| Breast lesion removal (open) (19120) |
$830 |
$830 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$608 |
$608 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$670 |
$670 |
0.9× |
| Diagnostic colonoscopy (45378) |
$964 |
$964 |
1.2× |
| Colonoscopy with biopsy (45380) |
$876 |
$876 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$1,195 |
$1,195 |
1.2× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$1,736 |
$1,736 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,041 |
$1,041 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,250 |
$4,250 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,975 |
$5,975 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$2,500 |
$2,500 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$509 |
$509 |
0.7× |
| CT head/brain without contrast (70450) |
$632 |
$632 |
7.0× |
| MRI brain without contrast (70551) |
$1,516 |
$1,516 |
7.4× |
| MRI brain without and with contrast (70553) |
$2,755 |
$2,755 |
9.2× |
| X-ray lower spine, 4+ views (72110) |
$119 |
$119 |
1.3× |
| MRI lumbar spine without contrast (72148) |
$1,378 |
$1,378 |
6.7× |
| CT pelvis with contrast (72193) |
$912 |
$912 |
6.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,378 |
$1,378 |
6.7× |
| CT abdomen and pelvis with contrast (74177) |
$1,823 |
$1,823 |
6.1× |
| Ultrasound, abdomen complete (76700) |
$482 |
$482 |
5.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$264 |
$264 |
2.9× |
| Ultrasound, transvaginal (76830) |
$222.50 |
$222.50 |
2.5× |
| Mammography, one breast (diagnostic) (77065) |
$180 |
$180 |
2.1× |
| Mammography, both breasts (diagnostic) (77066) |
$221 |
$221 |
2.0× |
| Mammography, screening (bilateral) (77067) |
$168 |
$168 |
1.8× |
| Basic metabolic panel (80048) |
$84 |
$84 |
9.9× |
| Comprehensive metabolic panel (80053) |
$103 |
$103 |
9.8× |
| Lipid panel (80061) |
$105 |
$105 |
7.8× |
| Renal function panel (80069) |
$112 |
$112 |
12.9× |
| Hepatic function panel (80076) |
$40 |
$40 |
4.9× |
| PSA, total (84153) |
$116 |
$116 |
6.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$74.50 |
$74.50 |
4.4× |
| CBC with automated differential (85025) |
$69.50 |
$69.50 |
8.9× |
| CBC, automated (85027) |
$52 |
$52 |
8.0× |
| Prothrombin time (PT) (85610) |
$25 |
$25 |
5.8× |
| Partial thromboplastin time (PTT) (85730) |
$26.50 |
$26.50 |
4.4× |
| Psychotherapy, 30 minutes (90832) |
$183 |
$183 |
1.2× |
| Psychotherapy, 45 minutes (90834) |
$241 |
$241 |
1.6× |
| Psychotherapy, 60 minutes (90837) |
$357 |
$357 |
2.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$231 |
$231 |
1.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$240 |
$240 |
1.6× |
| Electrocardiogram (ECG), complete (93000) |
$140 |
$140 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$88.50 |
$88.50 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$281.71 |
$281.71 |
2.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$257.18 |
$257.18 |
2.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$423 |
$423 |
3.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$266.02 |
$266.02 |
2.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$352.10 |
$352.10 |
3.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$155 |
$155 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$186 |
$186 |
— |