| Breast lesion removal (open) (19120) |
$3,293.50 |
$6,587 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,114 |
$4,228 |
2.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,374.50 |
$4,749 |
2.4× |
| Diagnostic colonoscopy (45378) |
$2,388.50 |
$4,777 |
2.4× |
| Colonoscopy with biopsy (45380) |
$2,495.50 |
$4,991 |
1.9× |
| Colonoscopy with lesion removal (45385) |
$2,924 |
$5,848 |
2.3× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,937.50 |
$5,875 |
2.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,482.50 |
$8,965 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$3,814.50 |
$7,629 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$4,250 |
$8,500 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,099.50 |
$2,199 |
1.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,690.50 |
$3,381 |
2.9× |
| CT head/brain without contrast (70450) |
$901.50 |
$1,803 |
8.0× |
| MRI brain without contrast (70551) |
$1,276.50 |
$2,553 |
5.0× |
| MRI brain with contrast (70552) |
$1,335 |
$2,670 |
3.6× |
| MRI brain without and with contrast (70553) |
$2,390.50 |
$4,781 |
6.4× |
| X-ray lower spine, 4+ views (72110) |
$366.50 |
$733 |
3.3× |
| MRI lumbar spine without contrast (72148) |
$1,612.50 |
$3,225 |
6.3× |
| CT pelvis with contrast (72193) |
$1,407 |
$2,814 |
7.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,297 |
$2,594 |
5.1× |
| CT abdomen and pelvis with contrast (74177) |
$3,243 |
$6,486 |
8.7× |
| Ultrasound, abdomen complete (76700) |
$750 |
$1,500 |
6.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$552 |
$1,104 |
4.9× |
| Ultrasound, transvaginal (76830) |
$514 |
$1,028 |
4.6× |
| Mammography, one breast (diagnostic) (77065) |
$298 |
$596 |
3.5× |
| Mammography, both breasts (diagnostic) (77066) |
$346.50 |
$693 |
3.1× |
| Mammography, screening (bilateral) (77067) |
$310.50 |
$621 |
3.4× |
| Basic metabolic panel (80048) |
$60 |
$120 |
7.1× |
| Comprehensive metabolic panel (80053) |
$122.50 |
$245 |
11.6× |
| Lipid panel (80061) |
$84.50 |
$169 |
6.3× |
| Renal function panel (80069) |
$73.50 |
$147 |
8.5× |
| Hepatic function panel (80076) |
$70 |
$140 |
8.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$21.50 |
$43 |
6.2× |
| PSA, total (84153) |
$95.50 |
$191 |
5.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$79.50 |
$159 |
4.7× |
| CBC with automated differential (85025) |
$46.50 |
$93 |
6.0× |
| CBC, automated (85027) |
$52.50 |
$105 |
8.1× |
| Prothrombin time (PT) (85610) |
$25 |
$50 |
5.8× |
| Partial thromboplastin time (PTT) (85730) |
$65 |
$130 |
10.8× |
| Psychotherapy, 30 minutes (90832) |
$197.50 |
$395 |
1.0× |
Psychotherapy, 45 minutes (90834)
range across 2 matching MRF lines |
$26–$248.50 |
$52–$497 |
varies |
| Psychotherapy, 60 minutes (90837) |
$258 |
$516 |
1.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$247.50 |
$495 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$258 |
$516 |
1.4× |
Group psychotherapy (90853)
range across 2 matching MRF lines |
$174.50–$419.50 |
$349–$839 |
varies |
| Left heart catheterization (93452) |
$7,187.50 |
$14,375 |
2.1× |
| Sleep study (attended polysomnography) (95810) |
$3,030 |
$6,060 |
3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$64.50 |
$129 |
2.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$107 |
$214 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$125 |
$250 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$137.50 |
$275 |
1.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$80.50 |
$161 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$107.50 |
$215 |
— |