| Breast lesion removal (open) (19120) |
$5,474.85 |
$5,474.85 |
1.2× |
| Knee arthroscopy with meniscectomy (29881) |
$5,707.03 |
$5,707.03 |
1.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,516.60 |
$3,516.60 |
3.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$4,806.60 |
$4,806.60 |
4.4× |
| Diagnostic colonoscopy (45378) |
$3,510.55 |
$3,510.55 |
3.1× |
| Colonoscopy with biopsy (45380) |
$4,814.99 |
$4,814.99 |
3.4× |
| Colonoscopy with lesion removal (45385) |
$4,863.23 |
$4,863.23 |
3.4× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,825 |
$1,825 |
1.3× |
| Laparoscopic gallbladder removal (47562) |
$7,691.21 |
$7,691.21 |
1.1× |
| Inguinal hernia repair (age 5+) (49505) |
$6,701.21 |
$6,701.21 |
1.6× |
| Laparoscopic radical prostatectomy (55866) |
$15,000 |
$15,000 |
1.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$760 |
$760 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,024 |
$1,024 |
1.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,430 |
$1,430 |
2.2× |
| CT head/brain without contrast (70450) |
$1,392 |
$1,392 |
11.1× |
| MRI brain without contrast (70551) |
$2,467 |
$2,467 |
8.6× |
| MRI brain with contrast (70552) |
$1,993 |
$1,993 |
4.8× |
| MRI brain without and with contrast (70553) |
$4,370 |
$4,370 |
10.5× |
| X-ray lower spine, 4+ views (72110) |
$370 |
$370 |
3.0× |
| MRI lumbar spine without contrast (72148) |
$2,467 |
$2,467 |
8.6× |
| CT pelvis with contrast (72193) |
$2,631 |
$2,631 |
12.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,603 |
$1,603 |
5.6× |
| CT abdomen and pelvis with contrast (74177) |
$3,825 |
$3,825 |
9.1× |
| Ultrasound, abdomen complete (76700) |
$550 |
$550 |
4.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$580 |
$580 |
4.6× |
| Ultrasound, transvaginal (76830) |
$614 |
$614 |
4.9× |
| Mammography, one breast (diagnostic) (77065) |
$625 |
$625 |
7.3× |
| Mammography, both breasts (diagnostic) (77066) |
$635 |
$635 |
5.7× |
| Mammography, screening (bilateral) (77067) |
$635 |
$635 |
7.0× |
| Basic metabolic panel (80048) |
$183 |
$183 |
21.6× |
| Comprehensive metabolic panel (80053) |
$320 |
$320 |
30.3× |
| Obstetric panel (80055) |
$400 |
$400 |
8.4× |
| Lipid panel (80061) |
$86 |
$86 |
6.4× |
| Renal function panel (80069) |
$147 |
$147 |
16.9× |
| Hepatic function panel (80076) |
$160 |
$160 |
19.6× |
| Urinalysis, non-automated, with microscopy (81000) |
$20 |
$20 |
5.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$14 |
$14 |
4.0× |
| PSA, total (84153) |
$55 |
$55 |
3.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$90 |
$90 |
5.4× |
| CBC with automated differential (85025) |
$46 |
$46 |
5.9× |
| CBC, automated (85027) |
$44 |
$44 |
6.8× |
| Prothrombin time (PT) (85610) |
$23.50 |
$23.50 |
5.5× |
| Partial thromboplastin time (PTT) (85730) |
$36 |
$36 |
6.0× |
| Psychotherapy, 30 minutes (90832) |
$124 |
$124 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$165 |
$165 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$341 |
$341 |
1.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$146 |
$146 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$181 |
$181 |
0.9× |
| Group psychotherapy (90853) |
$57.50 |
$57.50 |
0.5× |
| Sleep study (attended polysomnography) (95810) |
$3,500 |
$3,500 |
3.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$380 |
$380 |
13.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$135 |
$135 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$190 |
$190 |
1.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$215 |
$215 |
1.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$221 |
$221 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$252 |
$252 |
— |