| Breast lesion removal (open) (19120) |
$10,950.83 |
$10,950.83 |
3.1× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$14,266.41 |
$14,266.41 |
2.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$7,748.08 |
$7,748.08 |
9.4× |
| Diagnostic colonoscopy (45378) |
$4,315.18 |
$4,315.18 |
5.1× |
| Colonoscopy with biopsy (45380) |
$4,123.66 |
$4,123.66 |
3.8× |
| Colonoscopy with lesion removal (45385) |
$4,292.09 |
$4,292.09 |
4.0× |
| Laparoscopic gallbladder removal (47562) |
$24,772.86 |
$24,772.86 |
4.5× |
| Inguinal hernia repair (age 5+) (49505) |
$26,556.85 |
$26,556.85 |
8.2× |
| CT head/brain without contrast (70450) |
$1,908 |
$1,908 |
20.2× |
| MRI brain without contrast (70551) |
$2,670 |
$2,670 |
12.4× |
| MRI brain with contrast (70552) |
$2,999 |
$2,999 |
9.5× |
| MRI brain without and with contrast (70553) |
$3,981 |
$3,981 |
12.6× |
| X-ray lower spine, 4+ views (72110) |
$614 |
$614 |
6.5× |
| MRI lumbar spine without contrast (72148) |
$2,971 |
$2,971 |
13.8× |
| CT pelvis with contrast (72193) |
$2,537 |
$2,537 |
16.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,642 |
$2,642 |
12.2× |
| CT abdomen and pelvis with contrast (74177) |
$5,649.65 |
$5,649.65 |
17.9× |
| Ultrasound, abdomen complete (76700) |
$987.50 |
$987.50 |
10.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$828.50 |
$828.50 |
8.8× |
| Ultrasound, transvaginal (76830) |
$641 |
$641 |
6.8× |
| Mammography, one breast (diagnostic) (77065) |
$364 |
$364 |
4.2× |
| Mammography, both breasts (diagnostic) (77066) |
$480 |
$480 |
4.3× |
| Mammography, screening (bilateral) (77067) |
$376 |
$376 |
4.1× |
| Basic metabolic panel (80048) |
$127 |
$127 |
15.0× |
| Comprehensive metabolic panel (80053) |
$166 |
$166 |
15.7× |
| Obstetric panel (80055) |
$257.50 |
$257.50 |
5.4× |
| Lipid panel (80061) |
$152 |
$152 |
11.4× |
| Renal function panel (80069) |
$114 |
$114 |
13.1× |
| Hepatic function panel (80076) |
$123 |
$123 |
15.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$36 |
$36 |
9.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$25.50 |
$25.50 |
7.3× |
| PSA, total (84153) |
$113 |
$113 |
6.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$112 |
$112 |
6.7× |
| CBC with automated differential (85025) |
$78 |
$78 |
10.0× |
| CBC, automated (85027) |
$81 |
$81 |
12.5× |
| Prothrombin time (PT) (85610) |
$45 |
$45 |
10.5× |
| Partial thromboplastin time (PTT) (85730) |
$56 |
$56 |
9.3× |
| Psychotherapy, 30 minutes (90832) |
$165 |
$165 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$247 |
$247 |
1.5× |
| Psychotherapy, 60 minutes (90837) |
$330 |
$330 |
2.1× |
| Group psychotherapy (90853) |
$266 |
$266 |
2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$96 |
$96 |
3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$264 |
$264 |
2.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$377 |
$377 |
3.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$509 |
$509 |
4.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$380 |
$380 |
3.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$497 |
$497 |
4.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$256 |
$256 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$308 |
$308 |
— |