| Breast lesion removal (open) (19120) |
$4,497 |
$7,494.50 |
1.1× |
| Shoulder arthroscopy with decompression (29826) |
$3,506 |
$5,844 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$6,224 |
$10,374 |
1.9× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$6,465.50 |
$10,775.50 |
1.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,155 |
$5,258 |
3.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,503 |
$5,838 |
3.8× |
| Diagnostic colonoscopy (45378) |
$3,812 |
$6,353 |
4.1× |
| Colonoscopy with biopsy (45380) |
$3,994 |
$6,656 |
3.3× |
| Colonoscopy with lesion removal (45385) |
$3,773 |
$6,288 |
3.1× |
| Laparoscopic gallbladder removal (47562) |
$8,727 |
$14,545 |
1.4× |
| Inguinal hernia repair (age 5+) (49505) |
$7,565 |
$12,608 |
2.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,148 |
$1,913.50 |
1.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$891 |
$1,484.50 |
1.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$2,042 |
$3,404 |
3.7× |
| Cataract removal with lens insertion (66984) |
$6,249 |
$10,415 |
2.7× |
| CT head/brain without contrast (70450) |
$826 |
$1,376 |
7.9× |
| MRI brain without contrast (70551) |
$2,252 |
$3,753 |
9.4× |
| MRI brain with contrast (70552) |
$2,429 |
$4,049 |
6.9× |
| MRI brain without and with contrast (70553) |
$3,218 |
$5,364 |
9.2× |
| X-ray lower spine, 4+ views (72110) |
$425 |
$709 |
4.0× |
| MRI lumbar spine without contrast (72148) |
$2,252 |
$3,753 |
9.4× |
| CT pelvis with contrast (72193) |
$1,103 |
$1,838 |
6.3× |
| MRI lower-extremity joint without contrast (73721) |
$2,252 |
$3,753 |
9.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,155 |
$3,591 |
6.1× |
| Ultrasound, abdomen complete (76700) |
$509 |
$849 |
4.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$356 |
$593 |
3.4× |
| Ultrasound, transvaginal (76830) |
$424 |
$706 |
4.0× |
| Mammography, one breast (diagnostic) (77065) |
$193 |
$322 |
2.2× |
| Mammography, both breasts (diagnostic) (77066) |
$171 |
$284.50 |
1.5× |
| Mammography, screening (bilateral) (77067) |
$200 |
$333 |
2.2× |
| Basic metabolic panel (80048) |
$139 |
$231 |
16.4× |
| Comprehensive metabolic panel (80053) |
$167 |
$279 |
15.8× |
| Lipid panel (80061) |
$139 |
$231 |
10.4× |
| Renal function panel (80069) |
$98 |
$163 |
11.3× |
| Hepatic function panel (80076) |
$139 |
$231 |
17.0× |
| PSA, total (84153) |
$67 |
$112 |
3.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$136 |
$226 |
8.1× |
| CBC with automated differential (85025) |
$93 |
$155 |
12.0× |
| CBC, automated (85027) |
$50 |
$84 |
7.7× |
| Prothrombin time (PT) (85610) |
$65 |
$109 |
15.2× |
| Partial thromboplastin time (PTT) (85730) |
$84 |
$140 |
14.0× |
| Psychotherapy, 30 minutes (90832) |
$86 |
$144 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$115 |
$192 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$173 |
$289 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$146 |
$243 |
0.8× |
| Left heart catheterization (93452) |
$4,724.50 |
$7,873.50 |
1.5× |
| Sleep study (attended polysomnography) (95810) |
$1,534.50 |
$2,557.50 |
1.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$109.50 |
$182.50 |
3.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$104 |
$174 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$176 |
$293 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$230 |
$383 |
1.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$143 |
$238 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$170 |
$283.50 |
— |