| Breast lesion removal (open) (19120) |
$1,143.35 |
$1,759 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,593.48 |
$5,528.43 |
4.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,001.65 |
$1,541 |
1.1× |
| Diagnostic colonoscopy (45378) |
$2,302.30 |
$3,542 |
2.5× |
| Colonoscopy with biopsy (45380) |
$5,344.49 |
$8,222.30 |
4.5× |
| Colonoscopy with lesion removal (45385) |
$4,881.70 |
$7,510.31 |
4.1× |
| Laparoscopic gallbladder removal (47562) |
$10,724.49 |
$16,499.21 |
1.8× |
| Inguinal hernia repair (age 5+) (49505) |
$12,111.26 |
$18,632.71 |
3.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$744.25 |
$1,145 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,515.15 |
$2,331 |
1.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,135.52 |
$1,746.95 |
2.1× |
| Cataract removal with lens insertion (66984) |
$4,897.75 |
$7,535 |
2.1× |
| CT head/brain without contrast (70450) |
$653.58 |
$1,005.50 |
6.2× |
| MRI brain without contrast (70551) |
$1,221.68 |
$1,879.50 |
5.1× |
| MRI brain with contrast (70552) |
$2,543.45 |
$3,913 |
7.3× |
| MRI brain without and with contrast (70553) |
$2,800.20 |
$4,308 |
8.0× |
| X-ray lower spine, 4+ views (72110) |
$267.48 |
$411.50 |
2.6× |
| MRI lumbar spine without contrast (72148) |
$2,003.30 |
$3,082 |
8.4× |
| CT pelvis with contrast (72193) |
$1,089.08 |
$1,675.50 |
6.2× |
| MRI lower-extremity joint without contrast (73721) |
$1,892.15 |
$2,911 |
7.9× |
| CT abdomen and pelvis with contrast (74177) |
$1,653.92 |
$2,544.50 |
4.7× |
| Ultrasound, abdomen complete (76700) |
$488.80 |
$752 |
4.7× |
| Ultrasound, transvaginal (76830) |
$375.38 |
$577.50 |
3.6× |
| Mammography, one breast (diagnostic) (77065) |
$260 |
$400 |
3.0× |
| Mammography, both breasts (diagnostic) (77066) |
$332.80 |
$512 |
3.0× |
| Mammography, screening (bilateral) (77067) |
$282.75 |
$435 |
3.1× |
| Basic metabolic panel (80048) |
$146.25 |
$225 |
17.3× |
| Comprehensive metabolic panel (80053) |
$176.80 |
$272 |
16.7× |
| Lipid panel (80061) |
$91 |
$140 |
6.8× |
| Renal function panel (80069) |
$156 |
$240 |
18.0× |
| Hepatic function panel (80076) |
$148.85 |
$229 |
18.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$43.55 |
$67 |
10.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$33.80 |
$52 |
9.7× |
| PSA, total (84153) |
$118.95 |
$183 |
6.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$73.78 |
$113.50 |
4.4× |
| CBC with automated differential (85025) |
$81.90 |
$126 |
10.5× |
| CBC, automated (85027) |
$87.10 |
$134 |
13.5× |
| Prothrombin time (PT) (85610) |
$14.30 |
$22 |
3.3× |
| Partial thromboplastin time (PTT) (85730) |
$78.65 |
$121 |
13.1× |
| Psychotherapy, 30 minutes (90832) |
$109.52 |
$168.50 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$121.88 |
$187.50 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$145.28 |
$223.50 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$121.22 |
$186.50 |
0.7× |
| Sleep study (attended polysomnography) (95810) |
$4,093.05 |
$6,297 |
4.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$100.75 |
$155 |
3.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$183.30 |
$282 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$236.60 |
$364 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$299 |
$460 |
2.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$107.25 |
$165 |
0.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$157.30 |
$242 |
1.2× |