| Shoulder arthroscopy with decompression (29826) |
$28,069 |
$28,069 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$15,583 |
$15,583 |
4.6× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$12,517 |
$12,517 |
2.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$6,734 |
$6,734 |
7.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$6,734 |
$6,734 |
7.2× |
| Diagnostic colonoscopy (45378) |
$4,673 |
$4,673 |
4.8× |
| Colonoscopy with biopsy (45380) |
$5,739 |
$5,739 |
4.6× |
| Colonoscopy with lesion removal (45385) |
$5,999 |
$5,999 |
4.8× |
| Laparoscopic gallbladder removal (47562) |
$19,909 |
$19,909 |
3.2× |
| Inguinal hernia repair (age 5+) (49505) |
$14,960 |
$14,960 |
4.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$3,164 |
$3,164 |
3.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,635.50 |
$3,635.50 |
4.0× |
| CT head/brain without contrast (70450) |
$2,542 |
$2,542 |
23.4× |
| MRI brain without contrast (70551) |
$4,324 |
$4,324 |
17.5× |
| MRI brain with contrast (70552) |
$4,691 |
$4,691 |
12.9× |
| MRI brain without and with contrast (70553) |
$4,913 |
$4,913 |
13.6× |
| X-ray lower spine, 4+ views (72110) |
$672 |
$672 |
6.2× |
| MRI lumbar spine without contrast (72148) |
$4,141 |
$4,141 |
16.7× |
| CT pelvis with contrast (72193) |
$3,346 |
$3,346 |
18.4× |
| MRI lower-extremity joint without contrast (73721) |
$3,118 |
$3,118 |
12.6× |
| CT abdomen and pelvis with contrast (74177) |
$5,841 |
$5,841 |
16.1× |
| Ultrasound, abdomen complete (76700) |
$1,059 |
$1,059 |
9.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,004 |
$1,004 |
9.2× |
| Ultrasound, transvaginal (76830) |
$827 |
$827 |
7.6× |
| Mammography, one breast (diagnostic) (77065) |
$470 |
$470 |
5.5× |
| Mammography, both breasts (diagnostic) (77066) |
$564 |
$564 |
5.1× |
| Mammography, screening (bilateral) (77067) |
$539 |
$539 |
5.9× |
| Basic metabolic panel (80048) |
$184 |
$184 |
21.7× |
| Comprehensive metabolic panel (80053) |
$215 |
$215 |
20.4× |
| Lipid panel (80061) |
$164 |
$164 |
12.2× |
| Renal function panel (80069) |
$200 |
$200 |
23.0× |
| Hepatic function panel (80076) |
$180 |
$180 |
22.0× |
| PSA, total (84153) |
$175 |
$175 |
9.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$157 |
$157 |
9.3× |
| CBC with automated differential (85025) |
$137 |
$137 |
17.6× |
| CBC, automated (85027) |
$107 |
$107 |
16.5× |
| Prothrombin time (PT) (85610) |
$72 |
$72 |
16.8× |
| Partial thromboplastin time (PTT) (85730) |
$131 |
$131 |
21.8× |
| Psychotherapy, 45 minutes (90834) |
$260 |
$260 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$383 |
$383 |
2.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$308 |
$308 |
1.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$298 |
$298 |
1.6× |
| Group psychotherapy (90853) |
$76 |
$76 |
0.7× |
| Sleep study (attended polysomnography) (95810) |
$4,946 |
$4,946 |
5.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$128 |
$128 |
4.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$186.50 |
$186.50 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$241.50 |
$241.50 |
1.7× |