| Breast lesion removal (open) (19120) |
$2,502.40 |
$2,944 |
0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$673.84 |
$792.75 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,164.84 |
$1,370.40 |
1.4× |
| Diagnostic colonoscopy (45378) |
$843.84 |
$992.75 |
1.0× |
| Colonoscopy with biopsy (45380) |
$886.34 |
$1,042.75 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$928.84 |
$1,092.75 |
0.8× |
| Inguinal hernia repair (age 5+) (49505) |
$4,250 |
$5,000 |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$351.06 |
$413 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$690.62 |
$812.50 |
0.8× |
| CT head/brain without contrast (70450) |
$658.75 |
$775 |
6.9× |
| MRI brain without contrast (70551) |
$786.25 |
$925 |
3.6× |
| MRI brain with contrast (70552) |
$786.25 |
$925 |
2.5× |
| MRI brain without and with contrast (70553) |
$786.25 |
$925 |
2.5× |
| X-ray lower spine, 4+ views (72110) |
$361.25 |
$425 |
3.8× |
| MRI lumbar spine without contrast (72148) |
$786.25 |
$925 |
3.6× |
| CT pelvis with contrast (72193) |
$684.25 |
$805 |
4.2× |
| MRI lower-extremity joint without contrast (73721) |
$786.25 |
$925 |
3.6× |
| CT abdomen and pelvis with contrast (74177) |
$684.25 |
$805 |
2.1× |
| Ultrasound, abdomen complete (76700) |
$225.25 |
$265 |
2.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$216.75 |
$255 |
2.3× |
| Ultrasound, transvaginal (76830) |
$216.75 |
$255 |
2.3× |
| Mammography, one breast (diagnostic) (77065) |
$148.75 |
$175 |
1.7× |
| Mammography, both breasts (diagnostic) (77066) |
$204 |
$240 |
1.8× |
| Mammography, screening (bilateral) (77067) |
$204 |
$240 |
2.2× |
| Basic metabolic panel (80048) |
$26.35 |
$31 |
3.1× |
| Comprehensive metabolic panel (80053) |
$30.60 |
$36 |
2.9× |
| Lipid panel (80061) |
$58.65 |
$69 |
4.4× |
| Renal function panel (80069) |
$26.35 |
$31 |
3.0× |
| Hepatic function panel (80076) |
$42.50 |
$50 |
5.2× |
| PSA, total (84153) |
$90.10 |
$106 |
4.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$58.65 |
$69 |
3.5× |
| CBC with automated differential (85025) |
$17.85 |
$21 |
2.3× |
| CBC, automated (85027) |
$18.70 |
$22 |
2.9× |
| Prothrombin time (PT) (85610) |
$22.74 |
$26.75 |
5.3× |
| Partial thromboplastin time (PTT) (85730) |
$32.30 |
$38 |
5.4× |
| Psychotherapy, 30 minutes (90832) |
$518.50 |
$610 |
3.2× |
| Psychotherapy, 45 minutes (90834) |
$641.75 |
$755 |
3.9× |
| Psychotherapy, 60 minutes (90837) |
$654.50 |
$770 |
4.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$684.25 |
$805 |
4.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$718.25 |
$845 |
4.4× |
| Group psychotherapy (90853) |
$342.98 |
$403.50 |
3.7× |
| Sleep study (attended polysomnography) (95810) |
$3,298 |
$3,880 |
4.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$76.50 |
$90 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$104.12 |
$122.50 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$146.62 |
$172.50 |
1.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$197.62 |
$232.50 |
1.6× |