| Breast lesion removal (open) (19120) |
$2,609.40 |
$4,349 |
0.7× |
| Shoulder arthroscopy with decompression (29826) |
$1,948.20 |
$3,247 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,146.20 |
$8,577 |
1.6× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$6,747.60 |
$11,246 |
1.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$898.20 |
$1,497 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,087.20 |
$1,812 |
1.2× |
| Diagnostic colonoscopy (45378) |
$385.20 |
$642 |
0.4× |
| Colonoscopy with biopsy (45380) |
$947.10 |
$1,578.50 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$1,225.80 |
$2,043 |
1.1× |
| Laparoscopic gallbladder removal (47562) |
$4,776 |
$7,960 |
0.8× |
| Inguinal hernia repair (age 5+) (49505) |
$3,015.30 |
$5,025.50 |
0.9× |
| Cataract removal with lens insertion (66984) |
$2,807.40 |
$4,679 |
1.3× |
| CT head/brain without contrast (70450) |
$1,392 |
$2,320 |
13.8× |
| MRI brain without contrast (70551) |
$1,427.40 |
$2,379 |
6.2× |
| MRI brain without and with contrast (70553) |
$2,109.60 |
$3,516 |
6.3× |
| X-ray lower spine, 4+ views (72110) |
$391.20 |
$652 |
3.9× |
| MRI lumbar spine without contrast (72148) |
$1,434 |
$2,390 |
6.2× |
| CT pelvis with contrast (72193) |
$1,463.40 |
$2,439 |
8.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,371.60 |
$2,286 |
6.0× |
| CT abdomen and pelvis with contrast (74177) |
$1,392 |
$2,320 |
4.1× |
| Ultrasound, abdomen complete (76700) |
$418.80 |
$698 |
4.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$148.80 |
$248 |
1.5× |
| Ultrasound, transvaginal (76830) |
$418.80 |
$698 |
4.2× |
| Basic metabolic panel (80048) |
$130.20 |
$217 |
15.4× |
| Comprehensive metabolic panel (80053) |
$196.20 |
$327 |
18.6× |
| Lipid panel (80061) |
$130.20 |
$217 |
9.7× |
| Renal function panel (80069) |
$118.20 |
$197 |
13.6× |
| Hepatic function panel (80076) |
$329.40 |
$549 |
40.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$6 |
$10 |
1.5× |
| PSA, total (84153) |
$66.60 |
$111 |
3.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$117.60 |
$196 |
7.0× |
| CBC with automated differential (85025) |
$64.80 |
$108 |
8.3× |
| CBC, automated (85027) |
$42.60 |
$71 |
6.6× |
| Prothrombin time (PT) (85610) |
$58.80 |
$98 |
13.7× |
| Partial thromboplastin time (PTT) (85730) |
$42 |
$70 |
7.0× |
| Psychotherapy, 30 minutes (90832) |
$261.60 |
$436 |
1.5× |
| Psychotherapy, 45 minutes (90834) |
$279 |
$465 |
1.6× |
| Psychotherapy, 60 minutes (90837) |
$294 |
$490 |
1.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$294 |
$490 |
1.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$294 |
$490 |
1.7× |
| Group psychotherapy (90853) |
$219.60 |
$366 |
2.2× |
| Electrocardiogram (ECG), complete (93000) |
$81.90 |
$136.50 |
1.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$100.20 |
$167 |
3.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$186.60 |
$311 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$243 |
$405 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$294.90 |
$491.50 |
2.3× |
| Office consultation (low complexity, ~30 min) (99243) |
$111.30 |
$185.50 |
0.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$217.20 |
$362 |
1.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$105 |
$175 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$105 |
$175 |
— |