| Breast lesion removal (open) (19120) |
$5,577 |
$6,561 |
1.3× |
| Shoulder arthroscopy with decompression (29826) |
$5,301 |
$6,236 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,825 |
$2,147 |
1.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,784 |
$2,099 |
1.9× |
| Diagnostic colonoscopy (45378) |
$1,992 |
$2,343.50 |
2.0× |
| Colonoscopy with biopsy (45380) |
$2,096 |
$2,466 |
1.7× |
| Colonoscopy with lesion removal (45385) |
$2,162 |
$2,543 |
1.7× |
| Laparoscopic gallbladder removal (47562) |
$7,220 |
$8,495 |
1.1× |
| Inguinal hernia repair (age 5+) (49505) |
$5,997 |
$7,055 |
1.6× |
| CT head/brain without contrast (70450) |
$2,171 |
$2,554 |
19.7× |
| MRI brain without contrast (70551) |
$3,729 |
$4,387 |
14.8× |
| MRI brain with contrast (70552) |
$4,305 |
$5,064 |
11.7× |
| MRI brain without and with contrast (70553) |
$5,307 |
$6,243 |
14.4× |
| X-ray lower spine, 4+ views (72110) |
$889 |
$1,046 |
8.1× |
| MRI lumbar spine without contrast (72148) |
$3,850 |
$4,530 |
15.3× |
| CT pelvis with contrast (72193) |
$3,711 |
$4,366 |
20.0× |
| MRI lower-extremity joint without contrast (73721) |
$3,561 |
$4,190 |
14.1× |
| CT abdomen and pelvis with contrast (74177) |
$3,694 |
$4,346 |
10.0× |
| Ultrasound, abdomen complete (76700) |
$1,243 |
$1,463 |
11.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$563 |
$663 |
5.1× |
| Ultrasound, transvaginal (76830) |
$1,092 |
$1,285 |
9.9× |
| Mammography, one breast (diagnostic) (77065) |
$400 |
$470 |
4.6× |
| Mammography, both breasts (diagnostic) (77066) |
$504 |
$593 |
4.6× |
| Mammography, screening (bilateral) (77067) |
$407 |
$479 |
4.5× |
| Basic metabolic panel (80048) |
$149 |
$175 |
17.6× |
| Comprehensive metabolic panel (80053) |
$741 |
$872 |
70.2× |
| Lipid panel (80061) |
$233 |
$274 |
17.4× |
| Renal function panel (80069) |
$326 |
$383 |
37.6× |
| Hepatic function panel (80076) |
$143 |
$168 |
17.5× |
| PSA, total (84153) |
$261 |
$307 |
14.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$289 |
$340 |
17.2× |
| CBC with automated differential (85025) |
$236 |
$277 |
30.4× |
| CBC, automated (85027) |
$90 |
$106 |
13.9× |
| Prothrombin time (PT) (85610) |
$70 |
$82 |
16.3× |
| Partial thromboplastin time (PTT) (85730) |
$107 |
$126 |
17.8× |
| Psychotherapy, 30 minutes (90832) |
$413 |
$486 |
2.2× |
| Psychotherapy, 45 minutes (90834) |
$413 |
$486 |
2.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$1,666 |
$1,960 |
8.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$1,666 |
$1,960 |
8.9× |
| Group psychotherapy (90853) |
$258 |
$303 |
2.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$88 |
$104 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$255 |
$299.50 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$386.50 |
$455 |
2.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$463 |
$545 |
3.3× |