| Breast lesion removal (open) (19120) |
$6,543.25 |
$18,695 |
1.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$501.90 |
$1,434 |
0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$706.30 |
$2,018 |
0.7× |
| Diagnostic colonoscopy (45378) |
$1,143.10 |
$3,266 |
1.2× |
| Colonoscopy with biopsy (45380) |
$1,193.85 |
$3,411 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,388.10 |
$3,966 |
1.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,193.85 |
$3,411 |
1.0× |
| Inguinal hernia repair (age 5+) (49505) |
$12,195.40 |
$34,844 |
3.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,113.70 |
$3,182 |
1.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,500.05 |
$7,143 |
2.7× |
| CT head/brain without contrast (70450) |
$1,296.75 |
$3,705 |
11.9× |
| MRI brain without contrast (70551) |
$1,522.15 |
$4,349 |
6.1× |
| MRI brain with contrast (70552) |
$1,581.30 |
$4,518 |
4.3× |
| MRI brain without and with contrast (70553) |
$2,040.50 |
$5,830 |
5.6× |
| X-ray lower spine, 4+ views (72110) |
$495.60 |
$1,416 |
4.5× |
| MRI lumbar spine without contrast (72148) |
$1,292.90 |
$3,694 |
5.2× |
| CT pelvis with contrast (72193) |
$1,484.35 |
$4,241 |
8.1× |
| MRI lower-extremity joint without contrast (73721) |
$630.70 |
$1,802 |
2.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,833.95 |
$8,097 |
7.8× |
| Ultrasound, abdomen complete (76700) |
$614.60 |
$1,756 |
5.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$212.80 |
$608 |
1.9× |
| Ultrasound, transvaginal (76830) |
$522.90 |
$1,494 |
4.8× |
| Mammography, one breast (diagnostic) (77065) |
$105.70 |
$302 |
1.2× |
| Mammography, both breasts (diagnostic) (77066) |
$162.75 |
$465 |
1.5× |
| Mammography, screening (bilateral) (77067) |
$203.35 |
$581 |
2.2× |
| Basic metabolic panel (80048) |
$110.25 |
$315 |
13.0× |
| Comprehensive metabolic panel (80053) |
$11.20 |
$32 |
1.1× |
| Obstetric panel (80055) |
$159.95 |
$457 |
3.3× |
| Lipid panel (80061) |
$119.35 |
$341 |
8.9× |
| Renal function panel (80069) |
$114.10 |
$326 |
13.1× |
| Hepatic function panel (80076) |
$136.85 |
$391 |
16.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$41.65 |
$119 |
10.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$22.05 |
$63 |
6.3× |
| PSA, total (84153) |
$167.30 |
$478 |
9.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$105.88 |
$302.50 |
6.3× |
| CBC with automated differential (85025) |
$76.48 |
$218.50 |
9.8× |
| CBC, automated (85027) |
$100.80 |
$288 |
15.6× |
| Prothrombin time (PT) (85610) |
$65.45 |
$187 |
15.3× |
| Partial thromboplastin time (PTT) (85730) |
$63.35 |
$181 |
10.5× |
| Psychotherapy, 30 minutes (90832) |
$72.80 |
$208 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$144.55 |
$413 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$196.70 |
$562 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$87.85 |
$251 |
0.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$151.20 |
$432 |
0.8× |
| Group psychotherapy (90853) |
$160.65 |
$459 |
1.5× |
| Electrocardiogram (ECG), complete (93000) |
$127.75 |
$365 |
2.1× |
| Left heart catheterization (93452) |
$8,466.50 |
$24,190 |
2.5× |
| Sleep study (attended polysomnography) (95810) |
$3,532.55 |
$10,093 |
3.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$85.40 |
$244 |
2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$210.88 |
$602.50 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$235.20 |
$672 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$377.48 |
$1,078.50 |
2.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$157.85 |
$451 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$176.05 |
$503 |
1.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$69.65 |
$199 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$77.70 |
$222 |
— |