| Breast lesion removal (open) (19120) |
$3,432 |
$4,290 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,237.60 |
$4,047 |
3.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,160 |
$3,950 |
3.1× |
| Diagnostic colonoscopy (45378) |
$2,922.40 |
$3,653 |
2.8× |
| Colonoscopy with biopsy (45380) |
$4,294.40 |
$5,368 |
3.2× |
| Colonoscopy with lesion removal (45385) |
$4,119.20 |
$5,149 |
3.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,650.40 |
$3,313 |
2.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,240 |
$2,800 |
2.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,735.60 |
$4,669.50 |
3.8× |
| CT head/brain without contrast (70450) |
$1,480 |
$1,850 |
12.7× |
| MRI brain without contrast (70551) |
$2,976 |
$3,720 |
11.2× |
| MRI brain with contrast (70552) |
$3,558.40 |
$4,448 |
9.2× |
| MRI brain without and with contrast (70553) |
$4,436.80 |
$5,546 |
11.4× |
| X-ray lower spine, 4+ views (72110) |
$591.20 |
$739 |
5.1× |
| MRI lumbar spine without contrast (72148) |
$2,967.20 |
$3,709 |
11.2× |
| CT pelvis with contrast (72193) |
$2,451.20 |
$3,064 |
12.5× |
| MRI lower-extremity joint without contrast (73721) |
$2,571.60 |
$3,214.50 |
9.7× |
| CT abdomen and pelvis with contrast (74177) |
$4,160 |
$5,200 |
10.7× |
| Ultrasound, abdomen complete (76700) |
$836.80 |
$1,046 |
7.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$135.20 |
$169 |
1.2× |
| Ultrasound, transvaginal (76830) |
$236.80 |
$296 |
2.0× |
| Basic metabolic panel (80048) |
$86.40 |
$108 |
10.2× |
| Comprehensive metabolic panel (80053) |
$120 |
$150 |
11.4× |
| Obstetric panel (80055) |
$128.80 |
$161 |
2.7× |
| Lipid panel (80061) |
$31.20 |
$39 |
2.3× |
| Renal function panel (80069) |
$103.20 |
$129 |
11.9× |
| Hepatic function panel (80076) |
$75.60 |
$94.50 |
9.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$12 |
$15 |
3.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$12 |
$15 |
3.4× |
| PSA, total (84153) |
$135.20 |
$169 |
7.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$159.20 |
$199 |
9.5× |
| CBC with automated differential (85025) |
$86.40 |
$108 |
11.1× |
| CBC, automated (85027) |
$62.40 |
$78 |
9.6× |
| Prothrombin time (PT) (85610) |
$9.60 |
$12 |
2.2× |
| Partial thromboplastin time (PTT) (85730) |
$74 |
$92.50 |
12.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$144 |
$180 |
0.7× |
| Group psychotherapy (90853) |
$83.20 |
$104 |
0.7× |
| Left heart catheterization (93452) |
$6,196.80 |
$7,746 |
1.7× |
| Sleep study (attended polysomnography) (95810) |
$3,905.60 |
$4,882 |
4.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$110.40 |
$138 |
3.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$325.60 |
$407 |
2.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$398.40 |
$498 |
2.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$301.20 |
$376.50 |
2.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$124 |
$155 |
0.8× |