| Breast lesion removal (open) (19120) |
$6,653 |
$6,653 |
1.7× |
| Shoulder arthroscopy with decompression (29826) |
$8,718 |
$8,718 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$11,309 |
$11,309 |
3.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$7,906 |
$7,906 |
1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,879 |
$1,879 |
2.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,597 |
$3,597 |
3.9× |
| Diagnostic colonoscopy (45378) |
$3,649.50 |
$3,649.50 |
3.9× |
| Colonoscopy with biopsy (45380) |
$3,732 |
$3,732 |
3.1× |
| Colonoscopy with lesion removal (45385) |
$4,212 |
$4,212 |
3.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$4,126 |
$4,126 |
3.4× |
| Laparoscopic gallbladder removal (47562) |
$16,385 |
$16,385 |
2.7× |
| Inguinal hernia repair (age 5+) (49505) |
$8,568 |
$8,568 |
2.4× |
| Laparoscopic radical prostatectomy (55866) |
$12,866 |
$12,866 |
1.2× |
| Obstetric care, cesarean delivery (global) (59510) |
$13,051 |
$13,051 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$12,187 |
$12,187 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$3,980.50 |
$3,980.50 |
4.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$4,107 |
$4,107 |
4.6× |
| Cataract removal with lens insertion (66984) |
$10,558 |
$10,558 |
4.5× |
| CT head/brain without contrast (70450) |
$1,160 |
$1,160 |
10.9× |
| MRI brain without contrast (70551) |
$2,066.50 |
$2,066.50 |
8.5× |
| MRI brain with contrast (70552) |
$2,961 |
$2,961 |
8.4× |
| MRI brain without and with contrast (70553) |
$3,431 |
$3,431 |
9.7× |
| X-ray lower spine, 4+ views (72110) |
$561 |
$561 |
5.3× |
| MRI lumbar spine without contrast (72148) |
$2,066.50 |
$2,066.50 |
8.5× |
| CT pelvis with contrast (72193) |
$1,983.50 |
$1,983.50 |
11.1× |
| MRI lower-extremity joint without contrast (73721) |
$2,066.50 |
$2,066.50 |
8.5× |
| CT abdomen and pelvis with contrast (74177) |
$3,563 |
$3,563 |
10.1× |
| Ultrasound, abdomen complete (76700) |
$2,352 |
$2,352 |
22.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$983 |
$983 |
9.3× |
| Ultrasound, transvaginal (76830) |
$1,898 |
$1,898 |
17.9× |
| Mammography, one breast (diagnostic) (77065) |
$495 |
$495 |
5.7× |
| Mammography, both breasts (diagnostic) (77066) |
$551 |
$551 |
5.0× |
| Mammography, screening (bilateral) (77067) |
$229.50 |
$229.50 |
2.5× |
| Basic metabolic panel (80048) |
$206 |
$206 |
24.3× |
| Comprehensive metabolic panel (80053) |
$287 |
$287 |
27.2× |
| Obstetric panel (80055) |
$618 |
$618 |
12.9× |
| Lipid panel (80061) |
$201 |
$201 |
15.0× |
| Renal function panel (80069) |
$163 |
$163 |
18.8× |
| Hepatic function panel (80076) |
$154.50 |
$154.50 |
18.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$83.50 |
$83.50 |
20.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$63 |
$63 |
18.1× |
| PSA, total (84153) |
$244 |
$244 |
13.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$201.50 |
$201.50 |
12.0× |
| CBC with automated differential (85025) |
$114 |
$114 |
14.7× |
| CBC, automated (85027) |
$113 |
$113 |
17.5× |
| Prothrombin time (PT) (85610) |
$73 |
$73 |
17.0× |
| Partial thromboplastin time (PTT) (85730) |
$107.50 |
$107.50 |
17.9× |
| Psychotherapy, 30 minutes (90832) |
$408 |
$408 |
2.3× |
| Psychotherapy, 45 minutes (90834) |
$628 |
$628 |
3.5× |
| Psychotherapy, 60 minutes (90837) |
$628 |
$628 |
3.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$628 |
$628 |
3.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$628 |
$628 |
3.5× |
| Group psychotherapy (90853) |
$351 |
$351 |
3.4× |
| Left heart catheterization (93452) |
$10,710 |
$10,710 |
3.3× |
| Sleep study (attended polysomnography) (95810) |
$9,509 |
$9,509 |
10.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$180 |
$180 |
6.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$796 |
$796 |
5.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,038 |
$1,038 |
7.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,352 |
$1,352 |
10.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$414 |
$414 |
3.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$673 |
$673 |
5.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$557 |
$557 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$642 |
$642 |
— |