| Breast lesion removal (open) (19120) |
$1,169.10 |
$1,299 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$666.90 |
$741 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$765 |
$850 |
0.9× |
| Diagnostic colonoscopy (45378) |
$911.25 |
$1,012.50 |
1.1× |
| Colonoscopy with biopsy (45380) |
$859.50 |
$955 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$973.35 |
$1,081.50 |
0.9× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$1,857.60 |
$2,064 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,431 |
$1,590 |
0.4× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,014.90 |
$4,461 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$605.70 |
$673 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,831.40 |
$3,146 |
3.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,319.40 |
$1,466 |
2.6× |
| CT head/brain without contrast (70450) |
$1,557.90 |
$1,731 |
16.2× |
| MRI brain without contrast (70551) |
$1,981.44 |
$2,201.60 |
9.0× |
| MRI brain with contrast (70552) |
$2,134.08 |
$2,371.20 |
6.7× |
| MRI brain without and with contrast (70553) |
$2,305.44 |
$2,561.60 |
7.2× |
| X-ray lower spine, 4+ views (72110) |
$427.50 |
$475 |
4.4× |
| MRI lumbar spine without contrast (72148) |
$1,789.92 |
$1,988.80 |
8.2× |
| CT pelvis with contrast (72193) |
$1,655.10 |
$1,839 |
10.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,789.92 |
$1,988.80 |
8.2× |
| CT abdomen and pelvis with contrast (74177) |
$2,199.60 |
$2,444 |
6.9× |
| Ultrasound, abdomen complete (76700) |
$810.90 |
$901 |
8.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$720.90 |
$801 |
7.5× |
| Ultrasound, transvaginal (76830) |
$673.20 |
$748 |
7.0× |
| Mammography, one breast (diagnostic) (77065) |
$178.20 |
$198 |
2.1× |
| Mammography, both breasts (diagnostic) (77066) |
$231.30 |
$257 |
2.1× |
| Mammography, screening (bilateral) (77067) |
$198.45 |
$220.50 |
2.2× |
| Basic metabolic panel (80048) |
$44.10 |
$49 |
5.2× |
| Comprehensive metabolic panel (80053) |
$33.30 |
$37 |
3.2× |
| Lipid panel (80061) |
$13.50 |
$15 |
1.0× |
| Renal function panel (80069) |
$56.70 |
$63 |
6.5× |
| Hepatic function panel (80076) |
$77.40 |
$86 |
9.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$40.50 |
$45 |
10.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$26.10 |
$29 |
7.5× |
| PSA, total (84153) |
$166.50 |
$185 |
9.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$13.50 |
$15 |
0.8× |
| CBC with automated differential (85025) |
$29.25 |
$32.50 |
3.8× |
| CBC, automated (85027) |
$50.40 |
$56 |
7.8× |
| Prothrombin time (PT) (85610) |
$39.60 |
$44 |
9.2× |
| Partial thromboplastin time (PTT) (85730) |
$56.70 |
$63 |
9.4× |
| Psychotherapy, 30 minutes (90832) |
$94.50 |
$105 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$126 |
$140 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$148.50 |
$165 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$130.50 |
$145 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$139.50 |
$155 |
0.9× |
| Electrocardiogram (ECG), complete (93000) |
$243 |
$270 |
4.5× |
| Sleep study (attended polysomnography) (95810) |
$3,456 |
$3,840 |
4.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$99.90 |
$111 |
3.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$198.90 |
$221 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$303.30 |
$337 |
2.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$488.70 |
$543 |
4.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$199.35 |
$221.50 |
1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$292.50 |
$325 |
2.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$281.70 |
$313 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$281.70 |
$313 |
— |