| Breast lesion removal (open) (19120) |
$1,121.60 |
$1,402 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$5,665.95 |
$7,082.44 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,619.16 |
$5,773.96 |
1.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,582.20 |
$1,977.75 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,514 |
$1,892.50 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,344 |
$1,680 |
1.4× |
| Colonoscopy with biopsy (45380) |
$1,257.60 |
$1,572 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,450 |
$1,812.50 |
1.2× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$3,051.92 |
$3,814.90 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$2,206.60 |
$2,758.24 |
0.6× |
| Obstetric care, vaginal delivery (global) (59400) |
$124 |
$155 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$574.33 |
$717.91 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$956.80 |
$1,196 |
1.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$939.20 |
$1,174 |
1.6× |
| Cataract removal with lens insertion (66984) |
$3,242.40 |
$4,053 |
1.4× |
| CT head/brain without contrast (70450) |
$1,566.40 |
$1,958 |
14.4× |
| MRI brain without contrast (70551) |
$3,345.60 |
$4,182 |
13.5× |
| MRI brain with contrast (70552) |
$2,758.75 |
$3,448.44 |
7.6× |
| MRI brain without and with contrast (70553) |
$3,871.20 |
$4,839 |
10.7× |
| X-ray lower spine, 4+ views (72110) |
$236.80 |
$296 |
2.2× |
| MRI lumbar spine without contrast (72148) |
$3,300.80 |
$4,126 |
13.3× |
| CT pelvis with contrast (72193) |
$1,784.78 |
$2,230.98 |
9.8× |
| MRI lower-extremity joint without contrast (73721) |
$2,158.40 |
$2,698 |
8.7× |
| CT abdomen and pelvis with contrast (74177) |
$3,956.80 |
$4,946 |
10.9× |
| Ultrasound, abdomen complete (76700) |
$685.24 |
$856.55 |
6.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$673.99 |
$842.49 |
6.2× |
| Ultrasound, transvaginal (76830) |
$507.87 |
$634.84 |
4.7× |
| Mammography, one breast (diagnostic) (77065) |
$313.60 |
$392 |
3.6× |
| Mammography, both breasts (diagnostic) (77066) |
$359.26 |
$449.08 |
3.2× |
| Mammography, screening (bilateral) (77067) |
$177.60 |
$222 |
1.9× |
| Basic metabolic panel (80048) |
$104 |
$130 |
12.3× |
| Comprehensive metabolic panel (80053) |
$129.60 |
$162 |
12.3× |
| Obstetric panel (80055) |
$326.76 |
$408.45 |
6.8× |
| Lipid panel (80061) |
$97.60 |
$122 |
7.3× |
| Renal function panel (80069) |
$122.40 |
$153 |
14.1× |
| Hepatic function panel (80076) |
$84.80 |
$106 |
10.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$27.20 |
$34 |
7.8× |
| PSA, total (84153) |
$96.80 |
$121 |
5.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$86.40 |
$108 |
5.1× |
| CBC with automated differential (85025) |
$80.80 |
$101 |
10.4× |
| CBC, automated (85027) |
$81.60 |
$102 |
12.6× |
| Prothrombin time (PT) (85610) |
$46.40 |
$58 |
10.8× |
| Partial thromboplastin time (PTT) (85730) |
$76 |
$95 |
12.6× |
| Psychotherapy, 30 minutes (90832) |
$316 |
$395 |
1.7× |
| Psychotherapy, 45 minutes (90834) |
$296.80 |
$371 |
1.6× |
| Psychotherapy, 60 minutes (90837) |
$318.40 |
$398 |
1.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$358.44 |
$448.05 |
1.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$358.44 |
$448.05 |
1.9× |
| Group psychotherapy (90853) |
$381.60 |
$477 |
3.6× |
| Sleep study (attended polysomnography) (95810) |
$2,899.66 |
$3,624.57 |
3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$88.80 |
$111 |
3.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$131.60 |
$164.50 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$224.42 |
$280.52 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$288.64 |
$360.80 |
2.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$124 |
$155 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$127.72 |
$159.65 |
— |