| Breast lesion removal (open) (19120) |
$2,907 |
$5,814 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$516 |
$1,032 |
0.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,738 |
$3,476 |
2.2× |
| Diagnostic colonoscopy (45378) |
$2,315.70 |
$4,631.40 |
2.8× |
| Colonoscopy with biopsy (45380) |
$1,981.35 |
$3,962.70 |
1.9× |
| Colonoscopy with lesion removal (45385) |
$1,507.50 |
$3,015 |
1.4× |
| Laparoscopic gallbladder removal (47562) |
$6,782.25 |
$13,564.50 |
1.3× |
| Inguinal hernia repair (age 5+) (49505) |
$678 |
$1,356 |
0.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$883 |
$1,766 |
1.1× |
| CT head/brain without contrast (70450) |
$119.07 |
$238.14 |
1.3× |
| MRI brain without contrast (70551) |
$584.50 |
$1,169 |
2.8× |
| MRI brain with contrast (70552) |
$179 |
$358 |
0.6× |
| MRI brain without and with contrast (70553) |
$567.50 |
$1,135 |
1.9× |
| X-ray lower spine, 4+ views (72110) |
$607.25 |
$1,214.50 |
6.6× |
| MRI lumbar spine without contrast (72148) |
$745.02 |
$1,490.05 |
3.6× |
| CT pelvis with contrast (72193) |
$338.25 |
$676.50 |
2.2× |
| MRI lower-extremity joint without contrast (73721) |
$567.50 |
$1,135 |
2.7× |
| CT abdomen and pelvis with contrast (74177) |
$403.20 |
$806.40 |
1.3× |
| Ultrasound, abdomen complete (76700) |
$120 |
$240 |
1.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$128.87 |
$257.74 |
1.4× |
| Ultrasound, transvaginal (76830) |
$324 |
$648 |
3.5× |
| Mammography, one breast (diagnostic) (77065) |
$398.25 |
$796.50 |
4.6× |
| Mammography, both breasts (diagnostic) (77066) |
$530.94 |
$1,061.88 |
4.8× |
| Mammography, screening (bilateral) (77067) |
$446.84 |
$893.67 |
4.9× |
| Basic metabolic panel (80048) |
$4.25 |
$8.50 |
0.5× |
| Comprehensive metabolic panel (80053) |
$11.50 |
$23 |
1.1× |
| Lipid panel (80061) |
$9.75 |
$19.50 |
0.7× |
| Renal function panel (80069) |
$13 |
$26 |
1.5× |
| Hepatic function panel (80076) |
$6 |
$12 |
0.7× |
| PSA, total (84153) |
$13.50 |
$27 |
0.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$12.50 |
$25 |
0.7× |
| CBC with automated differential (85025) |
$8.50 |
$17 |
1.1× |
| CBC, automated (85027) |
$4 |
$8 |
0.6× |
| Prothrombin time (PT) (85610) |
$3 |
$6 |
0.7× |
| Partial thromboplastin time (PTT) (85730) |
$4.25 |
$8.50 |
0.7× |
| Sleep study (attended polysomnography) (95810) |
$2,133.25 |
$4,266.50 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$136.90 |
$273.81 |
4.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$40 |
$80 |
0.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$64 |
$128 |
0.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$83.50 |
$167 |
0.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$52 |
$104 |
0.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$76.25 |
$152.50 |
0.7× |