| 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) |
$2,489 |
$2,489 |
2.3× |
| 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) |
$6,554.50 |
$6,554.50 |
— |
| 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) |
$1,045 |
$1,045 |
8.3× |
| MRI brain without contrast (70551) |
$2,272 |
$2,272 |
7.9× |
| MRI brain with contrast (70552) |
$2,155 |
$2,155 |
5.2× |
| MRI brain without and with contrast (70553) |
$3,029 |
$3,029 |
7.2× |
| X-ray lower spine, 4+ views (72110) |
$411 |
$411 |
3.3× |
| MRI lumbar spine without contrast (72148) |
$1,924 |
$1,924 |
6.7× |
| CT pelvis with contrast (72193) |
$2,175 |
$2,175 |
10.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,793 |
$1,793 |
6.3× |
| CT abdomen and pelvis with contrast (74177) |
$2,237 |
$2,237 |
5.4× |
| Ultrasound, abdomen complete (76700) |
$848 |
$848 |
6.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$383 |
$383 |
3.1× |
| Ultrasound, transvaginal (76830) |
$708 |
$708 |
5.7× |
| Mammography, one breast (diagnostic) (77065) |
$531 |
$531 |
6.2× |
| Mammography, both breasts (diagnostic) (77066) |
$691 |
$691 |
6.3× |
| Mammography, screening (bilateral) (77067) |
$775 |
$775 |
8.5× |
| Basic metabolic panel (80048) |
$55 |
$55 |
6.5× |
| Comprehensive metabolic panel (80053) |
$98 |
$98 |
9.3× |
| Lipid panel (80061) |
$96 |
$96 |
7.2× |
| Renal function panel (80069) |
$88 |
$88 |
10.1× |
| Hepatic function panel (80076) |
$85 |
$85 |
10.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$12 |
$12 |
3.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$23 |
$23 |
6.6× |
| PSA, total (84153) |
$225 |
$225 |
12.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$79 |
$79 |
4.7× |
| CBC with automated differential (85025) |
$48 |
$48 |
6.2× |
| CBC, automated (85027) |
$31 |
$31 |
4.8× |
| Prothrombin time (PT) (85610) |
$23 |
$23 |
5.4× |
| Partial thromboplastin time (PTT) (85730) |
$28 |
$28 |
4.7× |
| Psychotherapy, 30 minutes (90832) |
$499 |
$499 |
2.3× |
| Group psychotherapy (90853) |
$264 |
$264 |
2.2× |
| Electrocardiogram (ECG), complete (93000) |
$179 |
$179 |
2.5× |
| Left heart catheterization (93452) |
$9,987 |
$9,987 |
2.6× |
| Sleep study (attended polysomnography) (95810) |
$3,478 |
$3,478 |
3.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$209 |
$209 |
7.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$244 |
$244 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$413 |
$413 |
2.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$539 |
$539 |
3.4× |