| Breast lesion removal (open) (19120) |
$3,230 |
$3,230 |
0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,435 |
$1,435 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,820 |
$1,820 |
2.2× |
| Diagnostic colonoscopy (45378) |
$1,850 |
$1,850 |
2.2× |
| Colonoscopy with biopsy (45380) |
$1,895 |
$1,895 |
1.7× |
| Colonoscopy with lesion removal (45385) |
$1,900 |
$1,900 |
1.7× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,175 |
$3,175 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$3,480 |
$3,480 |
— |
| CT head/brain without contrast (70450) |
$800 |
$800 |
8.3× |
| MRI brain without and with contrast (70553) |
$4,115.20 |
$4,115.20 |
12.8× |
| X-ray lower spine, 4+ views (72110) |
$359 |
$359 |
3.7× |
| MRI lumbar spine without contrast (72148) |
$2,272 |
$2,272 |
10.4× |
| CT pelvis with contrast (72193) |
$850 |
$850 |
5.3× |
| MRI lower-extremity joint without contrast (73721) |
$2,190 |
$2,190 |
10.0× |
| CT abdomen and pelvis with contrast (74177) |
$850 |
$850 |
2.6× |
| Ultrasound, abdomen complete (76700) |
$215 |
$215 |
2.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$181 |
$181 |
1.9× |
| Ultrasound, transvaginal (76830) |
$168 |
$168 |
1.7× |
| Basic metabolic panel (80048) |
$28 |
$28 |
3.3× |
| Comprehensive metabolic panel (80053) |
$35 |
$35 |
3.3× |
| Lipid panel (80061) |
$44.50 |
$44.50 |
3.3× |
| Renal function panel (80069) |
$29 |
$29 |
3.3× |
| Hepatic function panel (80076) |
$46 |
$46 |
5.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$17.50 |
$17.50 |
5.0× |
| PSA, total (84153) |
$104 |
$104 |
5.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$63.50 |
$63.50 |
3.8× |
| CBC with automated differential (85025) |
$24 |
$24 |
3.1× |
| CBC, automated (85027) |
$21 |
$21 |
3.2× |
| Prothrombin time (PT) (85610) |
$25 |
$25 |
5.8× |
| Partial thromboplastin time (PTT) (85730) |
$37 |
$37 |
6.2× |
| Psychotherapy, 30 minutes (90832) |
$110 |
$110 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$145 |
$145 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$210 |
$210 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$145 |
$145 |
0.9× |
| Electrocardiogram (ECG), complete (93000) |
$123 |
$123 |
2.3× |
| Sleep study (attended polysomnography) (95810) |
$170 |
$170 |
0.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$85 |
$85 |
2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$140 |
$140 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$167.50 |
$167.50 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$300 |
$300 |
2.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$180 |
$180 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$210 |
$210 |
— |