| Breast lesion removal (open) (19120) |
$669.60 |
$1,116 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$623.40 |
$1,039 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$589.80 |
$983 |
0.7× |
| Diagnostic colonoscopy (45378) |
$745.20 |
$1,242 |
0.9× |
| Colonoscopy with biopsy (45380) |
$847.20 |
$1,412 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$1,038.60 |
$1,731 |
0.9× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$1,827.60 |
$3,046 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$995.40 |
$1,659 |
0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,141.80 |
$1,903 |
1.4× |
| CT head/brain without contrast (70450) |
$1,537.20 |
$2,562 |
15.7× |
| MRI brain without contrast (70551) |
$3,325.20 |
$5,542 |
14.9× |
| MRI brain with contrast (70552) |
$3,744 |
$6,240 |
11.4× |
| MRI brain without and with contrast (70553) |
$4,782 |
$7,970 |
14.6× |
| X-ray lower spine, 4+ views (72110) |
$457.20 |
$762 |
4.7× |
| MRI lumbar spine without contrast (72148) |
$3,377.40 |
$5,629 |
15.1× |
| CT pelvis with contrast (72193) |
$2,517 |
$4,195 |
15.3× |
| MRI lower-extremity joint without contrast (73721) |
$3,325.20 |
$5,542 |
14.9× |
| CT abdomen and pelvis with contrast (74177) |
$4,492.20 |
$7,487 |
13.7× |
| Ultrasound, abdomen complete (76700) |
$958.20 |
$1,597 |
9.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$99.60 |
$166 |
1.0× |
| Ultrasound, transvaginal (76830) |
$904.80 |
$1,508 |
9.2× |
| Mammography, one breast (diagnostic) (77065) |
$460.20 |
$767 |
5.3× |
| Mammography, both breasts (diagnostic) (77066) |
$460.20 |
$767 |
4.2× |
| Mammography, screening (bilateral) (77067) |
$189.60 |
$316 |
2.1× |
| Basic metabolic panel (80048) |
$133.20 |
$222 |
15.7× |
| Comprehensive metabolic panel (80053) |
$154.80 |
$258 |
14.7× |
| Obstetric panel (80055) |
$192.60 |
$321 |
4.0× |
| Lipid panel (80061) |
$100.80 |
$168 |
7.5× |
| Renal function panel (80069) |
$189.60 |
$316 |
21.8× |
| Hepatic function panel (80076) |
$171 |
$285 |
20.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$58.20 |
$97 |
14.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$26.70 |
$44.50 |
7.7× |
| PSA, total (84153) |
$184.20 |
$307 |
10.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$165.60 |
$276 |
9.9× |
| CBC with automated differential (85025) |
$74.40 |
$124 |
9.6× |
| CBC, automated (85027) |
$57.60 |
$96 |
8.9× |
| Prothrombin time (PT) (85610) |
$48 |
$80 |
11.2× |
| Partial thromboplastin time (PTT) (85730) |
$88.20 |
$147 |
14.7× |
| Electrocardiogram (ECG), complete (93000) |
$143.40 |
$239 |
2.6× |
| Sleep study (attended polysomnography) (95810) |
$2,516.40 |
$4,194 |
3.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$209.40 |
$349 |
7.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$114.60 |
$191 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$147.60 |
$246 |
1.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$196.50 |
$327.50 |
1.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$116.10 |
$193.50 |
0.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$161.70 |
$269.50 |
1.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$115.80 |
$193 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$139.80 |
$233 |
— |