| Breast lesion removal (open) (19120) |
$580.64 |
$764 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$598.12 |
$787 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$580.26 |
$763.50 |
0.7× |
| Diagnostic colonoscopy (45378) |
$611.04 |
$804 |
0.7× |
| Colonoscopy with biopsy (45380) |
$621.30 |
$817.50 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$742.52 |
$977 |
0.7× |
| Laparoscopic gallbladder removal (47562) |
$3,003.52 |
$3,952 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$1,925.08 |
$2,533 |
0.6× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$317.68 |
$418 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$419.90 |
$552.50 |
0.5× |
| CT head/brain without contrast (70450) |
$1,581.56 |
$2,081 |
16.1× |
| MRI brain without contrast (70551) |
$2,086.96 |
$2,746 |
9.3× |
| MRI brain with contrast (70552) |
$2,842.40 |
$3,740 |
8.7× |
| MRI brain without and with contrast (70553) |
$4,389.76 |
$5,776 |
13.4× |
| X-ray lower spine, 4+ views (72110) |
$182.02 |
$239.50 |
1.9× |
| MRI lumbar spine without contrast (72148) |
$2,267.08 |
$2,983 |
10.1× |
| CT pelvis with contrast (72193) |
$1,817.16 |
$2,391 |
11.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,594.86 |
$2,098.50 |
7.1× |
| CT abdomen and pelvis with contrast (74177) |
$3,564.40 |
$4,690 |
10.9× |
| Ultrasound, abdomen complete (76700) |
$798 |
$1,050 |
8.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$613.32 |
$807 |
6.3× |
| Ultrasound, transvaginal (76830) |
$304 |
$400 |
3.1× |
| Mammography, one breast (diagnostic) (77065) |
$231.80 |
$305 |
2.7× |
| Mammography, both breasts (diagnostic) (77066) |
$338.58 |
$445.50 |
3.1× |
| Mammography, screening (bilateral) (77067) |
$307.04 |
$404 |
3.4× |
| Basic metabolic panel (80048) |
$184.68 |
$243 |
21.8× |
| Comprehensive metabolic panel (80053) |
$131.48 |
$173 |
12.5× |
| Obstetric panel (80055) |
$89.68 |
$118 |
1.9× |
| Lipid panel (80061) |
$164.16 |
$216 |
12.3× |
| Renal function panel (80069) |
$203.68 |
$268 |
23.5× |
| Hepatic function panel (80076) |
$96.90 |
$127.50 |
11.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$22.04 |
$29 |
5.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$23.94 |
$31.50 |
6.9× |
| PSA, total (84153) |
$211.28 |
$278 |
11.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$140.60 |
$185 |
8.4× |
| CBC with automated differential (85025) |
$55.10 |
$72.50 |
7.1× |
| CBC, automated (85027) |
$503.50 |
$662.50 |
77.8× |
| Prothrombin time (PT) (85610) |
$74.48 |
$98 |
17.4× |
| Partial thromboplastin time (PTT) (85730) |
$98.42 |
$129.50 |
16.4× |
| Psychotherapy, 30 minutes (90832) |
$112.48 |
$148 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$153.52 |
$202 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$229.52 |
$302 |
1.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$182.40 |
$240 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$193.80 |
$255 |
1.2× |
| Group psychotherapy (90853) |
$34.96 |
$46 |
0.4× |
| Electrocardiogram (ECG), complete (93000) |
$53.96 |
$71 |
1.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$100.32 |
$132 |
3.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$109.06 |
$143.50 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$197.60 |
$260 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$246.24 |
$324 |
2.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$241.68 |
$318 |
1.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$255.36 |
$336 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$145.16 |
$191 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$164.92 |
$217 |
— |