| Breast lesion removal (open) (19120) |
$3,410 |
$3,410 |
0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,720 |
$1,720 |
1.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,010 |
$2,010 |
2.2× |
| Diagnostic colonoscopy (45378) |
$2,075 |
$2,075 |
2.2× |
| Colonoscopy with biopsy (45380) |
$2,496.50 |
$2,496.50 |
2.1× |
| Colonoscopy with lesion removal (45385) |
$3,010 |
$3,010 |
2.5× |
| Laparoscopic gallbladder removal (47562) |
$13,466 |
$13,466 |
2.2× |
| Inguinal hernia repair (age 5+) (49505) |
$2,155.50 |
$2,155.50 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,110.50 |
$2,110.50 |
2.4× |
| Cataract removal with lens insertion (66984) |
$4,769 |
$4,769 |
2.1× |
| CT head/brain without contrast (70450) |
$364.50 |
$364.50 |
3.5× |
| MRI brain without contrast (70551) |
$2,593.50 |
$2,593.50 |
10.8× |
| MRI brain with contrast (70552) |
$2,306 |
$2,306 |
6.6× |
| MRI brain without and with contrast (70553) |
$2,373 |
$2,373 |
6.8× |
| X-ray lower spine, 4+ views (72110) |
$199.50 |
$199.50 |
1.9× |
| MRI lumbar spine without contrast (72148) |
$2,093 |
$2,093 |
8.7× |
| CT pelvis with contrast (72193) |
$1,587.88 |
$1,587.88 |
9.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,738.80 |
$1,738.80 |
7.3× |
| CT abdomen and pelvis with contrast (74177) |
$3,804.50 |
$3,804.50 |
10.9× |
| Ultrasound, abdomen complete (76700) |
$433 |
$433 |
4.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,359 |
$1,359 |
12.9× |
| Ultrasound, transvaginal (76830) |
$892.50 |
$892.50 |
8.5× |
| Mammography, one breast (diagnostic) (77065) |
$137.50 |
$137.50 |
1.6× |
| Mammography, both breasts (diagnostic) (77066) |
$257 |
$257 |
2.3× |
| Mammography, screening (bilateral) (77067) |
$98 |
$98 |
1.1× |
| Basic metabolic panel (80048) |
$204.50 |
$204.50 |
24.2× |
| Comprehensive metabolic panel (80053) |
$277 |
$277 |
26.2× |
| Obstetric panel (80055) |
$474 |
$474 |
9.9× |
| Lipid panel (80061) |
$59 |
$59 |
4.4× |
| Renal function panel (80069) |
$263 |
$263 |
30.3× |
| Hepatic function panel (80076) |
$208 |
$208 |
25.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$62 |
$62 |
17.8× |
| PSA, total (84153) |
$56 |
$56 |
3.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$194 |
$194 |
11.5× |
| CBC with automated differential (85025) |
$106 |
$106 |
13.6× |
| CBC, automated (85027) |
$78 |
$78 |
12.1× |
| Prothrombin time (PT) (85610) |
$80 |
$80 |
18.6× |
| Partial thromboplastin time (PTT) (85730) |
$68 |
$68 |
11.3× |
| Sleep study (attended polysomnography) (95810) |
$21 |
$21 |
0.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$64 |
$64 |
2.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$154 |
$154 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$180 |
$180 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$250.50 |
$250.50 |
1.9× |