| Breast lesion removal (open) (19120) |
$308 |
$308 |
0.1× |
| Shoulder arthroscopy with decompression (29826) |
$2,929 |
$2,929 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$6,192.50 |
$6,192.50 |
1.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$285 |
$285 |
0.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,634 |
$1,634 |
1.7× |
| Diagnostic colonoscopy (45378) |
$1,892.50 |
$1,892.50 |
2.0× |
| Colonoscopy with biopsy (45380) |
$2,157.50 |
$2,157.50 |
1.7× |
| Colonoscopy with lesion removal (45385) |
$2,676.50 |
$2,676.50 |
2.2× |
| Laparoscopic gallbladder removal (47562) |
$5,937.50 |
$5,937.50 |
0.9× |
| Inguinal hernia repair (age 5+) (49505) |
$2,414 |
$2,414 |
0.6× |
| Obstetric care, vaginal delivery (global) (59400) |
$234 |
$234 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$158 |
$158 |
0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$285 |
$285 |
0.3× |
| Cataract removal with lens insertion (66984) |
$4,183.50 |
$4,183.50 |
1.7× |
| CT head/brain without contrast (70450) |
$263 |
$263 |
2.4× |
| MRI brain without contrast (70551) |
$324 |
$324 |
1.3× |
| MRI brain with contrast (70552) |
$328 |
$328 |
0.9× |
| MRI brain without and with contrast (70553) |
$344.50 |
$344.50 |
1.0× |
| X-ray lower spine, 4+ views (72110) |
$206 |
$206 |
1.9× |
| MRI lumbar spine without contrast (72148) |
$319.50 |
$319.50 |
1.3× |
| CT pelvis with contrast (72193) |
$282 |
$282 |
1.5× |
| MRI lower-extremity joint without contrast (73721) |
$302 |
$302 |
1.2× |
| CT abdomen and pelvis with contrast (74177) |
$359 |
$359 |
1.0× |
| Ultrasound, abdomen complete (76700) |
$218 |
$218 |
2.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$215 |
$215 |
2.0× |
| Ultrasound, transvaginal (76830) |
$222 |
$222 |
2.0× |
| Mammography, one breast (diagnostic) (77065) |
$510 |
$510 |
5.9× |
| Mammography, both breasts (diagnostic) (77066) |
$191 |
$191 |
1.7× |
| Mammography, screening (bilateral) (77067) |
$312.50 |
$312.50 |
3.4× |
| Basic metabolic panel (80048) |
$41.50 |
$41.50 |
4.9× |
| Comprehensive metabolic panel (80053) |
$69 |
$69 |
6.5× |
| Lipid panel (80061) |
$48 |
$48 |
3.6× |
| Renal function panel (80069) |
$48 |
$48 |
5.5× |
| Hepatic function panel (80076) |
$51 |
$51 |
6.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$130 |
$130 |
37.4× |
| PSA, total (84153) |
$21 |
$21 |
1.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$48 |
$48 |
2.9× |
| CBC with automated differential (85025) |
$1,846.50 |
$1,846.50 |
237.6× |
| CBC, automated (85027) |
$1,243 |
$1,243 |
192.1× |
| Prothrombin time (PT) (85610) |
$225 |
$225 |
52.4× |
| Partial thromboplastin time (PTT) (85730) |
$899.50 |
$899.50 |
149.7× |
| Electrocardiogram (ECG), complete (93000) |
$197 |
$197 |
3.2× |
| Sleep study (attended polysomnography) (95810) |
$20 |
$20 |
0.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$183 |
$183 |
6.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$568 |
$568 |
4.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$146 |
$146 |
1.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$194 |
$194 |
1.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$111 |
$111 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$138 |
$138 |
— |