| Breast lesion removal (open) (19120) |
$4,765.50 |
$5,295 |
1.3× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,306.70 |
$2,563 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,260 |
$1,400 |
1.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,478.25 |
$1,642.50 |
1.8× |
| Diagnostic colonoscopy (45378) |
$1,647 |
$1,830 |
1.9× |
| Colonoscopy with biopsy (45380) |
$1,746 |
$1,940 |
1.6× |
| Colonoscopy with lesion removal (45385) |
$1,975.50 |
$2,195 |
1.8× |
| Laparoscopic gallbladder removal (47562) |
$4,144.50 |
$4,605 |
0.7× |
| Inguinal hernia repair (age 5+) (49505) |
$5,143.50 |
$5,715 |
1.6× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,170.50 |
$5,745 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,382 |
$5,980 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$539.10 |
$599 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$663.30 |
$737 |
0.8× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,098 |
$1,220 |
2.2× |
| Cataract removal with lens insertion (66984) |
$4,870.42 |
$5,411.58 |
2.3× |
| CT head/brain without contrast (70450) |
$616.50 |
$685 |
6.4× |
| MRI brain without contrast (70551) |
$1,306.80 |
$1,452 |
6.0× |
| MRI brain with contrast (70552) |
$1,928.70 |
$2,143 |
6.0× |
| MRI brain without and with contrast (70553) |
$2,200.50 |
$2,445 |
6.9× |
| X-ray lower spine, 4+ views (72110) |
$333 |
$370 |
3.5× |
| MRI lumbar spine without contrast (72148) |
$1,253.70 |
$1,393 |
5.7× |
| CT pelvis with contrast (72193) |
$1,395.90 |
$1,551 |
8.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,412.10 |
$1,569 |
6.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,835.10 |
$2,039 |
5.7× |
| Ultrasound, abdomen complete (76700) |
$690.30 |
$767 |
7.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$773.10 |
$859 |
8.0× |
| Ultrasound, transvaginal (76830) |
$734.40 |
$816 |
7.6× |
| Mammography, one breast (diagnostic) (77065) |
$227.70 |
$253 |
2.6× |
| Mammography, both breasts (diagnostic) (77066) |
$227.70 |
$253 |
2.1× |
| Mammography, screening (bilateral) (77067) |
$227.70 |
$253 |
2.5× |
| Basic metabolic panel (80048) |
$74.70 |
$83 |
8.8× |
| Comprehensive metabolic panel (80053) |
$111.60 |
$124 |
10.6× |
| Obstetric panel (80055) |
$125.10 |
$139 |
2.6× |
| Lipid panel (80061) |
$94.50 |
$105 |
7.1× |
| Renal function panel (80069) |
$77.40 |
$86 |
8.9× |
| Hepatic function panel (80076) |
$72 |
$80 |
8.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$32.40 |
$36 |
8.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$27.90 |
$31 |
8.0× |
| PSA, total (84153) |
$129.60 |
$144 |
7.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$117.90 |
$131 |
7.0× |
| CBC with automated differential (85025) |
$68.40 |
$76 |
8.8× |
| CBC, automated (85027) |
$56.70 |
$63 |
8.8× |
| Prothrombin time (PT) (85610) |
$38.70 |
$43 |
9.0× |
| Partial thromboplastin time (PTT) (85730) |
$53.10 |
$59 |
8.8× |
| Sleep study (attended polysomnography) (95810) |
$2,772 |
$3,080 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$83.70 |
$93 |
2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$157.50 |
$175 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$198 |
$220 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$230.85 |
$256.50 |
1.9× |