| Breast lesion removal (open) (19120) |
$3,790.43 |
$6,424.45 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,488.20 |
$2,522.37 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,488.20 |
$2,522.37 |
1.4× |
| Diagnostic colonoscopy (45378) |
$1,448.16 |
$2,454.50 |
1.3× |
| Colonoscopy with biopsy (45380) |
$1,898.80 |
$3,218.30 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,898.80 |
$3,218.30 |
1.3× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,898.80 |
$3,218.30 |
1.3× |
| Inguinal hernia repair (age 5+) (49505) |
$6,877.95 |
$11,657.54 |
1.6× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,100.31 |
$1,864.93 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,384.80 |
$2,347.12 |
1.3× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,019.03 |
$1,727.17 |
1.5× |
| CT head/brain without contrast (70450) |
$467.38 |
$792.17 |
3.7× |
| MRI brain without contrast (70551) |
$910.85 |
$1,543.81 |
3.2× |
| MRI brain with contrast (70552) |
$1,223.43 |
$2,073.61 |
2.9× |
| MRI brain without and with contrast (70553) |
$1,478.63 |
$2,506.16 |
3.5× |
| X-ray lower spine, 4+ views (72110) |
$244.45 |
$414.32 |
2.0× |
| MRI lumbar spine without contrast (72148) |
$910.85 |
$1,543.81 |
3.2× |
| CT pelvis with contrast (72193) |
$799.68 |
$1,355.39 |
3.8× |
| MRI lower-extremity joint without contrast (73721) |
$910.85 |
$1,543.81 |
3.2× |
| CT abdomen and pelvis with contrast (74177) |
$1,298.74 |
$2,201.25 |
3.1× |
| Ultrasound, abdomen complete (76700) |
$267.75 |
$453.82 |
2.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$267.75 |
$453.82 |
2.1× |
| Ultrasound, transvaginal (76830) |
$267.75 |
$453.82 |
2.1× |
| Mammography, one breast (diagnostic) (77065) |
$274.93 |
$465.98 |
3.2× |
| Mammography, both breasts (diagnostic) (77066) |
$343.66 |
$582.48 |
3.1× |
| Mammography, screening (bilateral) (77067) |
$286.88 |
$486.24 |
3.1× |
| Basic metabolic panel (80048) |
$29.95 |
$50.76 |
3.5× |
| Comprehensive metabolic panel (80053) |
$37.38 |
$63.36 |
3.5× |
| Obstetric panel (80055) |
$169.25 |
$286.86 |
3.5× |
| Lipid panel (80061) |
$47.40 |
$80.34 |
3.5× |
| Renal function panel (80069) |
$30.73 |
$52.08 |
3.5× |
| Hepatic function panel (80076) |
$28.96 |
$49.08 |
3.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$10.96 |
$18.58 |
2.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$12.32 |
$20.88 |
3.5× |
| PSA, total (84153) |
$110.92 |
$188 |
6.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$102.07 |
$173 |
6.1× |
| CBC with automated differential (85025) |
$27.51 |
$46.62 |
3.5× |
| CBC, automated (85027) |
$22.90 |
$38.82 |
3.5× |
| Prothrombin time (PT) (85610) |
$23.60 |
$40 |
5.5× |
| Partial thromboplastin time (PTT) (85730) |
$36.58 |
$62 |
6.1× |
| Psychotherapy, 30 minutes (90832) |
$139.70 |
$236.78 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$220.47 |
$373.68 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$259.46 |
$439.77 |
1.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$226.92 |
$384.62 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$187.14 |
$317.19 |
0.9× |
| Group psychotherapy (90853) |
$98.24 |
$166.51 |
0.8× |
| Electrocardiogram (ECG), complete (93000) |
$487.10 |
$825.60 |
6.9× |
| Left heart catheterization (93452) |
$5,404.13 |
$9,159.55 |
1.4× |
| Sleep study (attended polysomnography) (95810) |
$2,274.95 |
$3,855.85 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$193.05 |
$327.20 |
6.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$416.58 |
$706.06 |
2.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$542.68 |
$919.80 |
3.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$102.80 |
$174.24 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$110.57 |
$187.41 |
— |