| Breast lesion removal (open) (19120) |
$4,572.67 |
— |
1.3× |
| Knee arthroscopy with meniscectomy (29881) |
$3,614.35 |
— |
1.2× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,230.62 |
— |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$759.47 |
— |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$832.93 |
— |
1.0× |
| Diagnostic colonoscopy (45378) |
$832.93 |
— |
1.0× |
| Colonoscopy with biopsy (45380) |
$832.93 |
— |
0.7× |
| Colonoscopy with lesion removal (45385) |
$832.93 |
— |
0.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$840.87 |
— |
0.8× |
| Laparoscopic gallbladder removal (47562) |
$6,899.93 |
— |
1.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,925.78 |
— |
0.6× |
| Laparoscopic radical prostatectomy (55866) |
$12,766.47 |
— |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,368.03 |
— |
1.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$795.91 |
— |
1.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$872.90 |
— |
1.7× |
| Cataract removal with lens insertion (66984) |
$2,145.30 |
— |
1.0× |
| CT head/brain without contrast (70450) |
$421.37 |
— |
4.3× |
| MRI brain without contrast (70551) |
$622.39 |
— |
2.8× |
| MRI brain with contrast (70552) |
$905.29 |
— |
2.8× |
| MRI brain without and with contrast (70553) |
$1,131.61 |
— |
3.5× |
| X-ray lower spine, 4+ views (72110) |
$106.69 |
— |
1.1× |
| MRI lumbar spine without contrast (72148) |
$659.73 |
— |
3.0× |
| CT pelvis with contrast (72193) |
$527.80 |
— |
3.2× |
| MRI lower-extremity joint without contrast (73721) |
$622.39 |
— |
2.8× |
| CT abdomen and pelvis with contrast (74177) |
$873.07 |
— |
2.7× |
| Ultrasound, abdomen complete (76700) |
$210.48 |
— |
2.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$148.18 |
— |
1.5× |
| Ultrasound, transvaginal (76830) |
$263.90 |
— |
2.7× |
| Mammography, screening (bilateral) (77067) |
$148.42 |
— |
1.6× |
| Basic metabolic panel (80048) |
$31.25 |
— |
3.7× |
| Comprehensive metabolic panel (80053) |
$35.71 |
— |
3.4× |
| Obstetric panel (80055) |
$58.99 |
— |
1.2× |
| Lipid panel (80061) |
$41.90 |
— |
3.1× |
| Renal function panel (80069) |
$35.68 |
— |
4.1× |
| Hepatic function panel (80076) |
$38.30 |
— |
4.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$12.49 |
— |
3.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$9.81 |
— |
2.8× |
| PSA, total (84153) |
$76.68 |
— |
4.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$59.85 |
— |
3.6× |
| CBC with automated differential (85025) |
$26.80 |
— |
3.4× |
| CBC, automated (85027) |
$21.44 |
— |
3.3× |
| Prothrombin time (PT) (85610) |
$17.82 |
— |
4.2× |
| Partial thromboplastin time (PTT) (85730) |
$22.32 |
— |
3.7× |
| Psychotherapy, 30 minutes (90832) |
$279.15 |
— |
1.7× |
| Psychotherapy, 45 minutes (90834) |
$347.82 |
— |
2.1× |
| Psychotherapy, 60 minutes (90837) |
$347.82 |
— |
2.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$529.49 |
— |
3.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$529.49 |
— |
3.2× |
| Group psychotherapy (90853) |
$208.25 |
— |
2.2× |
| Left heart catheterization (93452) |
$8,357.75 |
— |
2.8× |
| Sleep study (attended polysomnography) (95810) |
$2,430.34 |
— |
3.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$38.40 |
— |
1.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$136.36 |
— |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$188.70 |
— |
1.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$255.41 |
— |
2.1× |