| 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) |
$1,760 |
$1,760 |
1.6× |
| 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) |
$9,170.50 |
$9,170.50 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,785 |
$2,785 |
2.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,786 |
$2,786 |
2.6× |
| CT head/brain without contrast (70450) |
$1,225 |
$1,225 |
9.8× |
| MRI brain without contrast (70551) |
$1,895 |
$1,895 |
6.6× |
| MRI brain with contrast (70552) |
$3,446 |
$3,446 |
8.2× |
| MRI brain without and with contrast (70553) |
$3,661 |
$3,661 |
8.8× |
| X-ray lower spine, 4+ views (72110) |
$361 |
$361 |
2.9× |
| MRI lumbar spine without contrast (72148) |
$2,204 |
$2,204 |
7.7× |
| CT pelvis with contrast (72193) |
$1,521 |
$1,521 |
7.2× |
| MRI lower-extremity joint without contrast (73721) |
$1,974 |
$1,974 |
6.9× |
| CT abdomen and pelvis with contrast (74177) |
$3,043 |
$3,043 |
7.3× |
| Ultrasound, abdomen complete (76700) |
$774 |
$774 |
6.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$411 |
$411 |
3.3× |
| Ultrasound, transvaginal (76830) |
$551 |
$551 |
4.4× |
| Mammography, one breast (diagnostic) (77065) |
$532 |
$532 |
6.2× |
| Mammography, both breasts (diagnostic) (77066) |
$705 |
$705 |
6.4× |
| Mammography, screening (bilateral) (77067) |
$568 |
$568 |
6.2× |
| Basic metabolic panel (80048) |
$210 |
$210 |
24.8× |
| Comprehensive metabolic panel (80053) |
$376 |
$376 |
35.6× |
| Lipid panel (80061) |
$86 |
$86 |
6.4× |
| Renal function panel (80069) |
$47 |
$47 |
5.4× |
| Hepatic function panel (80076) |
$186 |
$186 |
22.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$19 |
$19 |
4.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$34 |
$34 |
9.8× |
| PSA, total (84153) |
$134 |
$134 |
7.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$137 |
$137 |
8.2× |
| CBC with automated differential (85025) |
$65 |
$65 |
8.4× |
| CBC, automated (85027) |
$100 |
$100 |
15.5× |
| Prothrombin time (PT) (85610) |
$67 |
$67 |
15.6× |
| Partial thromboplastin time (PTT) (85730) |
$86 |
$86 |
14.3× |
| Psychotherapy, 30 minutes (90832) |
$499 |
$499 |
2.3× |
| Group psychotherapy (90853) |
$264 |
$264 |
2.2× |
| Electrocardiogram (ECG), complete (93000) |
$189 |
$189 |
2.7× |
| Left heart catheterization (93452) |
$9,987 |
$9,987 |
2.6× |
| Sleep study (attended polysomnography) (95810) |
$3,260 |
$3,260 |
3.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$153 |
$153 |
5.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$141 |
$141 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$174 |
$174 |
1.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$226 |
$226 |
1.4× |