| Breast lesion removal (open) (19120) |
$1,991.60 |
$3,064 |
0.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,856.94 |
$4,395.30 |
3.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,066.91 |
$4,718.33 |
3.7× |
| Diagnostic colonoscopy (45378) |
$3,023.23 |
$4,651.12 |
3.6× |
| Colonoscopy with biopsy (45380) |
$3,246.33 |
$4,994.35 |
3.0× |
| Colonoscopy with lesion removal (45385) |
$3,355.45 |
$5,162.23 |
3.1× |
| Laparoscopic gallbladder removal (47562) |
$8,594.64 |
$13,222.53 |
1.6× |
| Inguinal hernia repair (age 5+) (49505) |
$6,573.38 |
$10,112.90 |
2.0× |
| Cataract removal with lens insertion (66984) |
$4,964.22 |
$7,637.26 |
2.4× |
| CT head/brain without contrast (70450) |
$1,216.80 |
$1,872 |
12.8× |
| MRI brain without contrast (70551) |
$1,661.40 |
$2,556 |
7.6× |
| MRI brain with contrast (70552) |
$1,901.90 |
$2,926 |
6.0× |
| MRI brain without and with contrast (70553) |
$2,133.95 |
$3,283 |
6.7× |
| X-ray lower spine, 4+ views (72110) |
$405.60 |
$624 |
4.3× |
| MRI lumbar spine without contrast (72148) |
$1,842.75 |
$2,835 |
8.5× |
| CT pelvis with contrast (72193) |
$1,658.80 |
$2,552 |
10.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,866.80 |
$2,872 |
8.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,971.80 |
$4,572 |
9.4× |
| Ultrasound, abdomen complete (76700) |
$745.55 |
$1,147 |
7.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$573.30 |
$882 |
6.0× |
| Ultrasound, transvaginal (76830) |
$494 |
$760 |
5.2× |
| Mammography, one breast (diagnostic) (77065) |
$206.70 |
$318 |
2.4× |
| Mammography, both breasts (diagnostic) (77066) |
$228.15 |
$351 |
2.1× |
| Mammography, screening (bilateral) (77067) |
$177.45 |
$273 |
1.9× |
| Basic metabolic panel (80048) |
$145.60 |
$224 |
17.2× |
| Comprehensive metabolic panel (80053) |
$190.45 |
$293 |
18.0× |
| Lipid panel (80061) |
$121.55 |
$187 |
9.1× |
| Renal function panel (80069) |
$169.65 |
$261 |
19.5× |
| Hepatic function panel (80076) |
$160.55 |
$247 |
19.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$25.35 |
$39 |
7.3× |
| PSA, total (84153) |
$99.45 |
$153 |
5.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$72.48 |
$111.50 |
4.3× |
| CBC with automated differential (85025) |
$68.25 |
$105 |
8.8× |
| CBC, automated (85027) |
$65 |
$100 |
10.0× |
| Prothrombin time (PT) (85610) |
$53.30 |
$82 |
12.4× |
| Partial thromboplastin time (PTT) (85730) |
$75.40 |
$116 |
12.5× |
| Psychotherapy, 30 minutes (90832) |
$180.05 |
$277 |
1.1× |
| Psychotherapy, 45 minutes (90834) |
$282.75 |
$435 |
1.7× |
| Psychotherapy, 60 minutes (90837) |
$244.40 |
$376 |
1.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$285.35 |
$439 |
1.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$314.60 |
$484 |
1.9× |
| Group psychotherapy (90853) |
$424.45 |
$653 |
4.6× |
| Sleep study (attended polysomnography) (95810) |
$1,151.15 |
$1,771 |
1.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$73.45 |
$113 |
2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$161.20 |
$248 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$206.70 |
$318 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$256.10 |
$394 |
2.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$187.20 |
$288 |
1.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$250.25 |
$385 |
2.1× |