| Breast lesion removal (open) (19120) |
$7,780 |
$11,115 |
2.0× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$11,953 |
$17,076 |
2.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,856 |
$2,652 |
2.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,989 |
$2,841 |
2.2× |
| Diagnostic colonoscopy (45378) |
$1,292.50 |
$1,846.50 |
1.4× |
| Colonoscopy with biopsy (45380) |
$2,554 |
$3,648 |
2.1× |
| Colonoscopy with lesion removal (45385) |
$2,535 |
$3,621 |
2.1× |
| Laparoscopic gallbladder removal (47562) |
$7,627.50 |
$10,896 |
1.3× |
| Inguinal hernia repair (age 5+) (49505) |
$4,014 |
$5,734.50 |
1.1× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,975 |
$7,107 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,531 |
$7,902 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,861 |
$2,658 |
2.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,904 |
$2,719.50 |
2.1× |
| CT head/brain without contrast (70450) |
$1,268 |
$1,812 |
12.1× |
| MRI brain without contrast (70551) |
$1,728 |
$2,469 |
7.2× |
| MRI brain with contrast (70552) |
$1,250 |
$1,785 |
3.6× |
| MRI brain without and with contrast (70553) |
$2,694 |
$3,849 |
7.7× |
| X-ray lower spine, 4+ views (72110) |
$286 |
$408 |
2.7× |
| MRI lumbar spine without contrast (72148) |
$1,867 |
$2,667 |
7.8× |
| CT pelvis with contrast (72193) |
$1,686 |
$2,409 |
9.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,867 |
$2,667 |
7.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,606 |
$3,723 |
7.4× |
| Ultrasound, abdomen complete (76700) |
$548 |
$783 |
5.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$433 |
$618 |
4.1× |
| Ultrasound, transvaginal (76830) |
$468 |
$669 |
4.5× |
| Basic metabolic panel (80048) |
$162 |
$231 |
19.1× |
| Comprehensive metabolic panel (80053) |
$216 |
$309 |
20.5× |
| Lipid panel (80061) |
$116 |
$165 |
8.7× |
| Renal function panel (80069) |
$46 |
$66 |
5.3× |
| Hepatic function panel (80076) |
$118 |
$168 |
14.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$61 |
$87 |
15.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$17 |
$24 |
4.9× |
| PSA, total (84153) |
$78 |
$111 |
4.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$104 |
$148.50 |
6.2× |
| CBC with automated differential (85025) |
$63 |
$90 |
8.1× |
| Prothrombin time (PT) (85610) |
$39 |
$55.50 |
9.1× |
| Partial thromboplastin time (PTT) (85730) |
$88 |
$126 |
14.6× |
| Psychotherapy, 30 minutes (90832) |
$124 |
$177 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$206 |
$294 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$227 |
$324 |
1.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$174 |
$249 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$214 |
$306 |
1.2× |
| Group psychotherapy (90853) |
$229 |
$327 |
2.2× |
| Electrocardiogram (ECG), complete (93000) |
$76 |
$108 |
1.3× |
| Sleep study (attended polysomnography) (95810) |
$2,457 |
$3,510 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$95 |
$135 |
3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$261.50 |
$373.50 |
2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$273 |
$390 |
2.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$218 |
$312 |
1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$147 |
$210 |
1.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$98 |
$139.50 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$98 |
$139.50 |
— |