| Breast lesion removal (open) (19120) |
$1,571.66 |
$2,576.50 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$920.49 |
$1,509 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,198.04 |
$1,964 |
1.3× |
| Diagnostic colonoscopy (45378) |
$1,198.65 |
$1,965 |
1.2× |
| Colonoscopy with biopsy (45380) |
$1,354.20 |
$2,220 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,504.87 |
$2,467 |
1.2× |
| Laparoscopic gallbladder removal (47562) |
$3,533.73 |
$5,793 |
0.6× |
| Inguinal hernia repair (age 5+) (49505) |
$2,147.50 |
$3,520.50 |
0.6× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,105.51 |
$5,091 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$3,642.31 |
$5,971 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$888.77 |
$1,457 |
1.0× |
| CT head/brain without contrast (70450) |
$1,301.74 |
$2,134 |
12.1× |
| MRI brain without contrast (70551) |
$1,820.24 |
$2,984 |
7.4× |
| MRI brain with contrast (70552) |
$2,121.58 |
$3,478 |
5.9× |
| MRI brain without and with contrast (70553) |
$2,431.46 |
$3,986 |
6.8× |
| X-ray lower spine, 4+ views (72110) |
$100.65 |
$165 |
0.9× |
| MRI lumbar spine without contrast (72148) |
$2,179.53 |
$3,573 |
8.9× |
| CT pelvis with contrast (72193) |
$1,305.40 |
$2,140 |
7.2× |
| MRI lower-extremity joint without contrast (73721) |
$2,121.58 |
$3,478 |
8.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,160.62 |
$3,542 |
6.0× |
| Ultrasound, abdomen complete (76700) |
$690.52 |
$1,132 |
6.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$786.90 |
$1,290 |
7.3× |
| Ultrasound, transvaginal (76830) |
$626.47 |
$1,027 |
5.8× |
| Mammography, one breast (diagnostic) (77065) |
$237.29 |
$389 |
2.8× |
| Mammography, both breasts (diagnostic) (77066) |
$286.70 |
$470 |
2.6× |
| Mammography, screening (bilateral) (77067) |
$291.58 |
$478 |
3.2× |
| Basic metabolic panel (80048) |
$128.10 |
$210 |
15.1× |
| Comprehensive metabolic panel (80053) |
$178.73 |
$293 |
16.9× |
| Lipid panel (80061) |
$114.68 |
$188 |
8.6× |
| Renal function panel (80069) |
$250.71 |
$411 |
28.9× |
| Hepatic function panel (80076) |
$193.98 |
$318 |
23.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$11.59 |
$19 |
3.3× |
| PSA, total (84153) |
$61.92 |
$101.50 |
3.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$67.10 |
$110 |
4.0× |
| CBC with automated differential (85025) |
$120.78 |
$198 |
15.5× |
| CBC, automated (85027) |
$68.32 |
$112 |
10.6× |
| Prothrombin time (PT) (85610) |
$60.08 |
$98.50 |
14.0× |
| Partial thromboplastin time (PTT) (85730) |
$73.81 |
$121 |
12.3× |
| Psychotherapy, 30 minutes (90832) |
$205.57 |
$337 |
1.1× |
| Psychotherapy, 45 minutes (90834) |
$272.67 |
$447 |
1.5× |
| Psychotherapy, 60 minutes (90837) |
$403.82 |
$662 |
2.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$270.84 |
$444 |
1.5× |
| Sleep study (attended polysomnography) (95810) |
$2,669.36 |
$4,376 |
3.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$93.94 |
$154 |
3.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$142.74 |
$234 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$343.43 |
$563 |
2.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$503.25 |
$825 |
3.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$267.18 |
$438 |
1.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$343.43 |
$563 |
2.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$187.88 |
$308 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$187.88 |
$308 |
— |