| Breast lesion removal (open) (19120) |
$1,020 |
$1,020 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$12,401.50 |
$12,401.50 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,618 |
$5,618 |
1.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,632 |
$1,632 |
1.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,632 |
$1,632 |
1.8× |
| Diagnostic colonoscopy (45378) |
$2,051 |
$2,051 |
2.2× |
| Colonoscopy with biopsy (45380) |
$2,366 |
$2,366 |
2.0× |
| Colonoscopy with lesion removal (45385) |
$2,519 |
$2,519 |
2.1× |
| Laparoscopic gallbladder removal (47562) |
$7,569 |
$7,569 |
1.2× |
| Inguinal hernia repair (age 5+) (49505) |
$5,971.50 |
$5,971.50 |
1.7× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,961.50 |
$5,961.50 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$12,204.50 |
$12,204.50 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$8,129 |
$8,129 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$3,212 |
$3,212 |
3.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,613 |
$1,613 |
1.8× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,080.50 |
$1,080.50 |
2.0× |
| Cataract removal with lens insertion (66984) |
$7,381.50 |
$7,381.50 |
3.2× |
| CT head/brain without contrast (70450) |
$947 |
$947 |
9.0× |
| MRI brain without contrast (70551) |
$2,179 |
$2,179 |
9.1× |
| MRI brain with contrast (70552) |
$2,658 |
$2,658 |
7.6× |
| MRI brain without and with contrast (70553) |
$2,054 |
$2,054 |
5.9× |
| X-ray lower spine, 4+ views (72110) |
$285 |
$285 |
2.7× |
| MRI lumbar spine without contrast (72148) |
$2,283 |
$2,283 |
9.5× |
| CT pelvis with contrast (72193) |
$1,270 |
$1,270 |
7.2× |
| MRI lower-extremity joint without contrast (73721) |
$1,339 |
$1,339 |
5.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,422.50 |
$2,422.50 |
6.9× |
| Ultrasound, abdomen complete (76700) |
$445 |
$445 |
4.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$416 |
$416 |
4.0× |
| Ultrasound, transvaginal (76830) |
$439 |
$439 |
4.2× |
| Mammography, one breast (diagnostic) (77065) |
$52 |
$52 |
0.6× |
| Mammography, both breasts (diagnostic) (77066) |
$468 |
$468 |
4.2× |
| Mammography, screening (bilateral) (77067) |
$286 |
$286 |
3.1× |
| Basic metabolic panel (80048) |
$70 |
$70 |
8.3× |
| Comprehensive metabolic panel (80053) |
$90.50 |
$90.50 |
8.6× |
| Lipid panel (80061) |
$46 |
$46 |
3.4× |
| Renal function panel (80069) |
$118 |
$118 |
13.6× |
| Hepatic function panel (80076) |
$151 |
$151 |
18.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$23 |
$23 |
6.6× |
| PSA, total (84153) |
$86.50 |
$86.50 |
4.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$75.50 |
$75.50 |
4.5× |
| CBC with automated differential (85025) |
$57 |
$57 |
7.3× |
| CBC, automated (85027) |
$43 |
$43 |
6.6× |
| Prothrombin time (PT) (85610) |
$43 |
$43 |
10.0× |
| Partial thromboplastin time (PTT) (85730) |
$63 |
$63 |
10.5× |
| Psychotherapy, 30 minutes (90832) |
$228 |
$228 |
1.3× |
| Psychotherapy, 45 minutes (90834) |
$262 |
$262 |
1.5× |
| Psychotherapy, 60 minutes (90837) |
$387 |
$387 |
2.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$294 |
$294 |
1.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$275 |
$275 |
1.5× |
| Group psychotherapy (90853) |
$80 |
$80 |
0.8× |
| Electrocardiogram (ECG), complete (93000) |
$152 |
$152 |
2.6× |
| Sleep study (attended polysomnography) (95810) |
$1,875 |
$1,875 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$76.50 |
$76.50 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$282 |
$282 |
2.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$431 |
$431 |
3.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$577 |
$577 |
4.3× |
| Office consultation (low complexity, ~30 min) (99243) |
$283 |
$283 |
2.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$455 |
$455 |
3.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$258 |
$258 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$308 |
$308 |
— |