| Breast lesion removal (open) (19120) |
$10,895 |
$10,895 |
2.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,591 |
$2,591 |
2.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,100 |
$3,100 |
3.4× |
| Diagnostic colonoscopy (45378) |
$3,000 |
$3,000 |
3.2× |
| Colonoscopy with biopsy (45380) |
$3,900 |
$3,900 |
3.2× |
| Colonoscopy with lesion removal (45385) |
$3,900 |
$3,900 |
3.2× |
| Laparoscopic gallbladder removal (47562) |
$16,493 |
$16,493 |
2.7× |
| Inguinal hernia repair (age 5+) (49505) |
$10,300 |
$10,300 |
2.9× |
| CT head/brain without contrast (70450) |
$525 |
$525 |
5.0× |
| MRI brain without contrast (70551) |
$1,200 |
$1,200 |
5.0× |
| MRI brain with contrast (70552) |
$1,800 |
$1,800 |
5.1× |
| MRI brain without and with contrast (70553) |
$1,800 |
$1,800 |
5.1× |
| X-ray lower spine, 4+ views (72110) |
$420 |
$420 |
4.0× |
| MRI lumbar spine without contrast (72148) |
$1,200 |
$1,200 |
5.0× |
| CT pelvis with contrast (72193) |
$900 |
$900 |
5.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,200 |
$1,200 |
5.0× |
| CT abdomen and pelvis with contrast (74177) |
$1,850 |
$1,850 |
5.3× |
| Ultrasound, abdomen complete (76700) |
$420 |
$420 |
4.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$420 |
$420 |
4.0× |
| Ultrasound, transvaginal (76830) |
$420 |
$420 |
4.0× |
| Mammography, one breast (diagnostic) (77065) |
$420 |
$420 |
4.9× |
| Mammography, both breasts (diagnostic) (77066) |
$600 |
$600 |
5.4× |
| Mammography, screening (bilateral) (77067) |
$160 |
$160 |
1.8× |
| Basic metabolic panel (80048) |
$27 |
$27 |
3.2× |
| Comprehensive metabolic panel (80053) |
$34 |
$34 |
3.2× |
| Lipid panel (80061) |
$44 |
$44 |
3.3× |
| Renal function panel (80069) |
$28 |
$28 |
3.2× |
| Hepatic function panel (80076) |
$27 |
$27 |
3.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$14.50 |
$14.50 |
4.2× |
| PSA, total (84153) |
$60 |
$60 |
3.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$55 |
$55 |
3.3× |
| CBC with automated differential (85025) |
$25 |
$25 |
3.2× |
| CBC, automated (85027) |
$21 |
$21 |
3.2× |
| Prothrombin time (PT) (85610) |
$14 |
$14 |
3.3× |
| Partial thromboplastin time (PTT) (85730) |
$20 |
$20 |
3.3× |
| Electrocardiogram (ECG), complete (93000) |
$45 |
$45 |
0.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$98.95 |
$98.95 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$230 |
$230 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$272.50 |
$272.50 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$110 |
$110 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$110 |
$110 |
— |