| Breast lesion removal (open) (19120) |
$733.22 |
$1,202 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,335.35 |
$2,189.10 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,389.88 |
$2,278.50 |
1.8× |
| Diagnostic colonoscopy (45378) |
$1,137.34 |
$1,864.50 |
1.4× |
| Colonoscopy with biopsy (45380) |
$1,182.30 |
$1,938.20 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,594.72 |
$2,614.30 |
1.5× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$1,607.35 |
$2,635 |
0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$667.95 |
$1,095 |
0.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$464.21 |
$761 |
1.0× |
| CT head/brain without contrast (70450) |
$847.90 |
$1,390 |
9.4× |
| MRI brain without contrast (70551) |
$1,441.43 |
$2,363 |
7.0× |
| MRI brain with contrast (70552) |
$1,657.98 |
$2,718 |
5.5× |
| MRI brain without and with contrast (70553) |
$1,991.04 |
$3,264 |
6.6× |
| X-ray lower spine, 4+ views (72110) |
$85.40 |
$140 |
0.9× |
| MRI lumbar spine without contrast (72148) |
$1,281.61 |
$2,101 |
6.2× |
| CT pelvis with contrast (72193) |
$1,184.01 |
$1,941 |
7.8× |
| MRI lower-extremity joint without contrast (73721) |
$855.22 |
$1,402 |
4.2× |
| CT abdomen and pelvis with contrast (74177) |
$1,436.55 |
$2,355 |
4.8× |
| Ultrasound, abdomen complete (76700) |
$133.59 |
$219 |
1.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$137.25 |
$225 |
1.5× |
| Ultrasound, transvaginal (76830) |
$139.38 |
$228.50 |
1.5× |
| Mammography, one breast (diagnostic) (77065) |
$117.73 |
$193 |
1.4× |
| Mammography, both breasts (diagnostic) (77066) |
$153.11 |
$251 |
1.4× |
| Mammography, screening (bilateral) (77067) |
$117.73 |
$193 |
1.3× |
| Basic metabolic panel (80048) |
$22.26 |
$36.50 |
2.6× |
| Comprehensive metabolic panel (80053) |
$20.13 |
$33 |
1.9× |
| Obstetric panel (80055) |
$80.52 |
$132 |
1.7× |
| Lipid panel (80061) |
$36.30 |
$59.50 |
2.7× |
| Renal function panel (80069) |
$97.30 |
$159.50 |
11.2× |
| Hepatic function panel (80076) |
$22.26 |
$36.50 |
2.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$20.13 |
$33 |
5.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$28.06 |
$46 |
8.1× |
| PSA, total (84153) |
$133.59 |
$219 |
7.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$31.11 |
$51 |
1.9× |
| CBC with automated differential (85025) |
$13.42 |
$22 |
1.7× |
| CBC, automated (85027) |
$40.26 |
$66 |
6.2× |
| Prothrombin time (PT) (85610) |
$29.28 |
$48 |
6.8× |
| Partial thromboplastin time (PTT) (85730) |
$12.20 |
$20 |
2.0× |
| Psychotherapy, 30 minutes (90832) |
$229.36 |
$376 |
1.5× |
| Psychotherapy, 45 minutes (90834) |
$229.36 |
$376 |
1.5× |
| Psychotherapy, 60 minutes (90837) |
$126.27 |
$207 |
0.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$229.36 |
$376 |
1.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$113.46 |
$186 |
0.7× |
| Group psychotherapy (90853) |
$143.96 |
$236 |
1.6× |
| Electrocardiogram (ECG), complete (93000) |
$56.73 |
$93 |
1.1× |
| Sleep study (attended polysomnography) (95810) |
$2,135 |
$3,500 |
2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$94.15 |
$154.35 |
3.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$142.38 |
$233.41 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$186 |
$304.91 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$286.25 |
$469.26 |
2.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$173.74 |
$284.82 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$180.76 |
$296.32 |
— |