| Breast lesion removal (open) (19120) |
$5,530 |
$7,900 |
1.4× |
| Shoulder arthroscopy with decompression (29826) |
$8,182.50 |
$11,689 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,446 |
$4,923 |
1.0× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$3,039 |
$4,341.50 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,675 |
$5,250 |
3.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,675 |
$5,250 |
3.9× |
| Diagnostic colonoscopy (45378) |
$3,731 |
$5,330 |
3.9× |
| Colonoscopy with biopsy (45380) |
$4,417 |
$6,310 |
3.6× |
| Colonoscopy with lesion removal (45385) |
$5,096 |
$7,280 |
4.1× |
| Inguinal hernia repair (age 5+) (49505) |
$414 |
$592 |
0.1× |
| Cataract removal with lens insertion (66984) |
$4,270 |
$6,100 |
1.8× |
| CT head/brain without contrast (70450) |
$1,569 |
$2,241 |
14.5× |
| MRI brain without contrast (70551) |
$2,591 |
$3,702 |
10.5× |
| MRI brain with contrast (70552) |
$3,051 |
$4,359 |
8.4× |
| MRI brain without and with contrast (70553) |
$3,144 |
$4,492 |
8.7× |
| X-ray lower spine, 4+ views (72110) |
$412 |
$589 |
3.8× |
| MRI lumbar spine without contrast (72148) |
$2,477 |
$3,539 |
10.0× |
| CT pelvis with contrast (72193) |
$2,060 |
$2,943 |
11.3× |
| MRI lower-extremity joint without contrast (73721) |
$2,012 |
$2,875 |
8.1× |
| CT abdomen and pelvis with contrast (74177) |
$3,427 |
$4,895 |
9.5× |
| Ultrasound, abdomen complete (76700) |
$689 |
$984 |
6.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$564 |
$805 |
5.2× |
| Ultrasound, transvaginal (76830) |
$523 |
$747 |
4.8× |
| Mammography, one breast (diagnostic) (77065) |
$266 |
$380 |
3.1× |
| Mammography, both breasts (diagnostic) (77066) |
$328 |
$468 |
3.0× |
| Mammography, screening (bilateral) (77067) |
$278 |
$397 |
3.0× |
| Basic metabolic panel (80048) |
$105 |
$150 |
12.4× |
| Comprehensive metabolic panel (80053) |
$124.50 |
$177.50 |
11.8× |
| Lipid panel (80061) |
$92 |
$132 |
6.9× |
| Renal function panel (80069) |
$120 |
$172 |
13.8× |
| Hepatic function panel (80076) |
$109 |
$156 |
13.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$22 |
$32 |
6.3× |
| PSA, total (84153) |
$106 |
$151 |
5.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$90 |
$128 |
5.4× |
| CBC with automated differential (85025) |
$74 |
$106 |
9.5× |
| CBC, automated (85027) |
$57 |
$82 |
8.8× |
| Prothrombin time (PT) (85610) |
$50 |
$72 |
11.7× |
| Partial thromboplastin time (PTT) (85730) |
$76 |
$109 |
12.6× |
| Psychotherapy, 30 minutes (90832) |
$158 |
$225.50 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$181 |
$258 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$191.50 |
$273 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$239 |
$341 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$239 |
$341 |
1.3× |
| Group psychotherapy (90853) |
$702 |
$1,003 |
6.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$147 |
$210 |
5.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$167 |
$238 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$255 |
$364 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$167.50 |
$239 |
1.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$83 |
$118 |
0.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$122 |
$174 |
0.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$192 |
$274 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$223 |
$318 |
— |