| Breast lesion removal (open) (19120) |
$1,222.40 |
$1,528 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$409.60 |
$512 |
0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$459.20 |
$574 |
0.5× |
| Diagnostic colonoscopy (45378) |
$669.60 |
$837 |
0.7× |
| Colonoscopy with biopsy (45380) |
$800.80 |
$1,001 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$952.80 |
$1,191 |
0.8× |
| Inguinal hernia repair (age 5+) (49505) |
$1,552.80 |
$1,941 |
0.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$254 |
$317.50 |
0.3× |
| CT head/brain without contrast (70450) |
$688.80 |
$861 |
6.9× |
| MRI brain without contrast (70551) |
$1,264 |
$1,580 |
5.5× |
| MRI brain with contrast (70552) |
$1,372.80 |
$1,716 |
4.1× |
| MRI brain without and with contrast (70553) |
$1,952 |
$2,440 |
5.8× |
| X-ray lower spine, 4+ views (72110) |
$267.20 |
$334 |
2.7× |
| MRI lumbar spine without contrast (72148) |
$1,264 |
$1,580 |
5.5× |
| CT pelvis with contrast (72193) |
$909.60 |
$1,137 |
5.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,264 |
$1,580 |
5.5× |
| CT abdomen and pelvis with contrast (74177) |
$1,043.20 |
$1,304 |
3.1× |
| Ultrasound, abdomen complete (76700) |
$387.20 |
$484 |
3.9× |
| Ultrasound, transvaginal (76830) |
$348 |
$435 |
3.5× |
| Basic metabolic panel (80048) |
$43.20 |
$54 |
5.1× |
| Comprehensive metabolic panel (80053) |
$49.60 |
$62 |
4.7× |
| Obstetric panel (80055) |
$471.20 |
$589 |
9.9× |
| Lipid panel (80061) |
$69.60 |
$87 |
5.2× |
| Hepatic function panel (80076) |
$43.20 |
$54 |
5.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$9.60 |
$12 |
2.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$9.60 |
$12 |
2.8× |
| PSA, total (84153) |
$55.60 |
$69.50 |
3.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$53.60 |
$67 |
3.2× |
| CBC with automated differential (85025) |
$27.20 |
$34 |
3.5× |
| CBC, automated (85027) |
$32.80 |
$41 |
5.1× |
| Prothrombin time (PT) (85610) |
$20.80 |
$26 |
4.8× |
| Partial thromboplastin time (PTT) (85730) |
$32 |
$40 |
5.3× |
| Psychotherapy, 30 minutes (90832) |
$212.40 |
$265.50 |
1.2× |
| Psychotherapy, 45 minutes (90834) |
$283.20 |
$354 |
1.7× |
| Psychotherapy, 60 minutes (90837) |
$382.40 |
$478 |
2.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$315.20 |
$394 |
1.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$320.40 |
$400.50 |
1.9× |
| Group psychotherapy (90853) |
$367.60 |
$459.50 |
3.8× |
| Sleep study (attended polysomnography) (95810) |
$1,824.80 |
$2,281 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$89.60 |
$112 |
3.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$123.20 |
$154 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$175.20 |
$219 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$245.60 |
$307 |
1.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$124 |
$155 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$124 |
$155 |
— |