| Breast lesion removal (open) (19120) |
— |
$400 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$961.80 |
$1,374 |
1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,232 |
$1,760 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,182.30 |
$1,689 |
1.5× |
| Colonoscopy with biopsy (45380) |
$1,407 |
$2,010 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$1,587.60 |
$2,268 |
1.5× |
| CT head/brain without contrast (70450) |
$89.60 |
$112 |
1.0× |
| MRI brain without contrast (70551) |
$156 |
$195 |
0.8× |
| MRI brain with contrast (70552) |
— |
$1,626 |
— |
| MRI brain without and with contrast (70553) |
$240 |
$300 |
0.8× |
| X-ray lower spine, 4+ views (72110) |
$26.40 |
$33 |
0.3× |
| MRI lumbar spine without contrast (72148) |
$156.80 |
$196 |
0.8× |
| CT pelvis with contrast (72193) |
$1,181.78 |
$1,319.12 |
7.8× |
| MRI lower-extremity joint without contrast (73721) |
$143.20 |
$179 |
0.7× |
| CT abdomen and pelvis with contrast (74177) |
$191.20 |
$239 |
0.6× |
| Ultrasound, abdomen complete (76700) |
$84.80 |
$106 |
0.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$104.80 |
$131 |
1.2× |
| Ultrasound, transvaginal (76830) |
$224.87 |
$321.24 |
2.5× |
| Basic metabolic panel (80048) |
$44.80 |
$82 |
5.3× |
| Comprehensive metabolic panel (80053) |
$58.10 |
$99 |
5.5× |
| Obstetric panel (80055) |
$156.45 |
$223.50 |
3.3× |
| Lipid panel (80061) |
$38.50 |
$69.50 |
2.9× |
| Renal function panel (80069) |
$25.90 |
$72.50 |
3.0× |
| Hepatic function panel (80076) |
$39.20 |
$56 |
4.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$15.40 |
$22 |
3.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$10.50 |
$15 |
3.0× |
| PSA, total (84153) |
$55.30 |
$176.50 |
3.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$133.15 |
$103 |
7.9× |
| CBC with automated differential (85025) |
— |
$63 |
— |
| CBC, automated (85027) |
$21.70 |
$31 |
3.4× |
| Prothrombin time (PT) (85610) |
$36.41 |
$516 |
8.5× |
| Partial thromboplastin time (PTT) (85730) |
$226.34 |
$286.48 |
37.7× |
| Psychotherapy, 30 minutes (90832) |
$140 |
$140 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$165 |
$165 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
— |
$135 |
— |
| Family psychotherapy, without patient (50 min) (90846) |
$450 |
$450 |
2.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$500 |
$332.50 |
3.3× |
| Group psychotherapy (90853) |
— |
$260 |
— |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$52.85 |
$90 |
1.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$154.52 |
$220.74 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$207.48 |
$307.18 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$294.96 |
$227 |
2.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$128 |
$160 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$144 |
$180 |
1.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$169.40 |
$193.50 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$177.45 |
$227 |
— |