| Breast lesion removal (open) (19120) |
$1,207.45 |
$1,271 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,620.70 |
$1,706 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,385.45 |
$2,511 |
2.5× |
| Diagnostic colonoscopy (45378) |
$2,277.15 |
$2,397 |
2.4× |
| Colonoscopy with biopsy (45380) |
$3,654.65 |
$3,847 |
2.9× |
| Colonoscopy with lesion removal (45385) |
$3,014.35 |
$3,173 |
2.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,121.48 |
$1,180.50 |
1.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,132.40 |
$1,192 |
2.0× |
| Cataract removal with lens insertion (66984) |
$4,258.85 |
$4,483 |
1.8× |
| CT head/brain without contrast (70450) |
$1,626.40 |
$1,712 |
15.0× |
| MRI brain without contrast (70551) |
$2,247.70 |
$2,366 |
9.1× |
| MRI brain with contrast (70552) |
$3,428.55 |
$3,609 |
9.5× |
| MRI brain without and with contrast (70553) |
$3,791.45 |
$3,991 |
10.5× |
| X-ray lower spine, 4+ views (72110) |
$423.70 |
$446 |
3.9× |
| MRI lumbar spine without contrast (72148) |
$2,210.65 |
$2,327 |
8.9× |
| CT pelvis with contrast (72193) |
$3,412.40 |
$3,592 |
18.7× |
| MRI lower-extremity joint without contrast (73721) |
$2,432 |
$2,560 |
9.8× |
| CT abdomen and pelvis with contrast (74177) |
$4,655.95 |
$4,901 |
12.9× |
| Ultrasound, abdomen complete (76700) |
$808.45 |
$851 |
7.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$898.70 |
$946 |
8.3× |
| Ultrasound, transvaginal (76830) |
$828.40 |
$872 |
7.6× |
| Mammography, one breast (diagnostic) (77065) |
$367.65 |
$387 |
4.3× |
| Mammography, both breasts (diagnostic) (77066) |
$410.40 |
$432 |
3.7× |
| Mammography, screening (bilateral) (77067) |
$352.45 |
$371 |
3.9× |
| Basic metabolic panel (80048) |
$133 |
$140 |
15.7× |
| Comprehensive metabolic panel (80053) |
$156.75 |
$165 |
14.8× |
| Lipid panel (80061) |
$183.35 |
$193 |
13.7× |
| Renal function panel (80069) |
$125.40 |
$132 |
14.4× |
| Hepatic function panel (80076) |
$118.75 |
$125 |
14.5× |
| PSA, total (84153) |
$155.80 |
$164 |
8.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$144.40 |
$152 |
8.6× |
| CBC with automated differential (85025) |
$87.40 |
$92 |
11.2× |
| CBC, automated (85027) |
$75.05 |
$79 |
11.6× |
| Prothrombin time (PT) (85610) |
$61.75 |
$65 |
14.4× |
| Partial thromboplastin time (PTT) (85730) |
$27.55 |
$29 |
4.6× |
| Psychotherapy, 30 minutes (90832) |
$330.60 |
$348 |
1.8× |
| Psychotherapy, 45 minutes (90834) |
$319.68 |
$336.50 |
1.7× |
| Psychotherapy, 60 minutes (90837) |
$504.92 |
$531.50 |
2.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$438.42 |
$461.50 |
2.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$399 |
$420 |
2.2× |
| Group psychotherapy (90853) |
$343.90 |
$362 |
3.3× |
| Electrocardiogram (ECG), complete (93000) |
$220.40 |
$232 |
3.6× |
| Sleep study (attended polysomnography) (95810) |
$2,524.62 |
$2,657.50 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$95 |
$100 |
3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$191.90 |
$202 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$327.75 |
$345 |
2.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$429.40 |
$452 |
3.1× |