| Breast lesion removal (open) (19120) |
$5,011.28 |
$5,011.28 |
1.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$5,000 |
$5,000 |
6.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$5,000 |
$5,000 |
6.4× |
| Diagnostic colonoscopy (45378) |
$3,450 |
$3,450 |
4.3× |
| Colonoscopy with biopsy (45380) |
$550 |
$550 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$6,400 |
$6,400 |
6.2× |
| Laparoscopic gallbladder removal (47562) |
$18,000 |
$18,000 |
3.5× |
| Inguinal hernia repair (age 5+) (49505) |
$14,000 |
$14,000 |
4.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$757.07 |
$757.07 |
1.0× |
| Cataract removal with lens insertion (66984) |
$7,045.50 |
$7,045.50 |
3.5× |
| CT head/brain without contrast (70450) |
$895.50 |
$895.50 |
9.9× |
| MRI brain without contrast (70551) |
$1,485 |
$1,485 |
7.2× |
| MRI brain with contrast (70552) |
$1,918 |
$1,918 |
6.4× |
| MRI brain without and with contrast (70553) |
$2,469 |
$2,469 |
8.2× |
| X-ray lower spine, 4+ views (72110) |
$112 |
$112 |
1.2× |
| MRI lumbar spine without contrast (72148) |
$1,485 |
$1,485 |
7.2× |
| CT pelvis with contrast (72193) |
$947.19 |
$947.19 |
6.3× |
| MRI lower-extremity joint without contrast (73721) |
$2,800 |
$2,800 |
13.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,123.50 |
$2,123.50 |
7.1× |
| Ultrasound, abdomen complete (76700) |
$300.10 |
$300.10 |
3.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$301 |
$301 |
3.3× |
| Ultrasound, transvaginal (76830) |
$280.50 |
$280.50 |
3.1× |
| Basic metabolic panel (80048) |
$204.96 |
$204.96 |
24.2× |
| Comprehensive metabolic panel (80053) |
$211.37 |
$211.37 |
20.0× |
| Lipid panel (80061) |
$211.37 |
$211.37 |
15.8× |
| Renal function panel (80069) |
$119.08 |
$119.08 |
13.7× |
| Hepatic function panel (80076) |
$112 |
$112 |
13.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$18.31 |
$18.31 |
4.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$9 |
$9 |
2.6× |
| PSA, total (84153) |
$80.16 |
$80.16 |
4.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$137.07 |
$137.07 |
8.2× |
| CBC with automated differential (85025) |
$34.64 |
$34.64 |
4.5× |
| CBC, automated (85027) |
$47.40 |
$47.40 |
7.3× |
| Prothrombin time (PT) (85610) |
$115.93 |
$115.93 |
27.0× |
| Partial thromboplastin time (PTT) (85730) |
$46.37 |
$46.37 |
7.7× |
| Psychotherapy, 30 minutes (90832) |
$186.38 |
$186.38 |
1.2× |
| Psychotherapy, 45 minutes (90834) |
$336.76 |
$336.76 |
2.2× |
| Psychotherapy, 60 minutes (90837) |
$310 |
$310 |
2.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$232.50 |
$232.50 |
1.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$297.75 |
$297.75 |
1.9× |
| Group psychotherapy (90853) |
$2,454.50 |
$2,454.50 |
28.0× |
| Electrocardiogram (ECG), complete (93000) |
$38 |
$38 |
0.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$64.05 |
$64.05 |
2.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$160.50 |
$160.50 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$192 |
$192 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$314 |
$314 |
2.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$223.50 |
$223.50 |
1.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$346.50 |
$346.50 |
3.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$192.50 |
$192.50 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$202.50 |
$202.50 |
— |