| Breast lesion removal (open) (19120) |
$1,096 |
$1,370 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$795 |
$994 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$870 |
$1,087.50 |
1.0× |
| Diagnostic colonoscopy (45378) |
$597 |
$746 |
0.6× |
| Colonoscopy with biopsy (45380) |
$710 |
$888 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$844 |
$1,055 |
0.7× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$1,818 |
$2,273 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,193 |
$1,491 |
0.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$402 |
$503 |
0.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$799 |
$999 |
1.5× |
| CT head/brain without contrast (70450) |
$1,262 |
$1,578 |
12.1× |
| MRI brain without contrast (70551) |
$1,578 |
$1,973 |
6.6× |
| MRI brain with contrast (70552) |
$1,815 |
$2,269 |
5.2× |
| MRI brain without and with contrast (70553) |
$2,052 |
$2,565 |
5.9× |
| X-ray lower spine, 4+ views (72110) |
$379 |
$474 |
3.6× |
| MRI lumbar spine without contrast (72148) |
$1,578 |
$1,973 |
6.6× |
| CT pelvis with contrast (72193) |
$1,421 |
$1,776 |
8.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,578 |
$1,973 |
6.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,841 |
$3,551 |
8.1× |
| Ultrasound, abdomen complete (76700) |
$565 |
$706 |
5.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$519 |
$649 |
5.0× |
| Ultrasound, transvaginal (76830) |
$408 |
$510 |
3.9× |
| Basic metabolic panel (80048) |
$126 |
$157 |
14.9× |
| Comprehensive metabolic panel (80053) |
$163 |
$204 |
15.4× |
| Lipid panel (80061) |
$85.50 |
$106.50 |
6.4× |
| Renal function panel (80069) |
$143 |
$179 |
16.5× |
| Hepatic function panel (80076) |
$118 |
$148 |
14.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$17 |
$21.50 |
4.9× |
| PSA, total (84153) |
$42 |
$52 |
2.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$42 |
$53 |
2.5× |
| CBC with automated differential (85025) |
$98 |
$123 |
12.6× |
| CBC, automated (85027) |
$63 |
$79 |
9.7× |
| Prothrombin time (PT) (85610) |
$44 |
$55 |
10.3× |
| Partial thromboplastin time (PTT) (85730) |
$64 |
$80 |
10.6× |
| Electrocardiogram (ECG), complete (93000) |
$90.50 |
$113 |
1.5× |
| Sleep study (attended polysomnography) (95810) |
$3,321 |
$4,151 |
3.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$86 |
$107 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$156 |
$195 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$239.50 |
$299 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$336 |
$420 |
2.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$225 |
$281 |
1.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$334 |
$417 |
2.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$115 |
$144 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$123.50 |
$154.50 |
— |