| Breast lesion removal (open) (19120) |
$11,890 |
$11,890 |
2.5× |
| Knee arthroscopy with meniscectomy (29881) |
$10,075 |
$10,075 |
2.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,479 |
$1,479 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,901 |
$1,901 |
1.7× |
| Diagnostic colonoscopy (45378) |
$1,902 |
$1,902 |
1.7× |
| Colonoscopy with biopsy (45380) |
$2,093 |
$2,093 |
1.5× |
| Colonoscopy with lesion removal (45385) |
$2,093 |
$2,093 |
1.5× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,840.50 |
$5,840.50 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,696 |
$2,696 |
2.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,064 |
$2,064 |
1.9× |
| CT head/brain without contrast (70450) |
$1,331 |
$1,331 |
10.6× |
| MRI brain without contrast (70551) |
$2,943 |
$2,943 |
10.3× |
| MRI brain without and with contrast (70553) |
$1,379 |
$1,379 |
3.3× |
| X-ray lower spine, 4+ views (72110) |
$832 |
$832 |
6.6× |
| MRI lumbar spine without contrast (72148) |
$876 |
$876 |
3.1× |
| CT pelvis with contrast (72193) |
$1,781 |
$1,781 |
8.5× |
| CT abdomen and pelvis with contrast (74177) |
$3,512 |
$3,512 |
8.4× |
| Ultrasound, abdomen complete (76700) |
$979 |
$979 |
7.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$796 |
$796 |
6.4× |
| Ultrasound, transvaginal (76830) |
$1,017 |
$1,017 |
8.1× |
| Mammography, one breast (diagnostic) (77065) |
$392 |
$392 |
4.5× |
| Mammography, both breasts (diagnostic) (77066) |
$594 |
$594 |
5.4× |
| Mammography, screening (bilateral) (77067) |
$525 |
$525 |
5.8× |
| Basic metabolic panel (80048) |
$71 |
$71 |
8.4× |
| Comprehensive metabolic panel (80053) |
$91 |
$91 |
8.6× |
| Lipid panel (80061) |
$200 |
$200 |
14.9× |
| Renal function panel (80069) |
$233 |
$233 |
26.8× |
| Hepatic function panel (80076) |
$156 |
$156 |
19.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$12 |
$12 |
3.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$76 |
$76 |
21.8× |
| PSA, total (84153) |
$229 |
$229 |
12.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$217 |
$217 |
12.9× |
| CBC with automated differential (85025) |
$97 |
$97 |
12.5× |
| CBC, automated (85027) |
$48 |
$48 |
7.4× |
| Prothrombin time (PT) (85610) |
$34 |
$34 |
7.9× |
| Partial thromboplastin time (PTT) (85730) |
$97 |
$97 |
16.1× |
| Psychotherapy, 30 minutes (90832) |
$499 |
$499 |
2.3× |
| Group psychotherapy (90853) |
$264 |
$264 |
2.2× |
| Electrocardiogram (ECG), complete (93000) |
$120 |
$120 |
1.7× |
| Left heart catheterization (93452) |
$20,161 |
$20,161 |
5.2× |
| Sleep study (attended polysomnography) (95810) |
$4,314 |
$4,314 |
4.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$141 |
$141 |
4.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$387 |
$387 |
2.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$725 |
$725 |
4.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$944 |
$944 |
5.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$335 |
$335 |
2.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$438 |
$438 |
2.7× |