| Breast lesion removal (open) (19120) |
$4,687.93 |
$23,439.63 |
1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,020 |
$5,100 |
1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,020 |
$5,100 |
1.2× |
| Diagnostic colonoscopy (45378) |
$1,040 |
$5,200 |
1.2× |
| Colonoscopy with biopsy (45380) |
$1,040 |
$5,200 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,040 |
$5,200 |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$8,020.32 |
$40,101.59 |
1.5× |
| Inguinal hernia repair (age 5+) (49505) |
$7,972.85 |
$39,864.26 |
2.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$156.40 |
$782 |
0.2× |
| Cataract removal with lens insertion (66984) |
$4,328.08 |
$21,640.40 |
2.1× |
| CT head/brain without contrast (70450) |
$170.60 |
$853 |
1.8× |
| MRI brain without contrast (70551) |
$362.60 |
$1,813 |
1.7× |
| MRI brain with contrast (70552) |
$439.80 |
$2,199 |
1.4× |
| MRI brain without and with contrast (70553) |
$555.60 |
$2,778 |
1.8× |
| X-ray lower spine, 4+ views (72110) |
$97.40 |
$487 |
1.0× |
| MRI lumbar spine without contrast (72148) |
$362.60 |
$1,813 |
1.7× |
| CT pelvis with contrast (72193) |
$260 |
$1,300 |
1.6× |
| MRI lower-extremity joint without contrast (73721) |
$362.60 |
$1,813 |
1.7× |
| CT abdomen and pelvis with contrast (74177) |
$425.40 |
$2,127 |
1.3× |
| Ultrasound, abdomen complete (76700) |
$76.20 |
$381 |
0.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$76.40 |
$382 |
0.8× |
| Ultrasound, transvaginal (76830) |
$94 |
$470 |
1.0× |
| Mammography, one breast (diagnostic) (77065) |
$45 |
$225 |
0.5× |
| Mammography, both breasts (diagnostic) (77066) |
$57.40 |
$287 |
0.5× |
| Mammography, screening (bilateral) (77067) |
$58.60 |
$293 |
0.6× |
| Basic metabolic panel (80048) |
$12.20 |
$61 |
1.4× |
| Comprehensive metabolic panel (80053) |
$13.40 |
$67 |
1.3× |
| Lipid panel (80061) |
$13.60 |
$68 |
1.0× |
| Renal function panel (80069) |
$11.60 |
$58 |
1.3× |
| Hepatic function panel (80076) |
$8.60 |
$43 |
1.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$3.20 |
$16 |
0.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$6 |
$30 |
1.7× |
| PSA, total (84153) |
$21.60 |
$108 |
1.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$22.40 |
$112 |
1.3× |
| CBC with automated differential (85025) |
$9.60 |
$48 |
1.2× |
| CBC, automated (85027) |
$7.60 |
$38 |
1.2× |
| Prothrombin time (PT) (85610) |
$4.60 |
$23 |
1.1× |
| Partial thromboplastin time (PTT) (85730) |
$7.40 |
$37 |
1.2× |
| Psychotherapy, 30 minutes (90832) |
$102 |
$510 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$132.20 |
$661 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$303 |
$1,515 |
1.9× |
| Group psychotherapy (90853) |
$257.80 |
$1,289 |
2.8× |
| Sleep study (attended polysomnography) (95810) |
$3,771.80 |
$18,859 |
4.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$30 |
$150 |
1.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$33.20 |
$166 |
0.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$35 |
$175 |
0.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$36.80 |
$184 |
0.3× |