| Breast lesion removal (open) (19120) |
$1,690.34 |
$5,524 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,379.75 |
$4,509 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,205.33 |
$3,939 |
1.2× |
| Diagnostic colonoscopy (45378) |
$1,279.39 |
$4,181 |
1.3× |
| Colonoscopy with biopsy (45380) |
$1,322.23 |
$4,321 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,322.23 |
$4,321 |
1.0× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,322.23 |
$4,321 |
1.0× |
| Obstetric care, vaginal delivery (global) (59400) |
$2,705.65 |
$8,842 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,523.29 |
$14,782 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$3,376.40 |
$11,034 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$891.38 |
$2,913 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,075.59 |
$3,515 |
1.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$959.31 |
$3,135 |
1.6× |
| CT head/brain without contrast (70450) |
$867.51 |
$2,835 |
7.8× |
| MRI brain without contrast (70551) |
$1,720.33 |
$5,622 |
6.8× |
| MRI brain with contrast (70552) |
$1,894.75 |
$6,192 |
5.1× |
| MRI brain without and with contrast (70553) |
$2,294.69 |
$7,499 |
6.2× |
| X-ray lower spine, 4+ views (72110) |
$320.38 |
$1,047 |
2.9× |
| MRI lumbar spine without contrast (72148) |
$1,559.38 |
$5,096 |
6.1× |
| CT pelvis with contrast (72193) |
$1,112.62 |
$3,636 |
5.9× |
| MRI lower-extremity joint without contrast (73721) |
$1,585.39 |
$5,181 |
6.2× |
| CT abdomen and pelvis with contrast (74177) |
$1,964.83 |
$6,421 |
5.3× |
| Ultrasound, abdomen complete (76700) |
$504.59 |
$1,649 |
4.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$429.32 |
$1,403 |
3.8× |
| Ultrasound, transvaginal (76830) |
$253.06 |
$827 |
2.3× |
| Mammography, one breast (diagnostic) (77065) |
$261.32 |
$854 |
3.0× |
| Mammography, both breasts (diagnostic) (77066) |
$335.38 |
$1,096 |
3.0× |
| Mammography, screening (bilateral) (77067) |
$293.45 |
$959 |
3.2× |
| Basic metabolic panel (80048) |
$27.85 |
$91 |
3.3× |
| Comprehensive metabolic panel (80053) |
$49.27 |
$161 |
4.7× |
| Lipid panel (80061) |
$47.12 |
$154 |
3.5× |
| Renal function panel (80069) |
$34.88 |
$114 |
4.0× |
| Hepatic function panel (80076) |
$25.70 |
$84 |
3.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$18.36 |
$60 |
5.3× |
| PSA, total (84153) |
$38.86 |
$127 |
2.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$23.87 |
$78 |
1.4× |
| CBC with automated differential (85025) |
$21.42 |
$70 |
2.8× |
| CBC, automated (85027) |
$16.52 |
$54 |
2.6× |
| Prothrombin time (PT) (85610) |
$21.11 |
$69 |
4.9× |
| Partial thromboplastin time (PTT) (85730) |
$20.20 |
$66 |
3.4× |
| Left heart catheterization (93452) |
$6,894.79 |
$22,532 |
2.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$30.60 |
$100 |
1.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$165.55 |
$541 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$244.19 |
$798 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$305.69 |
$999 |
2.2× |