| Breast lesion removal (open) (19120) |
$983.20 |
$1,229 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$369.60 |
$462 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$436.80 |
$546 |
0.5× |
| Diagnostic colonoscopy (45378) |
$776 |
$970 |
0.9× |
| Colonoscopy with biopsy (45380) |
$662.40 |
$828 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$785.60 |
$982 |
0.7× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$1,802.40 |
$2,253 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,259.20 |
$1,574 |
0.4× |
| CT head/brain without contrast (70450) |
$1,044 |
$1,305 |
10.6× |
| MRI brain without contrast (70551) |
$1,289.60 |
$1,612 |
5.8× |
| MRI brain with contrast (70552) |
$1,620.80 |
$2,026 |
5.0× |
| MRI brain without and with contrast (70553) |
$1,110 |
$1,387.50 |
3.4× |
| X-ray lower spine, 4+ views (72110) |
$257.60 |
$322 |
2.6× |
| MRI lumbar spine without contrast (72148) |
$656.80 |
$821 |
2.9× |
| CT pelvis with contrast (72193) |
$1,762.40 |
$2,203 |
10.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,479.60 |
$1,849.50 |
6.6× |
| CT abdomen and pelvis with contrast (74177) |
$966.80 |
$1,208.50 |
3.0× |
| Ultrasound, abdomen complete (76700) |
$1,078.40 |
$1,348 |
11.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$982.40 |
$1,228 |
10.0× |
| Ultrasound, transvaginal (76830) |
$1,039.20 |
$1,299 |
10.6× |
| Mammography, one breast (diagnostic) (77065) |
$250.40 |
$313 |
2.9× |
| Mammography, both breasts (diagnostic) (77066) |
$310.40 |
$388 |
2.8× |
| Mammography, screening (bilateral) (77067) |
$400.80 |
$501 |
4.4× |
| Basic metabolic panel (80048) |
$43.20 |
$54 |
5.1× |
| Comprehensive metabolic panel (80053) |
$93.60 |
$117 |
8.9× |
| Lipid panel (80061) |
$43.20 |
$54 |
3.2× |
| Renal function panel (80069) |
$54.40 |
$68 |
6.3× |
| Hepatic function panel (80076) |
$75.20 |
$94 |
9.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$26.80 |
$33.50 |
7.7× |
| PSA, total (84153) |
$112.40 |
$140.50 |
6.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$141.60 |
$177 |
8.4× |
| CBC with automated differential (85025) |
$44.40 |
$55.50 |
5.7× |
| CBC, automated (85027) |
$44.80 |
$56 |
6.9× |
| Prothrombin time (PT) (85610) |
$35.20 |
$44 |
8.2× |
| Partial thromboplastin time (PTT) (85730) |
$100.40 |
$125.50 |
16.7× |
| Psychotherapy, 30 minutes (90832) |
$116 |
$145 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$154.40 |
$193 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$190.40 |
$238 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$154.40 |
$193 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$220.80 |
$276 |
1.3× |
| Group psychotherapy (90853) |
$96.80 |
$121 |
1.0× |
| Electrocardiogram (ECG), complete (93000) |
$86.40 |
$108 |
1.6× |
| Sleep study (attended polysomnography) (95810) |
$1,268.40 |
$1,585.50 |
1.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$114.40 |
$143 |
3.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$229.60 |
$287 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$344 |
$430 |
2.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$332 |
$415 |
2.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$308.80 |
$386 |
2.5× |