| Breast lesion removal (open) (19120) |
$4,880 |
$4,880 |
1.3× |
| Shoulder arthroscopy with decompression (29826) |
$485 |
$485 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$7,459.46 |
$7,459.46 |
2.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$12,237.91 |
$12,237.91 |
2.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,052 |
$1,052 |
1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$6,062.81 |
$6,062.81 |
7.0× |
| Diagnostic colonoscopy (45378) |
$6,745.16 |
$6,745.16 |
7.6× |
| Colonoscopy with biopsy (45380) |
$7,543.34 |
$7,543.34 |
6.6× |
| Colonoscopy with lesion removal (45385) |
$6,936.02 |
$6,936.02 |
6.0× |
| Colonoscopy with endoscopic ultrasound (45391) |
$869 |
$869 |
0.8× |
| Laparoscopic gallbladder removal (47562) |
$19,624.74 |
$19,624.74 |
3.4× |
| Inguinal hernia repair (age 5+) (49505) |
$17,151.42 |
$17,151.42 |
5.0× |
| Laparoscopic radical prostatectomy (55866) |
$50,711.53 |
$50,711.53 |
5.0× |
| Obstetric care, vaginal delivery (global) (59400) |
$7,100 |
$7,100 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$7,876 |
$7,876 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$7,575 |
$7,575 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,498 |
$1,498 |
1.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,215.50 |
$1,215.50 |
1.4× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$860 |
$860 |
1.6× |
| Cataract removal with lens insertion (66984) |
$8,642.58 |
$8,642.58 |
3.9× |
| CT head/brain without contrast (70450) |
$2,170 |
$2,170 |
21.6× |
| MRI brain without contrast (70551) |
$3,858 |
$3,858 |
16.9× |
| MRI brain with contrast (70552) |
$4,374 |
$4,374 |
13.1× |
| MRI brain without and with contrast (70553) |
$7,343 |
$7,343 |
21.9× |
| X-ray lower spine, 4+ views (72110) |
$774 |
$774 |
7.7× |
| MRI lumbar spine without contrast (72148) |
$4,380 |
$4,380 |
19.1× |
| CT pelvis with contrast (72193) |
$3,177 |
$3,177 |
18.9× |
| MRI lower-extremity joint without contrast (73721) |
$4,250 |
$4,250 |
18.6× |
| CT abdomen and pelvis with contrast (74177) |
$7,116 |
$7,116 |
21.3× |
| Ultrasound, abdomen complete (76700) |
$1,417.50 |
$1,417.50 |
14.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$977 |
$977 |
9.7× |
| Ultrasound, transvaginal (76830) |
$783 |
$783 |
7.8× |
| Mammography, one breast (diagnostic) (77065) |
$240 |
$240 |
2.8× |
| Mammography, both breasts (diagnostic) (77066) |
$533 |
$533 |
4.8× |
| Mammography, screening (bilateral) (77067) |
$493 |
$493 |
5.4× |
| Basic metabolic panel (80048) |
$206.50 |
$206.50 |
24.4× |
| Comprehensive metabolic panel (80053) |
$260 |
$260 |
24.6× |
| Lipid panel (80061) |
$216 |
$216 |
16.1× |
| Renal function panel (80069) |
$204 |
$204 |
23.5× |
| Hepatic function panel (80076) |
$262 |
$262 |
32.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$47 |
$47 |
11.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$62.50 |
$62.50 |
18.0× |
| PSA, total (84153) |
$224 |
$224 |
12.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$189 |
$189 |
11.3× |
| CBC with automated differential (85025) |
$188.50 |
$188.50 |
24.3× |
| CBC, automated (85027) |
$82 |
$82 |
12.7× |
| Prothrombin time (PT) (85610) |
$89 |
$89 |
20.7× |
| Partial thromboplastin time (PTT) (85730) |
$90 |
$90 |
15.0× |
| Psychotherapy, 30 minutes (90832) |
$273 |
$273 |
1.6× |
| Psychotherapy, 45 minutes (90834) |
$233 |
$233 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$233 |
$233 |
1.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$308 |
$308 |
1.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$364 |
$364 |
2.1× |
| Group psychotherapy (90853) |
$231 |
$231 |
2.4× |
| Electrocardiogram (ECG), complete (93000) |
$263 |
$263 |
4.6× |
| Left heart catheterization (93452) |
$16,732 |
$16,732 |
5.4× |
| Sleep study (attended polysomnography) (95810) |
$5,331 |
$5,331 |
6.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$360 |
$360 |
12.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$244 |
$244 |
1.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$401 |
$401 |
3.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$434 |
$434 |
3.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$363 |
$363 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$424 |
$424 |
— |