| Breast lesion removal (open) (19120) |
$2,992.80 |
$3,741 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,171.60 |
$2,714.50 |
2.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,424.20 |
$3,030.25 |
2.7× |
| Diagnostic colonoscopy (45378) |
$2,790.40 |
$3,488 |
3.0× |
| Colonoscopy with biopsy (45380) |
$3,274 |
$4,092.50 |
2.7× |
| Colonoscopy with lesion removal (45385) |
$3,999.60 |
$4,999.50 |
3.3× |
| Laparoscopic gallbladder removal (47562) |
$8,173.40 |
$10,216.75 |
1.3× |
| Inguinal hernia repair (age 5+) (49505) |
$4,221.20 |
$5,276.50 |
1.2× |
| CT head/brain without contrast (70450) |
$1,920 |
$2,400 |
18.3× |
| MRI brain without contrast (70551) |
$2,360 |
$2,950 |
9.8× |
| MRI brain with contrast (70552) |
$4,484.80 |
$5,606 |
12.8× |
| MRI brain without and with contrast (70553) |
$4,158.40 |
$5,198 |
11.9× |
| X-ray lower spine, 4+ views (72110) |
$441.60 |
$552 |
4.2× |
| MRI lumbar spine without contrast (72148) |
$2,360 |
$2,950 |
9.8× |
| CT pelvis with contrast (72193) |
$2,275.20 |
$2,844 |
12.9× |
| MRI lower-extremity joint without contrast (73721) |
$3,397.60 |
$4,247 |
14.2× |
| CT abdomen and pelvis with contrast (74177) |
$3,160 |
$3,950 |
9.0× |
| Ultrasound, abdomen complete (76700) |
$851.20 |
$1,064 |
8.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$895.84 |
$1,119.80 |
8.5× |
| Ultrasound, transvaginal (76830) |
$869.12 |
$1,086.40 |
8.3× |
| Basic metabolic panel (80048) |
$151.20 |
$189 |
17.9× |
| Comprehensive metabolic panel (80053) |
$180.10 |
$225.12 |
17.1× |
| Lipid panel (80061) |
$263.30 |
$329.12 |
19.7× |
| Renal function panel (80069) |
$160 |
$200 |
18.4× |
| Hepatic function panel (80076) |
$134.46 |
$168.08 |
16.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$34.54 |
$43.18 |
9.9× |
| PSA, total (84153) |
$260.20 |
$325.25 |
14.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$162.60 |
$203.25 |
9.7× |
| CBC with automated differential (85025) |
$105.60 |
$132 |
13.6× |
| Prothrombin time (PT) (85610) |
$49.10 |
$61.38 |
11.4× |
| Partial thromboplastin time (PTT) (85730) |
$74.42 |
$93.03 |
12.4× |
| Psychotherapy, 30 minutes (90832) |
$266.88 |
$333.60 |
1.5× |
| Psychotherapy, 60 minutes (90837) |
$531.84 |
$664.80 |
3.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$304.08 |
$380.10 |
1.7× |
| Group psychotherapy (90853) |
$281.60 |
$352 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$136 |
$170 |
4.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$197.48 |
$246.84 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$241.60 |
$302 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$266.40 |
$333 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$379.40 |
$474.25 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$410.80 |
$513.50 |
— |