Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,588.30 |
$11,765.02 |
0.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$398.04 |
$1,809.26 |
0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$480.60 |
$2,184.55 |
0.6× |
| CT head/brain without contrast (70450) |
$582.95 |
$2,649.76 |
5.9× |
| MRI brain without contrast (70551) |
$865.09 |
$3,932.23 |
3.9× |
| MRI brain with contrast (70552) |
$1,053.51 |
$4,788.69 |
3.2× |
| MRI brain without and with contrast (70553) |
$1,241.94 |
$5,645.17 |
3.8× |
| X-ray lower spine, 4+ views (72110) |
$35.82 |
$162.80 |
0.4× |
| MRI lumbar spine without contrast (72148) |
$896.44 |
$4,074.71 |
4.0× |
| CT pelvis with contrast (72193) |
$468.27 |
$2,128.48 |
2.8× |
| MRI lower-extremity joint without contrast (73721) |
$657.94 |
$2,990.63 |
2.9× |
| CT abdomen and pelvis with contrast (74177) |
$798.83 |
$3,631.04 |
2.4× |
| Ultrasound, abdomen complete (76700) |
$298.84 |
$1,358.36 |
3.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$75.97 |
$345.30 |
0.8× |
| Ultrasound, transvaginal (76830) |
$194.30 |
$883.17 |
2.0× |
| Mammography, one breast (diagnostic) (77065) |
$97.75 |
$444.31 |
1.1× |
| Mammography, both breasts (diagnostic) (77066) |
$144.56 |
$657.09 |
1.3× |
| Mammography, screening (bilateral) (77067) |
$90.71 |
$412.34 |
1.0× |
| Basic metabolic panel (80048) |
$124.67 |
$566.69 |
14.7× |
| Comprehensive metabolic panel (80053) |
$222.18 |
$1,009.89 |
21.0× |
| Obstetric panel (80055) |
$94.11 |
$427.77 |
2.0× |
| Lipid panel (80061) |
$47.94 |
$217.88 |
3.6× |
| Hepatic function panel (80076) |
$114.48 |
$520.38 |
14.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$4.18 |
$19 |
1.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$8.65 |
$39.30 |
2.5× |
| PSA, total (84153) |
$40.73 |
$185.12 |
2.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$102.09 |
$464.05 |
6.1× |
| CBC with automated differential (85025) |
$35.41 |
$160.97 |
4.6× |
| CBC, automated (85027) |
$29.11 |
$132.30 |
4.5× |
| Prothrombin time (PT) (85610) |
$20.13 |
$91.51 |
4.7× |
| Partial thromboplastin time (PTT) (85730) |
$12.61 |
$57.33 |
2.1× |
| Psychotherapy, 30 minutes (90832) |
$67.96 |
$308.90 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$67.96 |
$308.90 |
0.4× |
| Psychotherapy, 60 minutes (90837) |
$68.86 |
$313 |
0.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$67.96 |
$308.90 |
0.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$67.96 |
$308.90 |
0.4× |
| Group psychotherapy (90853) |
$16.17 |
$73.50 |
0.2× |
| Electrocardiogram (ECG), complete (93000) |
$11 |
$50 |
0.2× |
| Left heart catheterization (93452) |
$1,658.39 |
$7,538.15 |
0.5× |
| Sleep study (attended polysomnography) (95810) |
$919.24 |
$4,178.37 |
1.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$37.15 |
$168.88 |
1.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$54.47 |
$247.60 |
0.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$78.57 |
$357.13 |
0.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$96.70 |
$439.54 |
0.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$63.80 |
$290 |
0.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$89.54 |
$407 |
0.7× |