| Breast lesion removal (open) (19120) |
$2,834 |
$3,334 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$704 |
$828 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,374 |
$1,617 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,576 |
$1,854 |
1.8× |
| Colonoscopy with biopsy (45380) |
$1,576 |
$1,854 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$1,771 |
$2,084 |
1.6× |
| Laparoscopic gallbladder removal (47562) |
$6,386 |
$7,513 |
1.1× |
| Inguinal hernia repair (age 5+) (49505) |
$4,542 |
$5,343 |
1.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$455.50 |
$535.50 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$400.50 |
$471 |
0.5× |
| CT head/brain without contrast (70450) |
$876 |
$1,031 |
9.1× |
| MRI brain without contrast (70551) |
$1,159 |
$1,364 |
5.3× |
| MRI brain with contrast (70552) |
$1,176 |
$1,384 |
3.7× |
| MRI brain without and with contrast (70553) |
$1,194 |
$1,405 |
3.7× |
| X-ray lower spine, 4+ views (72110) |
$309 |
$364 |
3.2× |
| MRI lumbar spine without contrast (72148) |
$1,159 |
$1,364 |
5.3× |
| CT pelvis with contrast (72193) |
$894 |
$1,052 |
5.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,203 |
$1,415.50 |
5.5× |
| CT abdomen and pelvis with contrast (74177) |
$1,176 |
$1,384 |
3.7× |
| Ultrasound, abdomen complete (76700) |
$496 |
$583 |
5.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$355 |
$418 |
3.7× |
| Ultrasound, transvaginal (76830) |
$289 |
$340 |
3.0× |
| Mammography, one breast (diagnostic) (77065) |
$197 |
$232 |
2.3× |
| Mammography, both breasts (diagnostic) (77066) |
$201 |
$237 |
1.8× |
| Mammography, screening (bilateral) (77067) |
$199 |
$234.50 |
2.2× |
| Basic metabolic panel (80048) |
$85 |
$100 |
10.0× |
| Comprehensive metabolic panel (80053) |
$139 |
$163 |
13.2× |
| Lipid panel (80061) |
$86.50 |
$101.50 |
6.5× |
| Renal function panel (80069) |
$83 |
$98 |
9.6× |
| Hepatic function panel (80076) |
$83 |
$98 |
10.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$18 |
$21 |
4.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$15 |
$17.50 |
4.3× |
| PSA, total (84153) |
$96 |
$113 |
5.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$68 |
$80 |
4.0× |
| CBC with automated differential (85025) |
$55 |
$65 |
7.1× |
| CBC, automated (85027) |
$49 |
$58 |
7.6× |
| Prothrombin time (PT) (85610) |
$28 |
$33 |
6.5× |
| Partial thromboplastin time (PTT) (85730) |
$60 |
$70 |
10.0× |
| Psychotherapy, 30 minutes (90832) |
$55 |
$65 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$76 |
$89 |
0.5× |
| Psychotherapy, 60 minutes (90837) |
$102 |
$120 |
0.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$98 |
$115 |
0.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$111 |
$130 |
0.7× |
| Electrocardiogram (ECG), complete (93000) |
$621 |
$730 |
11.4× |
| Sleep study (attended polysomnography) (95810) |
$2,376 |
$2,795 |
3.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$74.50 |
$87.50 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$136 |
$160 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$167 |
$196 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$197 |
$232 |
1.6× |