| Shoulder arthroscopy with decompression (29826) |
$5,905.68 |
$17,896 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,905.68 |
$17,896 |
1.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,222.65 |
$3,705 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,222.65 |
$3,705 |
1.4× |
| Colonoscopy with biopsy (45380) |
$1,537.47 |
$4,659 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,537.47 |
$4,659 |
1.3× |
| Laparoscopic gallbladder removal (47562) |
$8,174.10 |
$24,770 |
1.4× |
| Inguinal hernia repair (age 5+) (49505) |
$4,386.69 |
$13,293 |
1.3× |
Laparoscopic radical prostatectomy (55866)
unusually low: confirm this is the full procedure |
$4,991.58 |
$15,126 |
0.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,221 |
$3,700 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,221 |
$3,700 |
1.4× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,405.80 |
$4,260 |
2.6× |
| Cataract removal with lens insertion (66984) |
$4,467.87 |
$13,539 |
2.0× |
| CT head/brain without contrast (70450) |
$851.40 |
$2,580 |
8.3× |
| MRI brain without contrast (70551) |
$1,155 |
$3,500 |
5.0× |
| MRI brain with contrast (70552) |
$1,870.77 |
$5,669 |
5.5× |
| MRI brain without and with contrast (70553) |
$2,310 |
$7,000 |
6.8× |
| X-ray lower spine, 4+ views (72110) |
$293.04 |
$888 |
2.9× |
| MRI lumbar spine without contrast (72148) |
$1,487.64 |
$4,508 |
6.4× |
| CT pelvis with contrast (72193) |
$1,044.12 |
$3,164 |
6.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,491.27 |
$4,519 |
6.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,695.87 |
$5,139 |
5.0× |
| Ultrasound, abdomen complete (76700) |
$527.67 |
$1,599 |
5.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$602.91 |
$1,827 |
5.9× |
| Ultrasound, transvaginal (76830) |
$402.27 |
$1,219 |
3.9× |
| Mammography, one breast (diagnostic) (77065) |
$150.15 |
$455 |
1.7× |
| Mammography, both breasts (diagnostic) (77066) |
$206.25 |
$625 |
1.9× |
| Mammography, screening (bilateral) (77067) |
$195.03 |
$591 |
2.1× |
| Basic metabolic panel (80048) |
$64.35 |
$195 |
7.6× |
| Comprehensive metabolic panel (80053) |
$98.34 |
$298 |
9.3× |
| Lipid panel (80061) |
$74.25 |
$225 |
5.5× |
| Renal function panel (80069) |
$28.71 |
$87 |
3.3× |
| Hepatic function panel (80076) |
$49.17 |
$149 |
6.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$21.45 |
$65 |
5.3× |
| PSA, total (84153) |
$57.75 |
$175 |
3.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$51.81 |
$157 |
3.1× |
| CBC with automated differential (85025) |
$50.49 |
$153 |
6.5× |
| CBC, automated (85027) |
$25.08 |
$76 |
3.9× |
| Prothrombin time (PT) (85610) |
$16.83 |
$51 |
3.9× |
| Partial thromboplastin time (PTT) (85730) |
$22.77 |
$69 |
3.8× |
| Psychotherapy, 30 minutes (90832) |
$99 |
$300 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$148.50 |
$450 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$198 |
$600 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$115.83 |
$351 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$115.83 |
$351 |
0.7× |
| Group psychotherapy (90853) |
$99 |
$300 |
1.0× |
| Electrocardiogram (ECG), complete (93000) |
$114.84 |
$348 |
2.0× |
| Left heart catheterization (93452) |
$4,290 |
$13,000 |
1.4× |
| Sleep study (attended polysomnography) (95810) |
$2,126.85 |
$6,445 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$58.41 |
$177 |
2.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$191.40 |
$580 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$218.79 |
$663 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$253.11 |
$767 |
1.9× |