| Breast lesion removal (open) (19120) |
$293.67 |
$1,170 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$296.68 |
$1,182 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$384.78 |
$1,533 |
0.5× |
| Diagnostic colonoscopy (45378) |
$419.68 |
$1,672 |
0.5× |
| Colonoscopy with biopsy (45380) |
$378.38 |
$1,507.50 |
0.3× |
| Colonoscopy with lesion removal (45385) |
$411.64 |
$1,640 |
0.4× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$1,692.50 |
$6,743 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,111.80 |
$4,429.50 |
0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$483.18 |
$1,925 |
0.6× |
| CT head/brain without contrast (70450) |
$567.26 |
$2,260 |
6.0× |
| MRI brain without contrast (70551) |
$678.45 |
$2,703 |
3.1× |
| MRI brain with contrast (70552) |
$802.45 |
$3,197 |
2.5× |
| MRI brain without and with contrast (70553) |
$1,009.02 |
$4,020 |
3.2× |
| X-ray lower spine, 4+ views (72110) |
$118.22 |
$471 |
1.2× |
| MRI lumbar spine without contrast (72148) |
$678.45 |
$2,703 |
3.1× |
| CT pelvis with contrast (72193) |
$798.68 |
$3,182 |
5.0× |
| MRI lower-extremity joint without contrast (73721) |
$768.81 |
$3,063 |
3.6× |
| CT abdomen and pelvis with contrast (74177) |
$881.26 |
$3,511 |
2.8× |
| Ultrasound, abdomen complete (76700) |
$226.65 |
$903 |
2.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$279.87 |
$1,115 |
3.0× |
| Ultrasound, transvaginal (76830) |
$224.90 |
$896 |
2.4× |
| Mammography, one breast (diagnostic) (77065) |
$98.39 |
$392 |
1.1× |
| Mammography, both breasts (diagnostic) (77066) |
$126.76 |
$505 |
1.1× |
| Mammography, screening (bilateral) (77067) |
$79.69 |
$317.50 |
0.9× |
| Basic metabolic panel (80048) |
$83.08 |
$331 |
9.8× |
| Comprehensive metabolic panel (80053) |
$96.89 |
$386 |
9.2× |
| Lipid panel (80061) |
$83.08 |
$331 |
6.2× |
| Renal function panel (80069) |
$96.89 |
$386 |
11.2× |
| Hepatic function panel (80076) |
$69.28 |
$276 |
8.5× |
| PSA, total (84153) |
$55.22 |
$220 |
3.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$72.29 |
$288 |
4.3× |
| CBC with automated differential (85025) |
$40.41 |
$161 |
5.2× |
| CBC, automated (85027) |
$40.41 |
$161 |
6.2× |
| Prothrombin time (PT) (85610) |
$55.22 |
$220 |
12.9× |
| Partial thromboplastin time (PTT) (85730) |
$45.18 |
$180 |
7.5× |
| Electrocardiogram (ECG), complete (93000) |
$8.53 |
$34 |
0.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$44.18 |
$176 |
1.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$45.31 |
$180.50 |
0.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$75.80 |
$302 |
0.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$103.16 |
$411 |
0.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$88.10 |
$351 |
0.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$117.47 |
$468 |
1.0× |