| Breast lesion removal (open) (19120) |
$5,970.75 |
$7,961 |
1.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,469.25 |
$1,959 |
1.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,469.25 |
$1,959 |
1.8× |
| Diagnostic colonoscopy (45378) |
$1,633.50 |
$2,178 |
1.9× |
| Colonoscopy with biopsy (45380) |
$1,688.25 |
$2,251 |
1.5× |
| Colonoscopy with lesion removal (45385) |
$2,142.75 |
$2,857 |
1.9× |
| Laparoscopic gallbladder removal (47562) |
$9,390 |
$12,520 |
1.7× |
| Inguinal hernia repair (age 5+) (49505) |
$5,575.50 |
$7,434 |
1.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,007.25 |
$1,343 |
1.2× |
| CT head/brain without contrast (70450) |
$657 |
$876 |
6.8× |
| MRI brain without contrast (70551) |
$772.50 |
$1,030 |
3.5× |
| MRI brain with contrast (70552) |
$772.50 |
$1,030 |
2.4× |
| MRI brain without and with contrast (70553) |
$772.50 |
$1,030 |
2.4× |
| X-ray lower spine, 4+ views (72110) |
$368.25 |
$491 |
3.8× |
| MRI lumbar spine without contrast (72148) |
$772.50 |
$1,030 |
3.5× |
| CT pelvis with contrast (72193) |
$657 |
$876 |
4.1× |
| MRI lower-extremity joint without contrast (73721) |
$772.50 |
$1,030 |
3.5× |
| CT abdomen and pelvis with contrast (74177) |
$657 |
$876 |
2.0× |
| Ultrasound, abdomen complete (76700) |
$225 |
$300 |
2.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$196.50 |
$262 |
2.0× |
| Ultrasound, transvaginal (76830) |
$183 |
$244 |
1.9× |
| Mammography, one breast (diagnostic) (77065) |
$195 |
$260 |
2.3× |
| Mammography, both breasts (diagnostic) (77066) |
$195 |
$260 |
1.8× |
| Mammography, screening (bilateral) (77067) |
$195 |
$260 |
2.1× |
| Basic metabolic panel (80048) |
$26.62 |
$35.50 |
3.1× |
| Comprehensive metabolic panel (80053) |
$31.12 |
$41.50 |
2.9× |
| Lipid panel (80061) |
$30 |
$40 |
2.2× |
| Renal function panel (80069) |
$65.62 |
$87.50 |
7.6× |
| Hepatic function panel (80076) |
$30.38 |
$40.50 |
3.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$15 |
$20 |
4.3× |
| PSA, total (84153) |
$82.88 |
$110.50 |
4.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$39.38 |
$52.50 |
2.3× |
| CBC with automated differential (85025) |
$21.75 |
$29 |
2.8× |
| CBC, automated (85027) |
$33 |
$44 |
5.1× |
| Prothrombin time (PT) (85610) |
$17.25 |
$23 |
4.0× |
| Partial thromboplastin time (PTT) (85730) |
$36 |
$48 |
6.0× |
| Psychotherapy, 30 minutes (90832) |
$93.75 |
$125 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$112.50 |
$150 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$168.75 |
$225 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$142.50 |
$190 |
0.9× |
| Electrocardiogram (ECG), complete (93000) |
$48.75 |
$65 |
0.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$84.75 |
$113 |
2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$176.25 |
$235 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$203.62 |
$271.50 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$249.38 |
$332.50 |
2.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$125.62 |
$167.50 |
1.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$157.50 |
$210 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$187.50 |
$250 |
— |