| Shoulder arthroscopy with decompression (29826) |
$10,851 |
$10,851 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$18,284 |
$18,284 |
5.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$19,198 |
$19,198 |
3.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,055 |
$3,055 |
3.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,055 |
$3,055 |
3.2× |
| Diagnostic colonoscopy (45378) |
$2,996 |
$2,996 |
3.1× |
| Colonoscopy with biopsy (45380) |
$3,914 |
$3,914 |
3.1× |
| Colonoscopy with lesion removal (45385) |
$3,914 |
$3,914 |
3.1× |
| Laparoscopic gallbladder removal (47562) |
$19,100 |
$19,100 |
3.0× |
| Inguinal hernia repair (age 5+) (49505) |
$22,786 |
$22,786 |
6.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,632 |
$2,632 |
2.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,343 |
$3,343 |
3.6× |
| Cataract removal with lens insertion (66984) |
$9,892 |
$9,892 |
4.1× |
| CT head/brain without contrast (70450) |
$4,178 |
$4,178 |
38.3× |
| MRI brain without contrast (70551) |
$6,534 |
$6,534 |
26.2× |
| MRI brain with contrast (70552) |
$7,432 |
$7,432 |
20.4× |
| MRI brain without and with contrast (70553) |
$9,027 |
$9,027 |
24.8× |
| X-ray lower spine, 4+ views (72110) |
$1,368 |
$1,368 |
12.5× |
| MRI lumbar spine without contrast (72148) |
$7,373.50 |
$7,373.50 |
29.6× |
| CT pelvis with contrast (72193) |
$7,343.50 |
$7,343.50 |
40.1× |
| MRI lower-extremity joint without contrast (73721) |
$7,481 |
$7,481 |
30.0× |
| CT abdomen and pelvis with contrast (74177) |
$12,149 |
$12,149 |
33.3× |
| Ultrasound, abdomen complete (76700) |
$2,465 |
$2,465 |
22.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,257 |
$1,257 |
11.5× |
| Ultrasound, transvaginal (76830) |
$1,539 |
$1,539 |
14.1× |
| Mammography, one breast (diagnostic) (77065) |
$1,303 |
$1,303 |
15.1× |
| Mammography, both breasts (diagnostic) (77066) |
$1,510 |
$1,510 |
13.7× |
| Mammography, screening (bilateral) (77067) |
$784 |
$784 |
8.6× |
| Basic metabolic panel (80048) |
$285 |
$285 |
33.7× |
| Comprehensive metabolic panel (80053) |
$414 |
$414 |
39.2× |
| Obstetric panel (80055) |
$723 |
$723 |
15.1× |
| Lipid panel (80061) |
$88 |
$88 |
6.6× |
| Renal function panel (80069) |
$469 |
$469 |
54.0× |
| Hepatic function panel (80076) |
$397 |
$397 |
48.6× |
| Urinalysis, non-automated, with microscopy (81000) |
$65 |
$65 |
16.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$73 |
$73 |
21.0× |
| PSA, total (84153) |
$385 |
$385 |
20.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$520 |
$520 |
31.0× |
| CBC with automated differential (85025) |
$299 |
$299 |
38.5× |
| CBC, automated (85027) |
$214 |
$214 |
33.1× |
| Prothrombin time (PT) (85610) |
$110 |
$110 |
25.6× |
| Partial thromboplastin time (PTT) (85730) |
$48 |
$48 |
8.0× |
| Psychotherapy, 30 minutes (90832) |
$971 |
$971 |
5.2× |
| Psychotherapy, 45 minutes (90834) |
$388 |
$388 |
2.1× |
| Psychotherapy, 60 minutes (90837) |
$524 |
$524 |
2.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$971.50 |
$971.50 |
5.2× |
| Group psychotherapy (90853) |
$438.50 |
$438.50 |
4.1× |
| Left heart catheterization (93452) |
$18,672 |
$18,672 |
5.5× |
| Sleep study (attended polysomnography) (95810) |
$8,626 |
$8,626 |
9.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$217 |
$217 |
7.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$1,088 |
$1,088 |
7.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,409 |
$1,409 |
10.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$2,843 |
$2,843 |
20.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$88 |
$88 |
0.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$139 |
$139 |
1.0× |