| Breast lesion removal (open) (19120) |
$7,807.14 |
— |
2.1× |
| Knee arthroscopy with meniscectomy (29881) |
$6,615.10 |
— |
2.1× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$12,060.84 |
— |
2.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,911.50 |
$2,588 |
2.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,911.50 |
$2,588 |
2.2× |
| Diagnostic colonoscopy (45378) |
$1,858.80 |
— |
2.1× |
| Colonoscopy with biopsy (45380) |
$2,403.90 |
— |
2.1× |
| Colonoscopy with lesion removal (45385) |
$2,403.90 |
— |
2.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,403.90 |
— |
2.1× |
| Laparoscopic gallbladder removal (47562) |
$11,895.08 |
— |
2.0× |
| Inguinal hernia repair (age 5+) (49505) |
$7,195.04 |
— |
2.1× |
| Laparoscopic radical prostatectomy (55866) |
$21,226.38 |
— |
2.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,815.12 |
— |
2.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,815.12 |
$4,097.50 |
2.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,118.48 |
— |
2.1× |
| Cataract removal with lens insertion (66984) |
$4,649.94 |
— |
2.1× |
| CT head/brain without contrast (70450) |
$216.80 |
$3,537 |
2.2× |
| MRI brain without contrast (70551) |
$492.82 |
$4,617 |
2.1× |
| MRI brain with contrast (70552) |
$728.12 |
$5,637 |
2.2× |
| MRI brain without and with contrast (70553) |
$728.12 |
$5,666 |
2.2× |
| X-ray lower spine, 4+ views (72110) |
$216.80 |
$909 |
2.2× |
| MRI lumbar spine without contrast (72148) |
$492.82 |
$4,617 |
2.1× |
| CT pelvis with contrast (72193) |
$362.94 |
$4,035 |
2.2× |
| MRI lower-extremity joint without contrast (73721) |
$492.82 |
$4,608 |
2.1× |
| CT abdomen and pelvis with contrast (74177) |
$728.12 |
$5,398 |
2.2× |
| Ultrasound, abdomen complete (76700) |
$216.80 |
$1,430 |
2.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$216.80 |
$854 |
2.2× |
| Ultrasound, transvaginal (76830) |
$216.80 |
$1,220 |
2.2× |
| Mammography, one breast (diagnostic) (77065) |
— |
$466 |
— |
| Mammography, both breasts (diagnostic) (77066) |
— |
$780 |
— |
| Mammography, screening (bilateral) (77067) |
— |
$462 |
— |
| Basic metabolic panel (80048) |
$18.12 |
$117.50 |
2.1× |
| Comprehensive metabolic panel (80053) |
$22.62 |
$102.50 |
2.1× |
| Obstetric panel (80055) |
$102.40 |
$443 |
2.1× |
| Lipid panel (80061) |
$28.68 |
$103 |
2.1× |
| Renal function panel (80069) |
$18.60 |
$380.50 |
2.1× |
| Hepatic function panel (80076) |
$17.50 |
$228.50 |
2.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$8.62 |
— |
2.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$7.46 |
$42 |
2.1× |
| PSA, total (84153) |
$39.40 |
$110.50 |
2.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$35.98 |
$113 |
2.1× |
| CBC with automated differential (85025) |
$16.64 |
$90.50 |
2.1× |
| CBC, automated (85027) |
$13.86 |
$77.50 |
2.1× |
| Prothrombin time (PT) (85610) |
$9.18 |
$86 |
2.1× |
| Partial thromboplastin time (PTT) (85730) |
$12.88 |
$174.25 |
2.1× |
| Psychotherapy, 30 minutes (90832) |
$327.58 |
$307 |
1.9× |
| Psychotherapy, 45 minutes (90834) |
$327.58 |
$315 |
1.9× |
| Psychotherapy, 60 minutes (90837) |
$327.58 |
$337 |
1.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$327.58 |
$377 |
1.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$327.58 |
$345 |
1.9× |
| Group psychotherapy (90853) |
$188.58 |
$539 |
1.9× |
| Left heart catheterization (93452) |
$6,557.62 |
$12,712 |
2.1× |
| Sleep study (attended polysomnography) (95810) |
$2,074.26 |
$5,203 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
— |
$206 |
— |
| Office visit, new patient (low complexity, ~30 min) (99203) |
— |
$286 |
— |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
— |
$396 |
— |
| Office visit, new patient (high complexity, ~60 min) (99205) |
— |
$478 |
— |