| Breast lesion removal (open) (19120) |
$1,506.90 |
$2,511.50 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$950.10 |
$1,583.50 |
1.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$963.75 |
$1,606.25 |
1.1× |
| Diagnostic colonoscopy (45378) |
$1,118.85 |
$1,864.75 |
1.3× |
| Colonoscopy with biopsy (45380) |
$1,196.40 |
$1,994 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,196.55 |
$1,994.25 |
1.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$68.85 |
$114.75 |
0.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$94.65 |
$157.75 |
0.1× |
| CT head/brain without contrast (70450) |
$873.75 |
$1,456.25 |
8.9× |
| MRI brain without contrast (70551) |
$1,418.25 |
$2,363.75 |
6.3× |
| MRI brain with contrast (70552) |
$2,315.70 |
$3,859.50 |
7.1× |
| MRI brain without and with contrast (70553) |
$2,558.25 |
$4,263.75 |
7.8× |
| X-ray lower spine, 4+ views (72110) |
$111.45 |
$185.75 |
1.1× |
| MRI lumbar spine without contrast (72148) |
$1,418.25 |
$2,363.75 |
6.3× |
| CT pelvis with contrast (72193) |
$763.35 |
$1,272.25 |
4.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,418.25 |
$2,363.75 |
6.3× |
| CT abdomen and pelvis with contrast (74177) |
$1,781.10 |
$2,968.50 |
5.4× |
| Ultrasound, abdomen complete (76700) |
$602.10 |
$1,003.50 |
6.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$289.20 |
$482 |
2.9× |
| Ultrasound, transvaginal (76830) |
$438.75 |
$731.25 |
4.5× |
| Mammography, one breast (diagnostic) (77065) |
$252.45 |
$420.75 |
2.9× |
| Mammography, both breasts (diagnostic) (77066) |
$258.90 |
$431.50 |
2.3× |
| Mammography, screening (bilateral) (77067) |
$258.90 |
$431.50 |
2.8× |
| Basic metabolic panel (80048) |
$106.20 |
$177 |
12.6× |
| Comprehensive metabolic panel (80053) |
$114.30 |
$190.50 |
10.8× |
| Lipid panel (80061) |
$126.75 |
$211.25 |
9.5× |
| Renal function panel (80069) |
$85.65 |
$142.75 |
9.9× |
| Hepatic function panel (80076) |
$87.90 |
$146.50 |
10.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$16.95 |
$28.25 |
4.9× |
| PSA, total (84153) |
$78.90 |
$131.50 |
4.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$98.70 |
$164.50 |
5.9× |
| CBC with automated differential (85025) |
$57.30 |
$95.50 |
7.4× |
| CBC, automated (85027) |
$53.85 |
$89.75 |
8.3× |
| Prothrombin time (PT) (85610) |
$31.20 |
$52 |
7.3× |
| Partial thromboplastin time (PTT) (85730) |
$71.70 |
$119.50 |
11.9× |
| Psychotherapy, 30 minutes (90832) |
$106.42 |
$177.38 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$230.10 |
$383.50 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$247.20 |
$412 |
1.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$216.90 |
$361.50 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$253.65 |
$422.75 |
1.5× |
| Group psychotherapy (90853) |
$252.90 |
$421.50 |
2.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$54.90 |
$91.50 |
1.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$104.55 |
$174.25 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$127.20 |
$212 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$168.90 |
$281.50 |
1.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$75.75 |
$126.25 |
0.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$115.72 |
$192.88 |
0.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$153.30 |
$255.50 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$171.75 |
$286.25 |
— |