| Breast lesion removal (open) (19120) |
$4,955 |
$4,955 |
1.3× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$5,060 |
$5,060 |
0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,907 |
$2,907 |
3.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,702 |
$3,702 |
4.2× |
| Diagnostic colonoscopy (45378) |
$3,732 |
$3,732 |
4.1× |
| Colonoscopy with biopsy (45380) |
$4,115.50 |
$4,115.50 |
3.5× |
| Colonoscopy with lesion removal (45385) |
$5,024.50 |
$5,024.50 |
4.3× |
| Colonoscopy with endoscopic ultrasound (45391) |
$5,708 |
$5,708 |
4.9× |
| Laparoscopic gallbladder removal (47562) |
$13,055 |
$13,055 |
2.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$3,113 |
$3,113 |
3.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,173.50 |
$2,173.50 |
2.5× |
| Cataract removal with lens insertion (66984) |
$8,033 |
$8,033 |
3.6× |
| CT head/brain without contrast (70450) |
$2,564 |
$2,564 |
25.2× |
| MRI brain without contrast (70551) |
$3,449 |
$3,449 |
14.9× |
| MRI brain with contrast (70552) |
$5,721 |
$5,721 |
16.9× |
| MRI brain without and with contrast (70553) |
$6,909 |
$6,909 |
20.4× |
| X-ray lower spine, 4+ views (72110) |
$742 |
$742 |
7.3× |
| MRI lumbar spine without contrast (72148) |
$5,275 |
$5,275 |
22.8× |
| CT pelvis with contrast (72193) |
$4,218 |
$4,218 |
24.7× |
| MRI lower-extremity joint without contrast (73721) |
$5,241 |
$5,241 |
22.6× |
| CT abdomen and pelvis with contrast (74177) |
$7,873 |
$7,873 |
23.2× |
| Ultrasound, abdomen complete (76700) |
$1,729 |
$1,729 |
17.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$895 |
$895 |
8.8× |
| Ultrasound, transvaginal (76830) |
$1,057 |
$1,057 |
10.4× |
| Mammography, one breast (diagnostic) (77065) |
$207 |
$207 |
2.4× |
| Mammography, both breasts (diagnostic) (77066) |
$415 |
$415 |
3.8× |
| Mammography, screening (bilateral) (77067) |
$477.50 |
$477.50 |
5.2× |
| Basic metabolic panel (80048) |
$201 |
$201 |
23.8× |
| Comprehensive metabolic panel (80053) |
$229 |
$229 |
21.7× |
| Lipid panel (80061) |
$159 |
$159 |
11.9× |
| Renal function panel (80069) |
$273 |
$273 |
31.5× |
| Hepatic function panel (80076) |
$157 |
$157 |
19.2× |
| PSA, total (84153) |
$138 |
$138 |
7.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$138 |
$138 |
8.2× |
| CBC with automated differential (85025) |
$152 |
$152 |
19.6× |
| CBC, automated (85027) |
$137 |
$137 |
21.2× |
| Prothrombin time (PT) (85610) |
$89 |
$89 |
20.7× |
| Partial thromboplastin time (PTT) (85730) |
$71.50 |
$71.50 |
11.9× |
| Left heart catheterization (93452) |
$23,536 |
$23,536 |
7.5× |
| Sleep study (attended polysomnography) (95810) |
$6,631 |
$6,631 |
7.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$153 |
$153 |
5.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$685 |
$685 |
5.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$849 |
$849 |
6.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,140 |
$1,140 |
8.8× |