| Breast lesion removal (open) (19120) |
$13,545 |
$13,545 |
3.4× |
| Shoulder arthroscopy with decompression (29826) |
$4,510 |
$4,510 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$7,881 |
$7,881 |
2.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,813 |
$2,813 |
3.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,190 |
$3,190 |
3.5× |
| Diagnostic colonoscopy (45378) |
$2,900 |
$2,900 |
3.1× |
| Colonoscopy with biopsy (45380) |
$4,166 |
$4,166 |
3.5× |
| Colonoscopy with lesion removal (45385) |
$3,777 |
$3,777 |
3.1× |
| Laparoscopic gallbladder removal (47562) |
$20,475 |
$20,475 |
3.4× |
| Inguinal hernia repair (age 5+) (49505) |
$11,281.50 |
$11,281.50 |
3.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$3,201 |
$3,201 |
3.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,282 |
$3,282 |
3.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$2,159 |
$2,159 |
3.9× |
| Cataract removal with lens insertion (66984) |
$8,872 |
$8,872 |
3.8× |
| CT head/brain without contrast (70450) |
$968 |
$968 |
9.2× |
| MRI brain without contrast (70551) |
$1,175 |
$1,175 |
4.9× |
| MRI brain with contrast (70552) |
$1,388 |
$1,388 |
4.0× |
| MRI brain without and with contrast (70553) |
$2,142 |
$2,142 |
6.1× |
| X-ray lower spine, 4+ views (72110) |
$218 |
$218 |
2.1× |
| MRI lumbar spine without contrast (72148) |
$1,548 |
$1,548 |
6.5× |
| CT pelvis with contrast (72193) |
$1,263 |
$1,263 |
7.2× |
| MRI lower-extremity joint without contrast (73721) |
$1,450 |
$1,450 |
6.0× |
| CT abdomen and pelvis with contrast (74177) |
$1,438 |
$1,438 |
4.1× |
| Ultrasound, abdomen complete (76700) |
$496.50 |
$496.50 |
4.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$387.50 |
$387.50 |
3.7× |
| Ultrasound, transvaginal (76830) |
$376 |
$376 |
3.6× |
| Mammography, one breast (diagnostic) (77065) |
$279 |
$279 |
3.2× |
| Mammography, both breasts (diagnostic) (77066) |
$486 |
$486 |
4.4× |
| Mammography, screening (bilateral) (77067) |
$447 |
$447 |
4.9× |
| Basic metabolic panel (80048) |
$110 |
$110 |
13.0× |
| Comprehensive metabolic panel (80053) |
$46.50 |
$46.50 |
4.4× |
| Obstetric panel (80055) |
$283 |
$283 |
5.9× |
| Lipid panel (80061) |
$47.50 |
$47.50 |
3.5× |
| Renal function panel (80069) |
$196 |
$196 |
22.6× |
| Hepatic function panel (80076) |
$45 |
$45 |
5.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$26.50 |
$26.50 |
6.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$27.50 |
$27.50 |
7.9× |
| PSA, total (84153) |
$145 |
$145 |
7.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$123 |
$123 |
7.3× |
| CBC with automated differential (85025) |
$57 |
$57 |
7.3× |
| CBC, automated (85027) |
$34 |
$34 |
5.3× |
| Prothrombin time (PT) (85610) |
$57 |
$57 |
13.3× |
| Partial thromboplastin time (PTT) (85730) |
$64.50 |
$64.50 |
10.7× |
| Psychotherapy, 30 minutes (90832) |
$457 |
$457 |
2.6× |
| Psychotherapy, 45 minutes (90834) |
$493 |
$493 |
2.8× |
| Psychotherapy, 60 minutes (90837) |
$551 |
$551 |
3.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$386 |
$386 |
2.2× |
| Group psychotherapy (90853) |
$202 |
$202 |
2.0× |
| Sleep study (attended polysomnography) (95810) |
$3,364 |
$3,364 |
3.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$217.50 |
$217.50 |
7.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$110 |
$110 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$130 |
$130 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$322 |
$322 |
2.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$75 |
$75 |
— |