| Breast lesion removal (open) (19120) |
$1,315 |
$3,287 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$475.50 |
$1,189 |
0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$486.50 |
$1,217 |
0.5× |
| Diagnostic colonoscopy (45378) |
$521 |
$1,302.50 |
0.6× |
| Colonoscopy with biopsy (45380) |
$567.50 |
$1,418 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$550 |
$1,375 |
0.5× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$2,781 |
$6,953 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$1,627 |
$4,068 |
0.5× |
| Obstetric care, vaginal delivery (global) (59400) |
$1,300 |
$3,250 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$2,873 |
$7,183 |
— |
| CT head/brain without contrast (70450) |
$272 |
$680 |
2.6× |
| MRI brain without contrast (70551) |
$398 |
$995 |
1.7× |
| MRI brain with contrast (70552) |
$473 |
$1,182.50 |
1.3× |
| MRI brain without and with contrast (70553) |
$732 |
$1,830 |
2.1× |
| X-ray lower spine, 4+ views (72110) |
$94 |
$235 |
0.9× |
| MRI lumbar spine without contrast (72148) |
$437 |
$1,092.50 |
1.8× |
| CT pelvis with contrast (72193) |
$565 |
$1,412.50 |
3.2× |
| MRI lower-extremity joint without contrast (73721) |
$418 |
$1,045 |
1.7× |
| CT abdomen and pelvis with contrast (74177) |
$120 |
$300 |
0.3× |
| Ultrasound, abdomen complete (76700) |
$146 |
$365 |
1.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$114 |
$285 |
1.1× |
| Ultrasound, transvaginal (76830) |
$120 |
$299.50 |
1.1× |
| Basic metabolic panel (80048) |
$27 |
$67 |
3.2× |
| Comprehensive metabolic panel (80053) |
$56 |
$140.50 |
5.3× |
| Obstetric panel (80055) |
$87.50 |
$218.50 |
1.8× |
| Lipid panel (80061) |
$34.50 |
$86 |
2.6× |
| Renal function panel (80069) |
$43 |
$106.50 |
5.0× |
| Hepatic function panel (80076) |
$36 |
$90 |
4.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$6 |
$15 |
1.7× |
| PSA, total (84153) |
$32 |
$80 |
1.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$36 |
$90 |
2.1× |
| CBC with automated differential (85025) |
$23.50 |
$58.50 |
3.0× |
| Prothrombin time (PT) (85610) |
$13 |
$32 |
3.0× |
| Partial thromboplastin time (PTT) (85730) |
$19.50 |
$49 |
3.2× |
| Electrocardiogram (ECG), complete (93000) |
$35 |
$87 |
0.6× |
| Sleep study (attended polysomnography) (95810) |
$1,845 |
$4,612.50 |
2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$41 |
$103 |
1.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$68 |
$169 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$71 |
$178 |
0.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$132 |
$331 |
1.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$34 |
$84 |
0.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$100 |
$250 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$100 |
$250 |
— |