| Breast lesion removal (open) (19120) |
$1,015 |
$1,128 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$3,943 |
$4,381 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,943 |
$4,381 |
1.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$961.50 |
$1,068 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,081 |
$1,201.50 |
1.1× |
| Diagnostic colonoscopy (45378) |
$1,157 |
$1,286 |
1.2× |
| Colonoscopy with biopsy (45380) |
$2,710 |
$3,011 |
2.2× |
| Colonoscopy with lesion removal (45385) |
$1,628 |
$1,808.50 |
1.3× |
| Laparoscopic gallbladder removal (47562) |
$3,335.50 |
$3,706 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$1,706 |
$1,895.50 |
0.5× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,671 |
$4,079 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,179 |
$4,643 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$678 |
$753 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$658 |
$731 |
0.7× |
| CT head/brain without contrast (70450) |
$2,088 |
$2,320 |
19.2× |
| MRI brain without contrast (70551) |
$3,433 |
$3,814 |
13.9× |
| MRI brain with contrast (70552) |
$3,644 |
$4,049 |
10.1× |
| MRI brain without and with contrast (70553) |
$4,303 |
$4,781 |
11.9× |
| X-ray lower spine, 4+ views (72110) |
$584 |
$649 |
5.4× |
| MRI lumbar spine without contrast (72148) |
$3,671 |
$4,079 |
14.8× |
| CT pelvis with contrast (72193) |
$2,541 |
$2,823 |
14.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,999.50 |
$3,332.50 |
12.1× |
| CT abdomen and pelvis with contrast (74177) |
$4,535 |
$5,039 |
12.5× |
| Ultrasound, abdomen complete (76700) |
$1,134 |
$1,260 |
10.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,013 |
$1,125 |
9.3× |
| Ultrasound, transvaginal (76830) |
$886 |
$984 |
8.2× |
| Mammography, one breast (diagnostic) (77065) |
$313 |
$348 |
3.6× |
| Mammography, both breasts (diagnostic) (77066) |
$358 |
$398 |
3.2× |
| Mammography, screening (bilateral) (77067) |
$306 |
$340 |
3.4× |
| Basic metabolic panel (80048) |
$168 |
$187 |
19.9× |
| Comprehensive metabolic panel (80053) |
$187.50 |
$208 |
17.8× |
| Lipid panel (80061) |
$163 |
$181 |
12.2× |
| Renal function panel (80069) |
$141 |
$157 |
16.2× |
| Hepatic function panel (80076) |
$120 |
$133 |
14.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$59 |
$66 |
14.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$29.50 |
$33 |
8.5× |
| PSA, total (84153) |
$157.50 |
$175 |
8.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$131 |
$146 |
7.8× |
| CBC with automated differential (85025) |
$111 |
$123.50 |
14.3× |
| CBC, automated (85027) |
$95 |
$106 |
14.7× |
| Prothrombin time (PT) (85610) |
$76.50 |
$85 |
17.8× |
| Partial thromboplastin time (PTT) (85730) |
$96.50 |
$107.50 |
16.1× |
| Psychotherapy, 30 minutes (90832) |
$120 |
$133 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$160 |
$178 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$240 |
$267 |
1.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$111 |
$123 |
0.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$202 |
$224 |
1.1× |
| Electrocardiogram (ECG), complete (93000) |
$41.50 |
$46.50 |
0.7× |
| Sleep study (attended polysomnography) (95810) |
$3,250 |
$3,611 |
3.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$94 |
$104 |
3.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$252 |
$280 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$346 |
$384 |
2.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$428 |
$475 |
3.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$191 |
$212 |
1.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$227.50 |
$252.50 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$266 |
$295.50 |
— |