| Breast lesion removal (open) (19120) |
$11,159 |
$11,159 |
2.8× |
| Shoulder arthroscopy with decompression (29826) |
$16,439 |
$16,439 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$10,007 |
$10,007 |
3.0× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$17,972 |
$17,972 |
3.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,859 |
$2,859 |
3.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,868.50 |
$2,868.50 |
3.1× |
| Diagnostic colonoscopy (45378) |
$3,294 |
$3,294 |
3.5× |
| Colonoscopy with biopsy (45380) |
$3,664 |
$3,664 |
3.0× |
| Colonoscopy with lesion removal (45385) |
$3,664 |
$3,664 |
3.0× |
| Laparoscopic gallbladder removal (47562) |
$17,880 |
$17,880 |
2.9× |
| Inguinal hernia repair (age 5+) (49505) |
$11,243 |
$11,243 |
3.1× |
| Laparoscopic radical prostatectomy (55866) |
$31,474 |
$31,474 |
2.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,909 |
$2,909 |
3.3× |
| Cataract removal with lens insertion (66984) |
$7,338 |
$7,338 |
3.2× |
| CT head/brain without contrast (70450) |
$2,957 |
$2,957 |
28.2× |
| MRI brain without contrast (70551) |
$1,169 |
$1,169 |
4.9× |
| MRI brain with contrast (70552) |
$1,915 |
$1,915 |
5.5× |
| MRI brain without and with contrast (70553) |
$1,915 |
$1,915 |
5.5× |
| X-ray lower spine, 4+ views (72110) |
$385 |
$385 |
3.7× |
| MRI lumbar spine without contrast (72148) |
$1,169 |
$1,169 |
4.9× |
| CT pelvis with contrast (72193) |
$3,755 |
$3,755 |
21.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,169 |
$1,169 |
4.9× |
| CT abdomen and pelvis with contrast (74177) |
$5,634 |
$5,634 |
16.1× |
| Ultrasound, abdomen complete (76700) |
$1,129 |
$1,129 |
10.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$863 |
$863 |
8.2× |
| Ultrasound, transvaginal (76830) |
$847 |
$847 |
8.1× |
| Mammography, one breast (diagnostic) (77065) |
$407 |
$407 |
4.7× |
| Mammography, both breasts (diagnostic) (77066) |
$407 |
$407 |
3.7× |
| Mammography, screening (bilateral) (77067) |
$450 |
$450 |
4.9× |
| Basic metabolic panel (80048) |
$55 |
$55 |
6.5× |
| Comprehensive metabolic panel (80053) |
$69 |
$69 |
6.5× |
| Lipid panel (80061) |
$87 |
$87 |
6.5× |
| Renal function panel (80069) |
$56 |
$56 |
6.5× |
| Hepatic function panel (80076) |
$53 |
$53 |
6.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$23 |
$23 |
6.6× |
| PSA, total (84153) |
$120 |
$120 |
6.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$109 |
$109 |
6.5× |
| CBC with automated differential (85025) |
$50.50 |
$50.50 |
6.5× |
| CBC, automated (85027) |
$42 |
$42 |
6.5× |
| Prothrombin time (PT) (85610) |
$28 |
$28 |
6.5× |
| Partial thromboplastin time (PTT) (85730) |
$39 |
$39 |
6.5× |
| Psychotherapy, 30 minutes (90832) |
$266 |
$266 |
1.5× |
| Psychotherapy, 45 minutes (90834) |
$266 |
$266 |
1.5× |
| Psychotherapy, 60 minutes (90837) |
$70 |
$70 |
0.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$70 |
$70 |
0.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$266 |
$266 |
1.5× |
| Group psychotherapy (90853) |
$40 |
$40 |
0.4× |
| Sleep study (attended polysomnography) (95810) |
$3,329 |
$3,329 |
3.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$104 |
$104 |
3.6× |