| Breast lesion removal (open) (19120) |
$4,060 |
$5,800 |
1.0× |
| Shoulder arthroscopy with decompression (29826) |
$3,010 |
$4,300 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,970 |
$7,100 |
1.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$3,570 |
$5,100 |
0.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,610 |
$2,300 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,100 |
$3,000 |
2.2× |
| Diagnostic colonoscopy (45378) |
$2,100 |
$3,000 |
2.1× |
| Colonoscopy with biopsy (45380) |
$2,005.50 |
$2,865 |
1.6× |
| Colonoscopy with lesion removal (45385) |
$1,601.95 |
$2,288.50 |
1.3× |
| Laparoscopic gallbladder removal (47562) |
$6,370 |
$9,100 |
1.0× |
| Inguinal hernia repair (age 5+) (49505) |
$5,600 |
$8,000 |
1.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$910 |
$1,300 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,680 |
$2,400 |
1.8× |
| CT head/brain without contrast (70450) |
$1,540 |
$2,200 |
14.0× |
| MRI brain without contrast (70551) |
$1,662.50 |
$2,375 |
6.6× |
| MRI brain with contrast (70552) |
$1,925 |
$2,750 |
5.2× |
| MRI brain without and with contrast (70553) |
$2,310 |
$3,300 |
6.3× |
| X-ray lower spine, 4+ views (72110) |
$518 |
$740 |
4.7× |
| MRI lumbar spine without contrast (72148) |
$1,592.50 |
$2,275 |
6.3× |
| CT pelvis with contrast (72193) |
$1,750 |
$2,500 |
9.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,953 |
$2,790 |
7.8× |
| CT abdomen and pelvis with contrast (74177) |
$1,715 |
$2,450 |
4.7× |
| Ultrasound, abdomen complete (76700) |
$644 |
$920 |
5.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$980 |
$1,400 |
8.9× |
| Ultrasound, transvaginal (76830) |
$700 |
$1,000 |
6.3× |
| Mammography, one breast (diagnostic) (77065) |
$287 |
$410 |
3.3× |
| Mammography, both breasts (diagnostic) (77066) |
$364 |
$520 |
3.3× |
| Mammography, screening (bilateral) (77067) |
$294 |
$420 |
3.2× |
| Basic metabolic panel (80048) |
$77 |
$110 |
9.1× |
| Comprehensive metabolic panel (80053) |
$126 |
$180 |
11.9× |
| Obstetric panel (80055) |
$455 |
$650 |
9.5× |
| Lipid panel (80061) |
$154 |
$220 |
11.5× |
| Renal function panel (80069) |
$112 |
$160 |
12.9× |
| Hepatic function panel (80076) |
$84 |
$120 |
10.3× |
| PSA, total (84153) |
$126 |
$180 |
6.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$168 |
$240 |
10.0× |
| CBC with automated differential (85025) |
$70 |
$100 |
9.0× |
| CBC, automated (85027) |
$68.60 |
$98 |
10.6× |
| Prothrombin time (PT) (85610) |
$30.10 |
$43 |
7.0× |
| Partial thromboplastin time (PTT) (85730) |
$68.60 |
$98 |
11.4× |
| Psychotherapy, 30 minutes (90832) |
$322 |
$460 |
1.7× |
| Psychotherapy, 45 minutes (90834) |
$322 |
$460 |
1.7× |
| Psychotherapy, 60 minutes (90837) |
$350 |
$500 |
1.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$322 |
$460 |
1.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$322 |
$460 |
1.7× |
| Group psychotherapy (90853) |
$280 |
$400 |
2.6× |
| Left heart catheterization (93452) |
$16,800 |
$24,000 |
4.9× |
| Sleep study (attended polysomnography) (95810) |
$2,940 |
$4,200 |
3.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$109.90 |
$157 |
3.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$224 |
$320 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$280 |
$400 |
2.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$350 |
$500 |
2.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$126 |
$180 |
0.9× |