| 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) |
$1,963 |
$1,963 |
1.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,484 |
$2,484 |
2.3× |
| Diagnostic colonoscopy (45378) |
$2,470 |
$2,470 |
2.2× |
| Colonoscopy with biopsy (45380) |
$3,335 |
$3,335 |
2.3× |
| Colonoscopy with lesion removal (45385) |
$3,335 |
$3,335 |
2.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$6,912 |
$6,912 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,696 |
$2,696 |
2.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,603 |
$2,603 |
2.5× |
| CT head/brain without contrast (70450) |
$918 |
$918 |
7.3× |
| MRI brain without contrast (70551) |
$1,760 |
$1,760 |
6.2× |
| MRI brain with contrast (70552) |
$956 |
$956 |
2.3× |
| MRI brain without and with contrast (70553) |
$3,892 |
$3,892 |
9.3× |
| X-ray lower spine, 4+ views (72110) |
$500 |
$500 |
4.0× |
| MRI lumbar spine without contrast (72148) |
$1,760 |
$1,760 |
6.2× |
| CT pelvis with contrast (72193) |
$1,281 |
$1,281 |
6.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,760 |
$1,760 |
6.2× |
| CT abdomen and pelvis with contrast (74177) |
$2,563 |
$2,563 |
6.1× |
| Ultrasound, abdomen complete (76700) |
$744 |
$744 |
5.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$454 |
$454 |
3.6× |
| Ultrasound, transvaginal (76830) |
$506 |
$506 |
4.0× |
| Mammography, one breast (diagnostic) (77065) |
$453 |
$453 |
5.3× |
| Mammography, both breasts (diagnostic) (77066) |
$676 |
$676 |
6.1× |
| Mammography, screening (bilateral) (77067) |
$649 |
$649 |
7.1× |
| Basic metabolic panel (80048) |
$56 |
$56 |
6.6× |
| Comprehensive metabolic panel (80053) |
$109 |
$109 |
10.3× |
| Lipid panel (80061) |
$90 |
$90 |
6.7× |
| Renal function panel (80069) |
$33 |
$33 |
3.8× |
| Hepatic function panel (80076) |
$66 |
$66 |
8.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$14 |
$14 |
3.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$25 |
$25 |
7.2× |
| PSA, total (84153) |
$124 |
$124 |
6.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$113 |
$113 |
6.7× |
| CBC with automated differential (85025) |
$53 |
$53 |
6.8× |
| CBC, automated (85027) |
$43 |
$43 |
6.6× |
| Prothrombin time (PT) (85610) |
$27 |
$27 |
6.3× |
| Partial thromboplastin time (PTT) (85730) |
$40 |
$40 |
6.7× |
| Psychotherapy, 30 minutes (90832) |
$499 |
$499 |
2.3× |
| Group psychotherapy (90853) |
$264 |
$264 |
2.2× |
| Electrocardiogram (ECG), complete (93000) |
$160 |
$160 |
2.3× |
| Left heart catheterization (93452) |
$9,987 |
$9,987 |
2.6× |
| Sleep study (attended polysomnography) (95810) |
$4,441 |
$4,441 |
4.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$213 |
$213 |
7.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$173 |
$173 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$208 |
$208 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$288 |
$288 |
1.8× |