| Breast lesion removal (open) (19120) |
$3,331.36 |
$3,331.36 |
0.9× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$2,725.85 |
$2,725.85 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,591.81 |
$1,591.81 |
1.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,360.35 |
$1,360.35 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,404.90 |
$1,404.90 |
1.6× |
| Colonoscopy with biopsy (45380) |
$1,485.20 |
$1,485.20 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$2,288.88 |
$2,288.88 |
2.1× |
| Laparoscopic gallbladder removal (47562) |
$6,492.10 |
$6,492.10 |
1.2× |
| Inguinal hernia repair (age 5+) (49505) |
$5,123.97 |
$5,123.97 |
1.6× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$842.72 |
$842.72 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$693.94 |
$693.94 |
0.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,196.46 |
$1,196.46 |
2.4× |
| Cataract removal with lens insertion (66984) |
$3,121.20 |
$3,121.20 |
1.5× |
| CT head/brain without contrast (70450) |
$706.43 |
$706.43 |
7.3× |
| MRI brain without contrast (70551) |
$869.77 |
$869.77 |
4.0× |
| MRI brain with contrast (70552) |
$890.58 |
$890.58 |
2.8× |
| MRI brain without and with contrast (70553) |
$929.08 |
$929.08 |
2.9× |
| X-ray lower spine, 4+ views (72110) |
$382.87 |
$382.87 |
4.0× |
| MRI lumbar spine without contrast (72148) |
$835.44 |
$835.44 |
3.8× |
| CT pelvis with contrast (72193) |
$616.96 |
$616.96 |
3.8× |
| MRI lower-extremity joint without contrast (73721) |
$803 |
$803 |
3.7× |
| CT abdomen and pelvis with contrast (74177) |
$837.52 |
$837.52 |
2.6× |
| Ultrasound, abdomen complete (76700) |
$303.80 |
$303.80 |
3.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$254.90 |
$254.90 |
2.7× |
| Ultrasound, transvaginal (76830) |
$259.06 |
$259.06 |
2.7× |
| Mammography, one breast (diagnostic) (77065) |
$180 |
$180 |
2.1× |
| Mammography, both breasts (diagnostic) (77066) |
$187.27 |
$187.27 |
1.7× |
| Mammography, screening (bilateral) (77067) |
$187.27 |
$187.27 |
2.1× |
| Basic metabolic panel (80048) |
$57.22 |
$57.22 |
6.8× |
| Comprehensive metabolic panel (80053) |
$78.03 |
$78.03 |
7.4× |
| Obstetric panel (80055) |
$117.57 |
$117.57 |
2.5× |
| Lipid panel (80061) |
$83.23 |
$83.23 |
6.2× |
| Renal function panel (80069) |
$67.63 |
$67.63 |
7.8× |
| Hepatic function panel (80076) |
$67.63 |
$67.63 |
8.3× |
| PSA, total (84153) |
$88.43 |
$88.43 |
4.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$93.64 |
$93.64 |
5.6× |
| CBC with automated differential (85025) |
$40.58 |
$40.58 |
5.2× |
| CBC, automated (85027) |
$40.58 |
$40.58 |
6.3× |
| Prothrombin time (PT) (85610) |
$32.71 |
$32.71 |
7.6× |
| Partial thromboplastin time (PTT) (85730) |
$39.02 |
$39.02 |
6.5× |
| Psychotherapy, 30 minutes (90832) |
$218.48 |
$218.48 |
1.3× |
| Psychotherapy, 45 minutes (90834) |
$234.09 |
$234.09 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$271.88 |
$271.88 |
1.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$390.15 |
$390.15 |
2.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$390.15 |
$390.15 |
2.4× |
| Group psychotherapy (90853) |
$300.90 |
$300.90 |
3.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$96.76 |
$96.76 |
3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$98.84 |
$98.84 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$124.85 |
$124.85 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$171.67 |
$171.67 |
1.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$226.65 |
$226.65 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$258.63 |
$258.63 |
— |