| Breast lesion removal (open) (19120) |
$2,996 |
$3,745 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$668 |
$835 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$769.40 |
$2,181 |
0.9× |
| Diagnostic colonoscopy (45378) |
$719.60 |
$899.50 |
0.8× |
| Colonoscopy with biopsy (45380) |
$927.20 |
$1,159 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$927.20 |
$1,159 |
0.8× |
| Inguinal hernia repair (age 5+) (49505) |
$2,719.20 |
$3,399 |
0.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$717.60 |
$897 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$708.80 |
$886 |
0.9× |
| CT head/brain without contrast (70450) |
$711.20 |
$889 |
7.4× |
| MRI brain without contrast (70551) |
$1,576 |
$1,970 |
7.2× |
| MRI brain with contrast (70552) |
$1,656 |
$2,070 |
5.2× |
| MRI brain without and with contrast (70553) |
$2,242.40 |
$2,803 |
7.0× |
| X-ray lower spine, 4+ views (72110) |
$267.20 |
$334 |
2.8× |
| MRI lumbar spine without contrast (72148) |
$1,607.20 |
$2,009 |
7.4× |
| CT pelvis with contrast (72193) |
$1,394.40 |
$1,743 |
8.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,502.40 |
$1,878 |
6.9× |
| CT abdomen and pelvis with contrast (74177) |
$1,476.80 |
$1,846 |
4.6× |
| Ultrasound, abdomen complete (76700) |
$475.20 |
$594 |
5.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$407.20 |
$509 |
4.3× |
| Ultrasound, transvaginal (76830) |
$476.80 |
$596 |
5.0× |
| Mammography, one breast (diagnostic) (77065) |
$121.60 |
$152 |
1.4× |
| Mammography, both breasts (diagnostic) (77066) |
$148 |
$148 |
1.3× |
| Mammography, screening (bilateral) (77067) |
$94.40 |
$118 |
1.0× |
| Basic metabolic panel (80048) |
$116 |
$145 |
13.7× |
| Comprehensive metabolic panel (80053) |
$183.20 |
$229 |
17.3× |
| Lipid panel (80061) |
$89.60 |
$112 |
6.7× |
| Renal function panel (80069) |
$177.60 |
$222 |
20.5× |
| Hepatic function panel (80076) |
$106.40 |
$133 |
13.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$61.80 |
$77.25 |
15.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$30.86 |
$38.58 |
8.9× |
| PSA, total (84153) |
$96.80 |
$121 |
5.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$130.40 |
$163 |
7.8× |
| CBC with automated differential (85025) |
$130.40 |
$163 |
16.8× |
| CBC, automated (85027) |
$121.60 |
$152 |
18.8× |
| Prothrombin time (PT) (85610) |
$76.80 |
$96 |
17.9× |
| Partial thromboplastin time (PTT) (85730) |
$58.40 |
$73 |
9.7× |
| Sleep study (attended polysomnography) (95810) |
$4,944 |
$6,180 |
6.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$24 |
$30 |
0.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$355.20 |
$444 |
2.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$303 |
$303 |
2.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$576.80 |
$721 |
4.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$231.20 |
$289 |
1.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$324 |
$405 |
2.7× |