| Breast lesion removal (open) (19120) |
$8,536 |
$8,536 |
2.2× |
| Shoulder arthroscopy with decompression (29826) |
$4,048 |
$4,048 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,512 |
$5,512 |
1.7× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$7,666 |
$7,666 |
1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,937 |
$2,937 |
3.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,937 |
$2,937 |
3.2× |
| Diagnostic colonoscopy (45378) |
$3,119 |
$3,119 |
3.3× |
| Colonoscopy with biopsy (45380) |
$3,119 |
$3,119 |
2.6× |
| Colonoscopy with lesion removal (45385) |
$3,119 |
$3,119 |
2.6× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,310 |
$2,310 |
1.9× |
| Laparoscopic gallbladder removal (47562) |
$12,800 |
$12,800 |
2.1× |
| Inguinal hernia repair (age 5+) (49505) |
$11,707 |
$11,707 |
3.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,963.50 |
$3,963.50 |
4.5× |
| Cataract removal with lens insertion (66984) |
$6,010.50 |
$6,010.50 |
2.6× |
| CT head/brain without contrast (70450) |
$2,002 |
$2,002 |
19.1× |
| MRI brain without contrast (70551) |
$2,217 |
$2,217 |
9.2× |
| MRI brain with contrast (70552) |
$2,184 |
$2,184 |
6.2× |
| MRI brain without and with contrast (70553) |
$3,240 |
$3,240 |
9.2× |
| X-ray lower spine, 4+ views (72110) |
$728 |
$728 |
6.9× |
| MRI lumbar spine without contrast (72148) |
$3,069 |
$3,069 |
12.8× |
| CT pelvis with contrast (72193) |
$2,002 |
$2,002 |
11.4× |
| MRI lower-extremity joint without contrast (73721) |
$2,217 |
$2,217 |
9.2× |
| CT abdomen and pelvis with contrast (74177) |
$2,618 |
$2,618 |
7.5× |
| Ultrasound, abdomen complete (76700) |
$1,098 |
$1,098 |
10.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$571 |
$571 |
5.4× |
| Ultrasound, transvaginal (76830) |
$827 |
$827 |
7.9× |
| Mammography, one breast (diagnostic) (77065) |
$893 |
$893 |
10.4× |
| Mammography, both breasts (diagnostic) (77066) |
$918 |
$918 |
8.3× |
| Mammography, screening (bilateral) (77067) |
$804 |
$804 |
8.8× |
| Basic metabolic panel (80048) |
$92 |
$92 |
10.9× |
| Comprehensive metabolic panel (80053) |
$17 |
$17 |
1.6× |
| Lipid panel (80061) |
$74.50 |
$74.50 |
5.6× |
| Renal function panel (80069) |
$46.50 |
$46.50 |
5.4× |
| Hepatic function panel (80076) |
$50 |
$50 |
6.1× |
| PSA, total (84153) |
$30 |
$30 |
1.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$95 |
$95 |
5.7× |
| CBC with automated differential (85025) |
$69 |
$69 |
8.9× |
| CBC, automated (85027) |
$41 |
$41 |
6.3× |
| Prothrombin time (PT) (85610) |
$25 |
$25 |
5.8× |
| Partial thromboplastin time (PTT) (85730) |
$101 |
$101 |
16.8× |
| Left heart catheterization (93452) |
$10,637.50 |
$10,637.50 |
3.3× |
| Sleep study (attended polysomnography) (95810) |
$3,805 |
$3,805 |
4.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$139.50 |
$139.50 |
4.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$154 |
$154 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$330 |
$330 |
2.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$410 |
$410 |
3.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$260 |
$260 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$300 |
$300 |
— |