| Shoulder arthroscopy with decompression (29826) |
$3,224.95 |
$12,568 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$629.19 |
$2,452 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$694.36 |
$2,706 |
0.8× |
| Colonoscopy with biopsy (45380) |
$846.27 |
$3,298 |
0.7× |
| Laparoscopic gallbladder removal (47562) |
$3,558.02 |
$13,866 |
0.6× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$540.15 |
$2,105 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$546.69 |
$2,130.50 |
0.6× |
| CT head/brain without contrast (70450) |
$732.60 |
$2,855 |
7.3× |
| MRI brain without contrast (70551) |
$1,484.44 |
$5,785 |
6.5× |
| MRI brain with contrast (70552) |
$1,683.56 |
$6,561 |
5.0× |
| MRI brain without and with contrast (70553) |
$1,810.32 |
$7,055 |
5.4× |
| X-ray lower spine, 4+ views (72110) |
$176.03 |
$686 |
1.8× |
| MRI lumbar spine without contrast (72148) |
$1,022.04 |
$3,983 |
4.5× |
| CT pelvis with contrast (72193) |
$644.07 |
$2,510 |
3.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,044.62 |
$4,071 |
4.6× |
| CT abdomen and pelvis with contrast (74177) |
$1,542.68 |
$6,012 |
4.6× |
| Ultrasound, abdomen complete (76700) |
$369.77 |
$1,441 |
3.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$169.36 |
$660 |
1.7× |
| Ultrasound, transvaginal (76830) |
$202.98 |
$791 |
2.0× |
| Basic metabolic panel (80048) |
$37.21 |
$145 |
4.4× |
| Comprehensive metabolic panel (80053) |
$40.03 |
$156 |
3.8× |
| Lipid panel (80061) |
$47.99 |
$187 |
3.6× |
| Renal function panel (80069) |
$33.11 |
$129 |
3.8× |
| Hepatic function panel (80076) |
$32.85 |
$128 |
4.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$11.81 |
$46 |
2.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$10.01 |
$39 |
2.9× |
| PSA, total (84153) |
$13.60 |
$53 |
0.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$69.03 |
$269 |
4.1× |
| CBC with automated differential (85025) |
$31.31 |
$122 |
4.0× |
| CBC, automated (85027) |
$29.77 |
$116 |
4.6× |
| Prothrombin time (PT) (85610) |
$12.32 |
$48 |
2.9× |
| Partial thromboplastin time (PTT) (85730) |
$15.40 |
$60 |
2.6× |
| Psychotherapy, 30 minutes (90832) |
$54.66 |
$213 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$102.77 |
$400.50 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$115.22 |
$449 |
0.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$185.14 |
$721.50 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$156.02 |
$608 |
0.9× |
| Group psychotherapy (90853) |
$123.69 |
$482 |
1.3× |
| Left heart catheterization (93452) |
$3,708.39 |
$14,452 |
1.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$70.31 |
$274 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$103.93 |
$405 |
0.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$132.41 |
$516 |
1.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$78.27 |
$305 |
0.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$113.68 |
$443 |
0.9× |