| Breast lesion removal (open) (19120) |
$1,309.75 |
$2,092.25 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$1,668.14 |
$2,664.75 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,267.41 |
$5,219.50 |
1.0× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$1,975.66 |
$3,156 |
0.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$617.36 |
$986.20 |
0.7× |
| Diagnostic colonoscopy (45378) |
$2,273.01 |
$3,631 |
2.4× |
| Colonoscopy with biopsy (45380) |
$617.36 |
$986.20 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$456.35 |
$729 |
0.4× |
| Laparoscopic gallbladder removal (47562) |
$6,569.24 |
$10,494 |
1.0× |
| Inguinal hernia repair (age 5+) (49505) |
$1,808.20 |
$2,888.50 |
0.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,462.96 |
$2,337 |
1.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,620.09 |
$2,588 |
1.8× |
| CT head/brain without contrast (70450) |
$1,460.46 |
$2,333 |
13.5× |
| MRI brain without contrast (70551) |
$2,360.02 |
$3,770 |
9.5× |
| MRI brain with contrast (70552) |
$2,893.06 |
$4,621.50 |
8.0× |
| MRI brain without and with contrast (70553) |
$3,380.71 |
$5,400.50 |
9.3× |
| X-ray lower spine, 4+ views (72110) |
$444.78 |
$710.50 |
4.1× |
| MRI lumbar spine without contrast (72148) |
$2,482.40 |
$3,965.50 |
10.0× |
| CT pelvis with contrast (72193) |
$1,475.80 |
$2,357.50 |
8.1× |
| MRI lower-extremity joint without contrast (73721) |
$2,396.95 |
$3,829 |
9.7× |
| CT abdomen and pelvis with contrast (74177) |
$4,146.94 |
$6,624.50 |
11.4× |
| Ultrasound, abdomen complete (76700) |
$739.30 |
$1,181 |
6.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$365.90 |
$584.50 |
3.4× |
| Ultrasound, transvaginal (76830) |
$570.91 |
$912 |
5.3× |
| Mammography, one breast (diagnostic) (77065) |
$257.91 |
$412 |
3.0× |
| Mammography, both breasts (diagnostic) (77066) |
$314.25 |
$502 |
2.8× |
| Mammography, screening (bilateral) (77067) |
$259.16 |
$414 |
2.8× |
| Basic metabolic panel (80048) |
$132.71 |
$212 |
15.7× |
| Comprehensive metabolic panel (80053) |
$150.24 |
$240 |
14.2× |
| Lipid panel (80061) |
$117.06 |
$187 |
8.7× |
| Renal function panel (80069) |
$146.48 |
$234 |
16.9× |
| Hepatic function panel (80076) |
$89.83 |
$143.50 |
11.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$24.42 |
$39 |
7.0× |
| PSA, total (84153) |
$90.14 |
$144 |
4.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$131.77 |
$210.50 |
7.8× |
| CBC with automated differential (85025) |
$69.48 |
$111 |
8.9× |
| CBC, automated (85027) |
$73.87 |
$118 |
11.4× |
| Prothrombin time (PT) (85610) |
$30.67 |
$49 |
7.1× |
| Partial thromboplastin time (PTT) (85730) |
$56.96 |
$91 |
9.5× |
| Left heart catheterization (93452) |
$9,345.56 |
$14,929 |
2.8× |
| Sleep study (attended polysomnography) (95810) |
$3,695.90 |
$5,904 |
4.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$131.78 |
$210.50 |
4.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$282.64 |
$451.50 |
2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$268.55 |
$429 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$429.44 |
$686 |
3.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$234.75 |
$375 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$195 |
$311.50 |
— |