| Breast lesion removal (open) (19120) |
$5,533.50 |
$5,533.50 |
1.4× |
| Shoulder arthroscopy with decompression (29826) |
$12,400 |
$12,400 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$2,170 |
$2,170 |
0.6× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$7,114 |
$7,114 |
1.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,774.50 |
$3,774.50 |
4.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,858.50 |
$3,858.50 |
4.1× |
| Diagnostic colonoscopy (45378) |
$2,460 |
$2,460 |
2.5× |
| Colonoscopy with biopsy (45380) |
$2,191 |
$2,191 |
1.8× |
| Colonoscopy with lesion removal (45385) |
$2,357 |
$2,357 |
1.9× |
| Laparoscopic gallbladder removal (47562) |
$12,066 |
$12,066 |
1.9× |
| Inguinal hernia repair (age 5+) (49505) |
$6,844 |
$6,844 |
1.8× |
| Obstetric care, vaginal delivery (global) (59400) |
$9,120.50 |
$9,120.50 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$16,457.50 |
$16,457.50 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$9,295.50 |
$9,295.50 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,802 |
$1,802 |
2.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,670 |
$1,670 |
1.8× |
| Cataract removal with lens insertion (66984) |
$10,045 |
$10,045 |
4.2× |
| CT head/brain without contrast (70450) |
$2,244 |
$2,244 |
20.7× |
| MRI brain without contrast (70551) |
$3,370 |
$3,370 |
13.6× |
| MRI brain with contrast (70552) |
$3,536 |
$3,536 |
9.8× |
| MRI brain without and with contrast (70553) |
$3,900 |
$3,900 |
10.8× |
| X-ray lower spine, 4+ views (72110) |
$227 |
$227 |
2.1× |
| MRI lumbar spine without contrast (72148) |
$3,200 |
$3,200 |
12.9× |
| CT pelvis with contrast (72193) |
$3,160 |
$3,160 |
17.3× |
| MRI lower-extremity joint without contrast (73721) |
$2,823 |
$2,823 |
11.4× |
| CT abdomen and pelvis with contrast (74177) |
$4,900 |
$4,900 |
13.5× |
| Ultrasound, abdomen complete (76700) |
$946 |
$946 |
8.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$656 |
$656 |
6.0× |
| Ultrasound, transvaginal (76830) |
$483 |
$483 |
4.4× |
| Mammography, one breast (diagnostic) (77065) |
$468 |
$468 |
5.4× |
| Mammography, both breasts (diagnostic) (77066) |
$604 |
$604 |
5.5× |
| Mammography, screening (bilateral) (77067) |
$423 |
$423 |
4.6× |
| Basic metabolic panel (80048) |
$115 |
$115 |
13.6× |
| Comprehensive metabolic panel (80053) |
$135 |
$135 |
12.8× |
| Obstetric panel (80055) |
$605 |
$605 |
12.7× |
| Lipid panel (80061) |
$120 |
$120 |
9.0× |
| Renal function panel (80069) |
$219 |
$219 |
25.2× |
| Hepatic function panel (80076) |
$139 |
$139 |
17.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$35 |
$35 |
8.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$23 |
$23 |
6.6× |
| PSA, total (84153) |
$131 |
$131 |
7.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$121 |
$121 |
7.2× |
| CBC with automated differential (85025) |
$97 |
$97 |
12.5× |
| CBC, automated (85027) |
$76 |
$76 |
11.7× |
| Prothrombin time (PT) (85610) |
$61 |
$61 |
14.2× |
| Partial thromboplastin time (PTT) (85730) |
$125.50 |
$125.50 |
20.9× |
| Psychotherapy, 30 minutes (90832) |
$144 |
$144 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$207 |
$207 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$227 |
$227 |
1.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$241 |
$241 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$246 |
$246 |
1.3× |
| Electrocardiogram (ECG), complete (93000) |
$94 |
$94 |
1.5× |
| Sleep study (attended polysomnography) (95810) |
$4,388 |
$4,388 |
4.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$98.50 |
$98.50 |
3.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$260 |
$260 |
1.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$394 |
$394 |
2.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$491 |
$491 |
3.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$302 |
$302 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$353 |
$353 |
— |