| Breast lesion removal (open) (19120) |
$763.20 |
$954 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,545.60 |
$1,932 |
1.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$912 |
$1,140 |
1.1× |
| Diagnostic colonoscopy (45378) |
$1,360 |
$1,700 |
1.6× |
| Colonoscopy with biopsy (45380) |
$1,516 |
$1,895 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$1,520 |
$1,900 |
1.4× |
| Laparoscopic gallbladder removal (47562) |
$6,800 |
$8,500 |
1.2× |
| Inguinal hernia repair (age 5+) (49505) |
$5,706.40 |
$7,133 |
1.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,488 |
$3,110 |
3.1× |
| CT head/brain without contrast (70450) |
$691.20 |
$864 |
7.2× |
| MRI brain without contrast (70551) |
$760 |
$950 |
3.5× |
| MRI brain with contrast (70552) |
$760 |
$950 |
2.4× |
| MRI brain without and with contrast (70553) |
$760 |
$950 |
2.4× |
| X-ray lower spine, 4+ views (72110) |
$389.60 |
$487 |
4.1× |
| MRI lumbar spine without contrast (72148) |
$760 |
$950 |
3.5× |
| CT pelvis with contrast (72193) |
$691.20 |
$864 |
4.3× |
| MRI lower-extremity joint without contrast (73721) |
$760 |
$950 |
3.5× |
| CT abdomen and pelvis with contrast (74177) |
$711.20 |
$889 |
2.2× |
| Ultrasound, abdomen complete (76700) |
$296 |
$370 |
3.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$208 |
$260 |
2.2× |
| Ultrasound, transvaginal (76830) |
$228.80 |
$286 |
2.4× |
| Basic metabolic panel (80048) |
$70.40 |
$88 |
8.3× |
| Comprehensive metabolic panel (80053) |
$128 |
$160 |
12.1× |
| Lipid panel (80061) |
$68 |
$85 |
5.1× |
| Renal function panel (80069) |
$75.20 |
$94 |
8.7× |
| Hepatic function panel (80076) |
$61.60 |
$77 |
7.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$17.60 |
$22 |
5.1× |
| PSA, total (84153) |
$128 |
$160 |
7.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$108 |
$135 |
6.4× |
| CBC with automated differential (85025) |
$40 |
$50 |
5.1× |
| CBC, automated (85027) |
$80 |
$100 |
12.4× |
| Prothrombin time (PT) (85610) |
$28.80 |
$36 |
6.7× |
| Partial thromboplastin time (PTT) (85730) |
$35.20 |
$44 |
5.9× |
| Psychotherapy, 30 minutes (90832) |
$208 |
$260 |
1.3× |
| Psychotherapy, 45 minutes (90834) |
$200 |
$250 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$200 |
$250 |
1.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$200 |
$250 |
1.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$200 |
$250 |
1.2× |
| Group psychotherapy (90853) |
$240 |
$300 |
2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$86.40 |
$108 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$120 |
$150 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$156 |
$195 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$184 |
$230 |
1.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$118.40 |
$148 |
1.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$201.60 |
$252 |
1.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$140 |
$175 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$168 |
$210 |
— |