| Breast lesion removal (open) (19120) |
$1,200.60 |
$4,002 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$5,607.90 |
$18,693 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,406.50 |
$11,355 |
1.0× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,182.35 |
$7,274.50 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$242.40 |
$808 |
0.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,632.90 |
$5,443 |
1.7× |
| Diagnostic colonoscopy (45378) |
$241.35 |
$804.50 |
0.2× |
| Colonoscopy with biopsy (45380) |
$1,276.65 |
$4,255.50 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,357.20 |
$4,524 |
1.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,443.30 |
$4,811 |
1.1× |
| Laparoscopic gallbladder removal (47562) |
$4,980.90 |
$16,603 |
0.8× |
| Inguinal hernia repair (age 5+) (49505) |
$1,184.10 |
$3,947 |
0.3× |
| Laparoscopic radical prostatectomy (55866) |
$12,809.85 |
$42,699.50 |
1.1× |
| Obstetric care, vaginal delivery (global) (59400) |
$2,555.10 |
$8,517 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$2,895.90 |
$9,653 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$2,670.90 |
$8,903 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$98.10 |
$327 |
0.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$576.90 |
$1,923 |
0.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$216 |
$720 |
0.4× |
| Cataract removal with lens insertion (66984) |
$537 |
$1,790 |
0.2× |
| CT head/brain without contrast (70450) |
$1,116 |
$3,720 |
10.0× |
| MRI brain without contrast (70551) |
$1,876.80 |
$6,256 |
7.4× |
| MRI brain with contrast (70552) |
$2,173.50 |
$7,245 |
5.8× |
| MRI brain without and with contrast (70553) |
$2,470.50 |
$8,235 |
6.6× |
| X-ray lower spine, 4+ views (72110) |
$130.20 |
$434 |
1.2× |
| MRI lumbar spine without contrast (72148) |
$1,876.80 |
$6,256 |
7.4× |
| CT pelvis with contrast (72193) |
$813.60 |
$2,712 |
4.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,728.30 |
$5,761 |
6.8× |
| CT abdomen and pelvis with contrast (74177) |
$3,107.10 |
$10,357 |
8.3× |
| Ultrasound, abdomen complete (76700) |
$323.70 |
$1,079 |
2.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$386.70 |
$1,289 |
3.5× |
| Ultrasound, transvaginal (76830) |
$379.50 |
$1,265 |
3.4× |
| Mammography, one breast (diagnostic) (77065) |
$236.70 |
$789 |
2.7× |
| Mammography, both breasts (diagnostic) (77066) |
$285.60 |
$952 |
2.6× |
| Mammography, screening (bilateral) (77067) |
$262.20 |
$874 |
2.9× |
| Basic metabolic panel (80048) |
$36.60 |
$122 |
4.3× |
| Comprehensive metabolic panel (80053) |
$30 |
$100 |
2.8× |
| Lipid panel (80061) |
$31.50 |
$105 |
2.4× |
| Renal function panel (80069) |
$36.60 |
$122 |
4.2× |
| Hepatic function panel (80076) |
$37.80 |
$126 |
4.6× |
| PSA, total (84153) |
$20.10 |
$67 |
1.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$61.80 |
$206 |
3.7× |
| CBC with automated differential (85025) |
$30 |
$100 |
3.9× |
| CBC, automated (85027) |
$35.40 |
$118 |
5.5× |
| Prothrombin time (PT) (85610) |
$21.60 |
$72 |
5.0× |
| Partial thromboplastin time (PTT) (85730) |
$27.45 |
$91.50 |
4.6× |
| Psychotherapy, 30 minutes (90832) |
$82.50 |
$275 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$100.50 |
$335 |
0.5× |
| Psychotherapy, 60 minutes (90837) |
$164.10 |
$547 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$135.90 |
$453 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$155.25 |
$517.50 |
0.8× |
| Group psychotherapy (90853) |
$62.40 |
$208 |
0.6× |
| Left heart catheterization (93452) |
$1,551.30 |
$5,171 |
0.4× |
| Sleep study (attended polysomnography) (95810) |
$970.35 |
$3,234.50 |
1.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$39.30 |
$131 |
1.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$100.35 |
$334.50 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$146.40 |
$488 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$206.40 |
$688 |
1.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$120.90 |
$403 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$146.70 |
$489 |
— |