| Breast lesion removal (open) (19120) |
$2,063.75 |
$3,175 |
0.6× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,314.65 |
$3,561 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,192.75 |
$1,835 |
1.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,233.70 |
$1,898 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,400.75 |
$2,155 |
1.7× |
| Colonoscopy with biopsy (45380) |
$1,439.75 |
$2,215 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$1,357.85 |
$2,089 |
1.3× |
| Laparoscopic gallbladder removal (47562) |
$3,178.50 |
$4,890 |
0.6× |
| Inguinal hernia repair (age 5+) (49505) |
$3,532.10 |
$5,434 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$656.82 |
$1,010.50 |
0.9× |
| Cataract removal with lens insertion (66984) |
$2,377.70 |
$3,658 |
1.2× |
| CT head/brain without contrast (70450) |
$649.35 |
$999 |
7.2× |
| MRI brain without contrast (70551) |
$1,035.45 |
$1,593 |
5.0× |
| MRI brain with contrast (70552) |
$1,058.85 |
$1,629 |
3.5× |
| MRI brain without and with contrast (70553) |
$1,461.20 |
$2,248 |
4.9× |
| X-ray lower spine, 4+ views (72110) |
$154.70 |
$238 |
1.7× |
| MRI lumbar spine without contrast (72148) |
$1,092 |
$1,680 |
5.3× |
| CT pelvis with contrast (72193) |
$517.72 |
$796.50 |
3.4× |
| MRI lower-extremity joint without contrast (73721) |
$932.75 |
$1,435 |
4.5× |
| CT abdomen and pelvis with contrast (74177) |
$1,582.75 |
$2,435 |
5.3× |
| Ultrasound, abdomen complete (76700) |
$292.50 |
$450 |
3.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$230.10 |
$354 |
2.6× |
| Ultrasound, transvaginal (76830) |
$228.80 |
$352 |
2.5× |
| Mammography, one breast (diagnostic) (77065) |
$130 |
$200 |
1.5× |
| Mammography, both breasts (diagnostic) (77066) |
$192.40 |
$296 |
1.7× |
| Mammography, screening (bilateral) (77067) |
$150.80 |
$232 |
1.7× |
| Basic metabolic panel (80048) |
$78.65 |
$121 |
9.3× |
| Comprehensive metabolic panel (80053) |
$111.15 |
$171 |
10.5× |
| Obstetric panel (80055) |
$195 |
$300 |
4.1× |
| Lipid panel (80061) |
$82.46 |
$126.85 |
6.2× |
| Renal function panel (80069) |
$74.10 |
$114 |
8.5× |
| Hepatic function panel (80076) |
$84.50 |
$130 |
10.3× |
| PSA, total (84153) |
$99.12 |
$152.50 |
5.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$49.40 |
$76 |
2.9× |
| CBC, automated (85027) |
$44.51 |
$68.47 |
6.9× |
| Prothrombin time (PT) (85610) |
$74.39 |
$114.44 |
17.3× |
| Partial thromboplastin time (PTT) (85730) |
$40.95 |
$63 |
6.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$48.75 |
$75 |
1.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$63.70 |
$98 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$90.35 |
$139 |
0.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$126.10 |
$194 |
1.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$89.70 |
$138 |
0.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$112.45 |
$173 |
1.0× |