| Breast lesion removal (open) (19120) |
$777.20 |
$1,943 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$664 |
$1,660 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$664 |
$1,660 |
0.8× |
| Diagnostic colonoscopy (45378) |
$640 |
$1,600 |
0.8× |
| Colonoscopy with biopsy (45380) |
$664 |
$1,660 |
0.6× |
| CT head/brain without contrast (70450) |
$448.40 |
$1,121 |
4.8× |
| MRI brain without contrast (70551) |
$910 |
$2,275 |
4.2× |
| MRI brain with contrast (70552) |
$1,127.20 |
$2,818 |
3.6× |
| MRI brain without and with contrast (70553) |
$1,521.60 |
$3,804 |
4.8× |
| X-ray lower spine, 4+ views (72110) |
$171.20 |
$428 |
1.8× |
| MRI lumbar spine without contrast (72148) |
$630.80 |
$1,577 |
2.9× |
| CT pelvis with contrast (72193) |
$594.40 |
$1,486 |
3.8× |
| MRI lower-extremity joint without contrast (73721) |
$739.60 |
$1,849 |
3.4× |
| CT abdomen and pelvis with contrast (74177) |
$957.20 |
$2,393 |
3.0× |
| Ultrasound, abdomen complete (76700) |
$356 |
$890 |
3.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$276.80 |
$692 |
2.9× |
| Ultrasound, transvaginal (76830) |
$268.80 |
$672 |
2.8× |
| Mammography, both breasts (diagnostic) (77066) |
$122.80 |
$307 |
1.1× |
| Mammography, screening (bilateral) (77067) |
$98.80 |
$247 |
1.1× |
| Basic metabolic panel (80048) |
$26.80 |
$67 |
3.2× |
| Comprehensive metabolic panel (80053) |
$12 |
$30 |
1.1× |
| Lipid panel (80061) |
$34.40 |
$86 |
2.6× |
| Renal function panel (80069) |
$8 |
$20 |
0.9× |
| Hepatic function panel (80076) |
$23.60 |
$59 |
2.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$17.60 |
$44 |
4.4× |
| PSA, total (84153) |
$44 |
$110 |
2.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$29.60 |
$74 |
1.8× |
| CBC with automated differential (85025) |
$52 |
$130 |
6.7× |
| CBC, automated (85027) |
$8 |
$20 |
1.2× |
| Prothrombin time (PT) (85610) |
$16.40 |
$41 |
3.8× |
| Partial thromboplastin time (PTT) (85730) |
$16.80 |
$42 |
2.8× |
| Psychotherapy, 30 minutes (90832) |
$43.20 |
$108 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$62.80 |
$157 |
0.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$63.60 |
$159 |
0.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$78 |
$195 |
0.5× |
| Group psychotherapy (90853) |
$50.80 |
$127 |
0.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$26 |
$65 |
0.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$82.40 |
$206 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$112 |
$280 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$137.60 |
$344 |
1.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$27.20 |
$68 |
0.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$34 |
$85 |
0.3× |