| Breast lesion removal (open) (19120) |
$1,815.98 |
$2,793.82 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,976.39 |
$3,040.60 |
2.1× |
| Diagnostic colonoscopy (45378) |
$2,041.88 |
$3,141.36 |
2.1× |
| Colonoscopy with biopsy (45380) |
$2,233.03 |
$3,435.43 |
1.8× |
| Colonoscopy with lesion removal (45385) |
$2,217.83 |
$3,412.04 |
1.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$323.90 |
$498.30 |
0.3× |
| CT head/brain without contrast (70450) |
$916.47 |
$1,409.96 |
8.3× |
| MRI brain without contrast (70551) |
$1,266.14 |
$1,947.92 |
5.0× |
| MRI brain with contrast (70552) |
$1,701.90 |
$2,618.30 |
4.6× |
| MRI brain without and with contrast (70553) |
$1,694.52 |
$2,606.96 |
4.6× |
| X-ray lower spine, 4+ views (72110) |
$279.90 |
$430.62 |
2.5× |
| MRI lumbar spine without contrast (72148) |
$1,181.28 |
$1,817.36 |
4.7× |
| CT pelvis with contrast (72193) |
$1,505.96 |
$2,316.86 |
8.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,084.85 |
$1,669 |
4.3× |
| CT abdomen and pelvis with contrast (74177) |
$1,922.85 |
$2,958.24 |
5.2× |
| Ultrasound, abdomen complete (76700) |
$704.78 |
$1,084.27 |
6.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$484.09 |
$744.76 |
4.4× |
| Ultrasound, transvaginal (76830) |
$556.99 |
$856.90 |
5.1× |
| Mammography, one breast (diagnostic) (77065) |
$121.34 |
$186.67 |
1.4× |
| Mammography, both breasts (diagnostic) (77066) |
$316.88 |
$487.50 |
2.9× |
| Mammography, screening (bilateral) (77067) |
$57.51 |
$88.48 |
0.6× |
| Basic metabolic panel (80048) |
$118.92 |
$182.96 |
14.1× |
| Comprehensive metabolic panel (80053) |
$77.06 |
$118.56 |
7.3× |
| Lipid panel (80061) |
$50.40 |
$77.54 |
3.8× |
| Renal function panel (80069) |
$135.69 |
$208.75 |
15.6× |
| Hepatic function panel (80076) |
$86.73 |
$133.43 |
10.6× |
| Urinalysis, non-automated, with microscopy (81000) |
$22.52 |
$34.64 |
5.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$16.25 |
$25 |
4.7× |
| PSA, total (84153) |
$85.74 |
$131.91 |
4.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$85.14 |
$130.99 |
5.1× |
| CBC with automated differential (85025) |
$32.50 |
$50 |
4.2× |
| CBC, automated (85027) |
$38.14 |
$58.67 |
5.9× |
| Prothrombin time (PT) (85610) |
$39.44 |
$60.67 |
9.2× |
| Partial thromboplastin time (PTT) (85730) |
$41.64 |
$64.06 |
6.9× |
| Psychotherapy, 30 minutes (90832) |
$250.74 |
$385.76 |
1.3× |
| Psychotherapy, 45 minutes (90834) |
$309.62 |
$476.34 |
1.7× |
| Psychotherapy, 60 minutes (90837) |
$319.82 |
$492.03 |
1.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$538.95 |
$829.15 |
2.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$565.73 |
$870.35 |
3.0× |
| Group psychotherapy (90853) |
$551.18 |
$847.98 |
5.1× |
| Electrocardiogram (ECG), complete (93000) |
$37.67 |
$57.95 |
0.6× |
| Sleep study (attended polysomnography) (95810) |
$3,268.69 |
$5,028.76 |
3.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$83.30 |
$128.16 |
2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$150.70 |
$231.84 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$233.58 |
$359.36 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$293.12 |
$450.95 |
2.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$93.67 |
$144.11 |
0.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$140.11 |
$215.56 |
1.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$167.27 |
$257.34 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$196.66 |
$302.55 |
— |