| Breast lesion removal (open) (19120) |
$18,846 |
$18,846 |
4.8× |
| Shoulder arthroscopy with decompression (29826) |
$28,812 |
$28,812 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$27,605 |
$27,605 |
8.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$37,605 |
$37,605 |
6.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$15,393 |
$15,393 |
16.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$18,846 |
$18,846 |
20.7× |
| Diagnostic colonoscopy (45378) |
$18,846 |
$18,846 |
20.2× |
| Colonoscopy with biopsy (45380) |
$18,846 |
$18,846 |
15.7× |
| Colonoscopy with lesion removal (45385) |
$18,846 |
$18,846 |
15.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$23,345 |
$23,345 |
19.4× |
| Laparoscopic gallbladder removal (47562) |
$46,269 |
$46,269 |
7.6× |
| Inguinal hernia repair (age 5+) (49505) |
$46,269 |
$46,269 |
12.9× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$15,326 |
$15,326 |
17.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$15,326 |
$15,326 |
17.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$12,554 |
$12,554 |
22.7× |
| Cataract removal with lens insertion (66984) |
$32,812 |
$32,812 |
14.2× |
| CT head/brain without contrast (70450) |
$4,514 |
$4,514 |
43.0× |
| MRI brain without contrast (70551) |
$6,086 |
$6,086 |
25.4× |
| MRI brain with contrast (70552) |
$9,075 |
$9,075 |
25.9× |
| MRI brain without and with contrast (70553) |
$10,265 |
$10,265 |
29.3× |
| X-ray lower spine, 4+ views (72110) |
$1,740 |
$1,740 |
16.6× |
| MRI lumbar spine without contrast (72148) |
$8,385 |
$8,385 |
35.0× |
| CT pelvis with contrast (72193) |
$5,120 |
$5,120 |
29.1× |
| MRI lower-extremity joint without contrast (73721) |
$6,086 |
$6,086 |
25.4× |
| CT abdomen and pelvis with contrast (74177) |
$11,827 |
$11,827 |
33.7× |
| Ultrasound, abdomen complete (76700) |
$2,866 |
$2,866 |
27.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$2,866 |
$2,866 |
27.3× |
| Ultrasound, transvaginal (76830) |
$1,248 |
$1,248 |
11.9× |
| Basic metabolic panel (80048) |
$380.50 |
$380.50 |
45.0× |
| Comprehensive metabolic panel (80053) |
$713 |
$713 |
67.5× |
| Lipid panel (80061) |
$364 |
$364 |
27.2× |
| Hepatic function panel (80076) |
$374 |
$374 |
45.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$168 |
$168 |
41.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$168 |
$168 |
48.3× |
| PSA, total (84153) |
$447 |
$447 |
24.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$346 |
$346 |
20.6× |
| CBC with automated differential (85025) |
$268 |
$268 |
34.5× |
| CBC, automated (85027) |
$194 |
$194 |
30.0× |
| Prothrombin time (PT) (85610) |
$105 |
$105 |
24.5× |
| Partial thromboplastin time (PTT) (85730) |
$212 |
$212 |
35.3× |
| Electrocardiogram (ECG), complete (93000) |
$442 |
$442 |
7.5× |
| Left heart catheterization (93452) |
$28,105 |
$28,105 |
8.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$156 |
$156 |
5.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$1,390 |
$1,390 |
10.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$2,061 |
$2,061 |
15.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$2,721 |
$2,721 |
20.3× |