| Breast lesion removal (open) (19120) |
$7,021.88 |
$10,031.25 |
1.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,050.52 |
$1,500.75 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,402.10 |
$2,003 |
1.3× |
| Diagnostic colonoscopy (45378) |
$1,358.18 |
$1,940.25 |
1.2× |
| Colonoscopy with biopsy (45380) |
$1,307.25 |
$1,867.50 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,307.25 |
$1,867.50 |
0.9× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,775.20 |
$2,536 |
1.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,402.10 |
$2,003 |
1.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,538.60 |
$2,198 |
1.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,560.12 |
$2,228.75 |
2.4× |
| CT head/brain without contrast (70450) |
$367.50 |
$525 |
2.9× |
| MRI brain without contrast (70551) |
$1,141.70 |
$1,631 |
4.0× |
| MRI brain with contrast (70552) |
$1,651.30 |
$2,359 |
3.9× |
| MRI brain without and with contrast (70553) |
$1,908.90 |
$2,727 |
4.6× |
| X-ray lower spine, 4+ views (72110) |
$431.20 |
$616 |
3.4× |
| MRI lumbar spine without contrast (72148) |
$1,141.70 |
$1,631 |
4.0× |
| CT pelvis with contrast (72193) |
$1,025.50 |
$1,465 |
4.9× |
| MRI lower-extremity joint without contrast (73721) |
$856.28 |
$1,223.25 |
3.0× |
| CT abdomen and pelvis with contrast (74177) |
$1,132.95 |
$1,618.50 |
2.7× |
| Ultrasound, abdomen complete (76700) |
$641.90 |
$917 |
5.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$484.40 |
$692 |
3.9× |
| Ultrasound, transvaginal (76830) |
$400.40 |
$572 |
3.2× |
| Mammography, one breast (diagnostic) (77065) |
$299.78 |
$428.25 |
3.5× |
| Mammography, both breasts (diagnostic) (77066) |
$374.85 |
$535.50 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$305.55 |
$436.50 |
3.4× |
| Basic metabolic panel (80048) |
$21.70 |
$31 |
2.6× |
| Comprehensive metabolic panel (80053) |
$27.30 |
$39 |
2.6× |
| Obstetric panel (80055) |
$117.60 |
$168 |
2.5× |
| Lipid panel (80061) |
$35 |
$50 |
2.6× |
| Renal function panel (80069) |
$22.40 |
$32 |
2.6× |
| Hepatic function panel (80076) |
$20.30 |
$29 |
2.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$9.10 |
$13 |
2.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$23.10 |
$33 |
6.6× |
| PSA, total (84153) |
$45.50 |
$65 |
2.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$43.40 |
$62 |
2.6× |
| CBC with automated differential (85025) |
$18.90 |
$27 |
2.4× |
| CBC, automated (85027) |
$16.10 |
$23 |
2.5× |
| Prothrombin time (PT) (85610) |
$10.50 |
$15 |
2.4× |
| Partial thromboplastin time (PTT) (85730) |
$14.70 |
$21 |
2.4× |
| Psychotherapy, 30 minutes (90832) |
$144.20 |
$206 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$176.40 |
$252 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$212.10 |
$303 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$217 |
$310 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$191.10 |
$273 |
0.9× |
| Group psychotherapy (90853) |
$99.40 |
$142 |
0.8× |
| Left heart catheterization (93452) |
$6,566 |
$9,380 |
1.7× |
| Sleep study (attended polysomnography) (95810) |
$2,999.50 |
$4,285 |
2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$126.70 |
$181 |
4.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$301 |
$430 |
1.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$395.50 |
$565 |
2.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$541.80 |
$774 |
3.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$271.60 |
$388 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$203.70 |
$291 |
— |