| Breast lesion removal (open) (19120) |
$2,339 |
$9,746 |
0.7× |
| Shoulder arthroscopy with decompression (29826) |
$6,471 |
$26,961 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,900 |
$16,251 |
1.3× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$1,878 |
$7,826 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,879 |
$7,831 |
2.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,944 |
$8,100 |
2.4× |
| Diagnostic colonoscopy (45378) |
$1,599 |
$6,663 |
1.9× |
| Colonoscopy with biopsy (45380) |
$1,917 |
$7,988 |
1.8× |
| Colonoscopy with lesion removal (45385) |
$1,852 |
$7,717 |
1.7× |
| Laparoscopic gallbladder removal (47562) |
$3,922 |
$16,341 |
0.7× |
| Inguinal hernia repair (age 5+) (49505) |
$3,617 |
$15,070 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,352 |
$5,632 |
1.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$348.50 |
$1,453.50 |
0.7× |
| Cataract removal with lens insertion (66984) |
$1,300 |
$5,418.50 |
0.6× |
| CT head/brain without contrast (70450) |
$366 |
$1,527 |
3.9× |
| MRI brain without contrast (70551) |
$849 |
$3,539 |
4.0× |
| MRI brain with contrast (70552) |
$1,076 |
$4,483 |
3.4× |
| MRI brain without and with contrast (70553) |
$1,603 |
$6,681 |
5.1× |
| X-ray lower spine, 4+ views (72110) |
$120 |
$498 |
1.3× |
| MRI lumbar spine without contrast (72148) |
$956 |
$3,985 |
4.5× |
| CT pelvis with contrast (72193) |
$667 |
$2,780 |
4.2× |
| MRI lower-extremity joint without contrast (73721) |
$956 |
$3,984 |
4.5× |
| CT abdomen and pelvis with contrast (74177) |
$1,459 |
$6,081 |
4.7× |
| Ultrasound, abdomen complete (76700) |
$175 |
$730 |
1.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$113 |
$470 |
1.2× |
| Ultrasound, transvaginal (76830) |
$143 |
$595 |
1.5× |
| Mammography, one breast (diagnostic) (77065) |
$90 |
$376 |
1.0× |
| Mammography, both breasts (diagnostic) (77066) |
$97 |
$404.50 |
0.9× |
| Mammography, screening (bilateral) (77067) |
$48 |
$200 |
0.5× |
| Basic metabolic panel (80048) |
$17 |
$71 |
2.0× |
| Comprehensive metabolic panel (80053) |
$34 |
$143 |
3.2× |
| Obstetric panel (80055) |
$30 |
$125 |
0.6× |
| Lipid panel (80061) |
$18 |
$75 |
1.3× |
| Renal function panel (80069) |
$26 |
$108 |
3.0× |
| Hepatic function panel (80076) |
$22 |
$92 |
2.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$19 |
$81 |
4.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$8 |
$34 |
2.3× |
| PSA, total (84153) |
$17.50 |
$71.50 |
1.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$15 |
$61 |
0.9× |
| CBC with automated differential (85025) |
$22.50 |
$94 |
2.9× |
| CBC, automated (85027) |
$11.50 |
$49 |
1.8× |
| Prothrombin time (PT) (85610) |
$6 |
$26 |
1.4× |
| Partial thromboplastin time (PTT) (85730) |
$24 |
$99 |
4.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$66 |
$274 |
0.4× |
| Group psychotherapy (90853) |
$26 |
$108 |
0.3× |
| Left heart catheterization (93452) |
$1,684 |
$7,016 |
0.6× |
| Sleep study (attended polysomnography) (95810) |
$771 |
$3,211 |
1.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$27 |
$112 |
0.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$50 |
$208 |
0.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$79 |
$328 |
0.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$102 |
$427 |
0.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$56 |
$234 |
0.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$87.50 |
$365 |
0.7× |