| Breast lesion removal (open) (19120) |
$5,141.40 |
$8,569 |
1.3× |
| Shoulder arthroscopy with decompression (29826) |
$2,966.40 |
$4,944 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,539.80 |
$9,233 |
1.7× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$7,877.40 |
$13,129 |
1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$544.20 |
$907 |
0.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$675.60 |
$1,126 |
0.7× |
| Diagnostic colonoscopy (45378) |
$357 |
$595 |
0.4× |
| Colonoscopy with biopsy (45380) |
$1,326.30 |
$2,210.50 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$546.60 |
$911 |
0.5× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$2,035.20 |
$3,392 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$5,052.60 |
$8,421 |
1.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,155.60 |
$1,926 |
1.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,699.80 |
$2,833 |
1.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,201.80 |
$2,003 |
2.2× |
| Cataract removal with lens insertion (66984) |
$3,930.60 |
$6,551 |
1.7× |
| CT head/brain without contrast (70450) |
$1,198.20 |
$1,997 |
11.4× |
| MRI brain without contrast (70551) |
$1,705.80 |
$2,843 |
7.1× |
| MRI brain with contrast (70552) |
$2,150.40 |
$3,584 |
6.1× |
| MRI brain without and with contrast (70553) |
$2,640.60 |
$4,401 |
7.5× |
| X-ray lower spine, 4+ views (72110) |
$307.20 |
$512 |
2.9× |
| MRI lumbar spine without contrast (72148) |
$1,924.80 |
$3,208 |
8.0× |
| CT pelvis with contrast (72193) |
$1,320 |
$2,200 |
7.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,893 |
$3,155 |
7.9× |
| CT abdomen and pelvis with contrast (74177) |
$2,428.20 |
$4,047 |
6.9× |
| Ultrasound, abdomen complete (76700) |
$716.40 |
$1,194 |
6.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$490.80 |
$818 |
4.7× |
| Ultrasound, transvaginal (76830) |
$514.80 |
$858 |
4.9× |
| Mammography, one breast (diagnostic) (77065) |
$351.60 |
$586 |
4.1× |
| Mammography, both breasts (diagnostic) (77066) |
$351.60 |
$586 |
3.2× |
| Mammography, screening (bilateral) (77067) |
$243 |
$405 |
2.7× |
| Basic metabolic panel (80048) |
$165.60 |
$276 |
19.6× |
| Comprehensive metabolic panel (80053) |
$195.60 |
$326 |
18.5× |
| Lipid panel (80061) |
$131.40 |
$219 |
9.8× |
| Renal function panel (80069) |
$132.60 |
$221 |
15.3× |
| Hepatic function panel (80076) |
$141 |
$235 |
17.3× |
| PSA, total (84153) |
$129.60 |
$216 |
7.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$144 |
$240 |
8.6× |
| CBC with automated differential (85025) |
$120.60 |
$201 |
15.5× |
| CBC, automated (85027) |
$90.60 |
$151 |
14.0× |
| Prothrombin time (PT) (85610) |
$159 |
$265 |
37.1× |
| Partial thromboplastin time (PTT) (85730) |
$166.80 |
$278 |
27.8× |
| Sleep study (attended polysomnography) (95810) |
$2,676 |
$4,460 |
3.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$114 |
$190 |
3.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$202.80 |
$338 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$312 |
$520 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$492.90 |
$821.50 |
3.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$170.40 |
$284 |
1.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$226.50 |
$377.50 |
1.7× |