| Breast lesion removal (open) (19120) |
$584.50 |
$835 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$496.30 |
$709 |
0.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$675.50 |
$965 |
0.8× |
| Diagnostic colonoscopy (45378) |
$560 |
$800 |
0.7× |
| Colonoscopy with biopsy (45380) |
$612.50 |
$875 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$780.50 |
$1,115 |
0.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$494.55 |
$706.50 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$662.36 |
$946.23 |
0.8× |
| CT head/brain without contrast (70450) |
$503.30 |
$719 |
5.3× |
| MRI brain without contrast (70551) |
$838.60 |
$1,198 |
3.9× |
| MRI brain without and with contrast (70553) |
$1,614.20 |
$2,306 |
5.1× |
| X-ray lower spine, 4+ views (72110) |
$99.40 |
$142 |
1.0× |
| MRI lumbar spine without contrast (72148) |
$742 |
$1,060 |
3.4× |
| CT pelvis with contrast (72193) |
$593.60 |
$848 |
3.7× |
| MRI lower-extremity joint without contrast (73721) |
$890.40 |
$1,272 |
4.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,155 |
$1,650 |
3.6× |
| Ultrasound, abdomen complete (76700) |
$196 |
$280 |
2.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$203 |
$290 |
2.1× |
| Ultrasound, transvaginal (76830) |
$145.60 |
$208 |
1.5× |
| Basic metabolic panel (80048) |
$67.20 |
$96 |
7.9× |
| Comprehensive metabolic panel (80053) |
$75.60 |
$108 |
7.2× |
| Lipid panel (80061) |
$39.20 |
$56 |
2.9× |
| Renal function panel (80069) |
$67.90 |
$97 |
7.8× |
| Hepatic function panel (80076) |
$39.20 |
$56 |
4.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$21 |
$30 |
5.2× |
| PSA, total (84153) |
$28.70 |
$41 |
1.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$58.80 |
$84 |
3.5× |
| CBC with automated differential (85025) |
$67.20 |
$96 |
8.6× |
| CBC, automated (85027) |
$67.20 |
$96 |
10.4× |
| Prothrombin time (PT) (85610) |
$24.50 |
$35 |
5.7× |
| Partial thromboplastin time (PTT) (85730) |
$33.60 |
$48 |
5.6× |
| Psychotherapy, 30 minutes (90832) |
$191.10 |
$273 |
1.2× |
| Psychotherapy, 45 minutes (90834) |
$210 |
$300 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$172.90 |
$247 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$210 |
$300 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$224 |
$320 |
1.4× |
| Group psychotherapy (90853) |
$210 |
$300 |
2.3× |
| Sleep study (attended polysomnography) (95810) |
$1,458.60 |
$2,083.71 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$43.75 |
$62.50 |
1.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$99.40 |
$142 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$170.10 |
$243 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$164.50 |
$235 |
1.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$131.60 |
$188 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$175.70 |
$251 |
1.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$235.90 |
$337 |
— |