| Shoulder arthroscopy with decompression (29826) |
$4,631 |
$5,145 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,357 |
$3,730 |
1.0× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$4,532 |
$5,035 |
0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$4,087 |
$4,541 |
4.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,470 |
$3,855 |
3.7× |
| Diagnostic colonoscopy (45378) |
$1,229 |
$1,365 |
1.3× |
| Colonoscopy with biopsy (45380) |
$4,712 |
$5,236 |
3.8× |
| Colonoscopy with lesion removal (45385) |
$3,993 |
$4,437 |
3.2× |
| Laparoscopic gallbladder removal (47562) |
$7,226 |
$8,029 |
1.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$6,840 |
$7,600 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,773 |
$5,303 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,935 |
$2,150 |
2.1× |
| Cataract removal with lens insertion (66984) |
$3,484 |
$3,871 |
1.5× |
| CT head/brain without contrast (70450) |
$2,070 |
$2,300 |
19.1× |
| MRI brain without contrast (70551) |
$3,600 |
$4,000 |
14.5× |
| MRI brain without and with contrast (70553) |
$4,050 |
$4,500 |
11.2× |
| X-ray lower spine, 4+ views (72110) |
$540 |
$600 |
5.0× |
| MRI lumbar spine without contrast (72148) |
$3,465 |
$3,850 |
14.0× |
| CT pelvis with contrast (72193) |
$2,738 |
$3,042 |
15.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,610 |
$2,900 |
10.5× |
| CT abdomen and pelvis with contrast (74177) |
$4,770 |
$5,300 |
13.2× |
| Ultrasound, abdomen complete (76700) |
$1,255 |
$1,394 |
11.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$345 |
$383 |
3.2× |
| Mammography, one breast (diagnostic) (77065) |
$360 |
$400 |
4.2× |
| Mammography, both breasts (diagnostic) (77066) |
$383 |
$425 |
3.5× |
| Mammography, screening (bilateral) (77067) |
$229.50 |
$255 |
2.5× |
| Basic metabolic panel (80048) |
$149 |
$165 |
17.6× |
| Comprehensive metabolic panel (80053) |
$194 |
$215 |
18.4× |
| Lipid panel (80061) |
$131 |
$146 |
9.8× |
| Renal function panel (80069) |
$162 |
$180 |
18.7× |
| Hepatic function panel (80076) |
$149 |
$165 |
18.2× |
| PSA, total (84153) |
$144 |
$160 |
7.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$140 |
$155 |
8.3× |
| CBC with automated differential (85025) |
$122 |
$135 |
15.7× |
| Prothrombin time (PT) (85610) |
$65.50 |
$72.50 |
15.3× |
| Partial thromboplastin time (PTT) (85730) |
$108 |
$120 |
18.0× |
| Psychotherapy, 30 minutes (90832) |
$364.50 |
$405 |
2.0× |
| Psychotherapy, 45 minutes (90834) |
$452.50 |
$502.50 |
2.5× |
| Psychotherapy, 60 minutes (90837) |
$481.50 |
$535 |
2.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$725 |
$805 |
3.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$761 |
$845 |
4.1× |
| Group psychotherapy (90853) |
$662 |
$735 |
6.3× |
| Sleep study (attended polysomnography) (95810) |
$4,140 |
$4,600 |
4.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$110.50 |
$122.50 |
3.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$113 |
$125 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$158 |
$175 |
1.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$212 |
$235 |
1.5× |