| Breast lesion removal (open) (19120) |
$2,407 |
$3,439 |
0.6× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$3,290 |
$4,700 |
0.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,424.50 |
$3,463.50 |
2.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,946 |
$2,780 |
2.1× |
| Diagnostic colonoscopy (45378) |
$2,783 |
$3,975 |
3.0× |
| Colonoscopy with biopsy (45380) |
$3,896 |
$5,566 |
3.2× |
| Colonoscopy with lesion removal (45385) |
$4,552 |
$6,503 |
3.8× |
| Laparoscopic gallbladder removal (47562) |
$8,168 |
$11,669 |
1.3× |
| Inguinal hernia repair (age 5+) (49505) |
$5,045 |
$7,207 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$548 |
$783 |
0.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,037 |
$1,481 |
1.9× |
| Cataract removal with lens insertion (66984) |
$4,514 |
$6,448 |
1.9× |
| CT head/brain without contrast (70450) |
$1,155 |
$1,650 |
11.0× |
| MRI brain without contrast (70551) |
$1,628 |
$2,325 |
6.8× |
| MRI brain without and with contrast (70553) |
$2,538 |
$3,625 |
7.2× |
| X-ray lower spine, 4+ views (72110) |
$300 |
$429 |
2.9× |
| MRI lumbar spine without contrast (72148) |
$1,628 |
$2,325 |
6.8× |
| CT pelvis with contrast (72193) |
$1,649 |
$2,355 |
9.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,628 |
$2,325 |
6.8× |
| CT abdomen and pelvis with contrast (74177) |
$3,627.50 |
$5,182 |
10.4× |
| Ultrasound, abdomen complete (76700) |
$530 |
$756.50 |
5.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$706 |
$1,008 |
6.7× |
| Ultrasound, transvaginal (76830) |
$367 |
$524 |
3.5× |
| Basic metabolic panel (80048) |
$98 |
$140 |
11.6× |
| Comprehensive metabolic panel (80053) |
$213 |
$304 |
20.2× |
| Lipid panel (80061) |
$66 |
$94 |
4.9× |
| Renal function panel (80069) |
$150 |
$214 |
17.3× |
| Hepatic function panel (80076) |
$86 |
$123 |
10.5× |
| PSA, total (84153) |
$78 |
$111 |
4.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$71 |
$102 |
4.2× |
| CBC with automated differential (85025) |
$60 |
$86 |
7.7× |
| CBC, automated (85027) |
$49 |
$70 |
7.6× |
| Partial thromboplastin time (PTT) (85730) |
$58 |
$83 |
9.7× |
| Psychotherapy, 30 minutes (90832) |
$440 |
$628 |
2.5× |
| Psychotherapy, 45 minutes (90834) |
$545 |
$778 |
3.1× |
| Psychotherapy, 60 minutes (90837) |
$555 |
$793 |
3.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$580 |
$829 |
3.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$609 |
$870 |
3.4× |
| Group psychotherapy (90853) |
$530 |
$757 |
5.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$55 |
$78 |
1.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$194 |
$277 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$242 |
$346 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$291 |
$415 |
2.2× |