| Breast lesion removal (open) (19120) |
$2,952.90 |
$6,562 |
0.6× |
| Knee arthroscopy with meniscectomy (29881) |
$2,454.75 |
$5,455 |
0.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,058.85 |
$2,353 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$996.75 |
$2,215 |
0.9× |
| Diagnostic colonoscopy (45378) |
$1,454.40 |
$3,232 |
1.3× |
| Colonoscopy with biopsy (45380) |
$1,582.20 |
$3,516 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,558.80 |
$3,464 |
1.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,973.70 |
$4,386 |
1.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$963 |
$2,140 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,043.55 |
$2,319 |
1.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,138.95 |
$2,531 |
1.7× |
| Cataract removal with lens insertion (66984) |
$1,321.65 |
$2,937 |
0.5× |
| CT head/brain without contrast (70450) |
$856.35 |
$1,903 |
6.8× |
| MRI brain without contrast (70551) |
$2,065.95 |
$4,591 |
7.2× |
| MRI brain with contrast (70552) |
$2,205.45 |
$4,901 |
5.3× |
| MRI brain without and with contrast (70553) |
$2,684.70 |
$5,966 |
6.4× |
| X-ray lower spine, 4+ views (72110) |
$349.65 |
$777 |
2.8× |
| MRI lumbar spine without contrast (72148) |
$1,815.30 |
$4,034 |
6.3× |
| CT pelvis with contrast (72193) |
$1,282.50 |
$2,850 |
6.1× |
| MRI lower-extremity joint without contrast (73721) |
$2,075.85 |
$4,613 |
7.3× |
| CT abdomen and pelvis with contrast (74177) |
$1,685.25 |
$3,745 |
4.0× |
| Ultrasound, abdomen complete (76700) |
$544.95 |
$1,211 |
4.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$482.85 |
$1,073 |
3.9× |
| Ultrasound, transvaginal (76830) |
$366.75 |
$815 |
2.9× |
| Mammography, one breast (diagnostic) (77065) |
$348.75 |
$775 |
4.0× |
| Mammography, both breasts (diagnostic) (77066) |
$431.55 |
$959 |
3.9× |
| Mammography, screening (bilateral) (77067) |
$329.40 |
$732 |
3.6× |
| Basic metabolic panel (80048) |
$63.90 |
$142 |
7.6× |
| Comprehensive metabolic panel (80053) |
$77.85 |
$173 |
7.4× |
| Obstetric panel (80055) |
$70.20 |
$156 |
1.5× |
| Lipid panel (80061) |
$42.75 |
$95 |
3.2× |
| Renal function panel (80069) |
$66.60 |
$148 |
7.7× |
| Hepatic function panel (80076) |
$54.90 |
$122 |
6.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$6.75 |
$15 |
1.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$8.10 |
$18 |
2.3× |
| PSA, total (84153) |
$49.95 |
$111 |
2.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$65.70 |
$146 |
3.9× |
| CBC with automated differential (85025) |
$28.80 |
$64 |
3.7× |
| CBC, automated (85027) |
$27.90 |
$62 |
4.3× |
| Prothrombin time (PT) (85610) |
$21.15 |
$47 |
4.9× |
| Partial thromboplastin time (PTT) (85730) |
$20.70 |
$46 |
3.4× |
| Psychotherapy, 30 minutes (90832) |
$107.55 |
$239 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$114.30 |
$254 |
0.5× |
| Psychotherapy, 60 minutes (90837) |
$165.60 |
$368 |
0.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$116.10 |
$258 |
0.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$129.15 |
$287 |
0.6× |
| Group psychotherapy (90853) |
$64.35 |
$143 |
0.5× |
| Left heart catheterization (93452) |
$3,797.55 |
$8,439 |
1.0× |
| Sleep study (attended polysomnography) (95810) |
$1,694.25 |
$3,765 |
1.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$147.15 |
$327 |
5.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$280.35 |
$623 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$476.55 |
$1,059 |
3.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$607.05 |
$1,349 |
3.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$358.20 |
$796 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$432 |
$960 |
— |