87 |
$330.49 |
2.6× |
| Ultrasound, transvaginal (76830) |
$261 |
$348 |
2.7× |
| Mammography, one breast (diagnostic) (77065) |
$166.50 |
$222 |
1.9× |
| Mammography, both breasts (diagnostic) (77066) |
$166.50 |
$222 |
1.5× |
| Mammography, screening (bilateral) (77067) |
$205.28 |
$273.70 |
2.3× |
| Basic metabolic panel (80048) |
$63 |
$84 |
7.4× |
| Comprehensive metabolic panel (80053) |
$88.20 |
$117.60 |
8.4× |
| Lipid panel (80061) |
$58.26 |
$77.67 |
4.4× |
| Renal function panel (80069) |
$64.58 |
$86.10 |
7.4× |
| Hepatic function panel (80076) |
$66.94 |
$89.25 |
8.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$20.39 |
$27.18 |
5.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$13.97 |
$18.63 |
4.0× |
| PSA, total (84153) |
$91.64 |
$122.18 |
5.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$59.30 |
$79.06 |
3.5× |
| CBC with automated differential (85025) |
$37.01 |
$49.35 |
4.8× |
| CBC, automated (85027) |
$53.55 |
$71.40 |
8.3× |
| Prothrombin time (PT) (85610) |
$41.52 |
$55.35 |
9.7× |
| Partial thromboplastin time (PTT) (85730) |
$30.38 |
$40.51 |
5.1× |
| Electrocardiogram (ECG), complete (93000) |
$42.75 |
$57 |
0.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$93.75 |
$125 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$72 |
$96 |
0.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$105 |
$140 |
0.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$135 |
$180 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$191.25 |
$255 |
1.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$138.75 |
$185 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$142.50 |
$190 |
— |