| Breast lesion removal (open) (19120) |
$4,720.50 |
$9,441 |
1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,833.67 |
$7,667.34 |
4.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,920.50 |
$3,841 |
2.2× |
| Diagnostic colonoscopy (45378) |
$4,647 |
$9,294 |
5.2× |
| Colonoscopy with biopsy (45380) |
$4,205.34 |
$8,410.66 |
3.7× |
| Colonoscopy with lesion removal (45385) |
$4,798 |
$9,596 |
4.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,021.25 |
$2,042.50 |
1.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,765 |
$5,530 |
3.3× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$727.50 |
$1,455 |
1.4× |
| CT head/brain without contrast (70450) |
$685.25 |
$1,370.50 |
6.8× |
| MRI brain without contrast (70551) |
$1,294 |
$2,588 |
5.7× |
| MRI brain with contrast (70552) |
$1,522.50 |
$3,045 |
4.5× |
| MRI brain without and with contrast (70553) |
$2,751.75 |
$5,503.50 |
8.2× |
| X-ray lower spine, 4+ views (72110) |
$283.50 |
$567 |
2.8× |
| MRI lumbar spine without contrast (72148) |
$1,343.50 |
$2,687 |
5.9× |
| CT pelvis with contrast (72193) |
$946.25 |
$1,892.50 |
5.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,232 |
$2,464 |
5.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,973.75 |
$3,947.50 |
5.9× |
| Ultrasound, abdomen complete (76700) |
$621.75 |
$1,243.50 |
6.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$706.50 |
$1,413 |
7.0× |
| Ultrasound, transvaginal (76830) |
$507.50 |
$1,015 |
5.1× |
| Mammography, one breast (diagnostic) (77065) |
$221.50 |
$443 |
2.6× |
| Mammography, both breasts (diagnostic) (77066) |
$288.75 |
$577.50 |
2.6× |
| Mammography, screening (bilateral) (77067) |
$345 |
$690 |
3.8× |
| Basic metabolic panel (80048) |
$39 |
$78 |
4.6× |
| Comprehensive metabolic panel (80053) |
$49 |
$98 |
4.6× |
| Obstetric panel (80055) |
$221.50 |
$443 |
4.6× |
| Lipid panel (80061) |
$68 |
$136 |
5.1× |
| Renal function panel (80069) |
$40 |
$80 |
4.6× |
| Hepatic function panel (80076) |
$38 |
$76 |
4.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$18.25 |
$36.50 |
4.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$12.50 |
$25 |
3.6× |
| PSA, total (84153) |
$64.75 |
$129.50 |
3.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$45.50 |
$91 |
2.7× |
| CBC with automated differential (85025) |
$43 |
$86 |
5.5× |
| CBC, automated (85027) |
$42 |
$84 |
6.5× |
| Prothrombin time (PT) (85610) |
$46 |
$92 |
10.7× |
| Partial thromboplastin time (PTT) (85730) |
$52.50 |
$105 |
8.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$175.50 |
$351 |
1.0× |
| Electrocardiogram (ECG), complete (93000) |
$293.50 |
$587 |
5.2× |
| Sleep study (attended polysomnography) (95810) |
$2,986 |
$5,972 |
3.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$162 |
$324 |
5.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$114 |
$228 |
0.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$90.75 |
$181.50 |
0.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$130.25 |
$260.50 |
1.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$144 |
$288 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$162 |
$324 |
— |