| Breast lesion removal (open) (19120) |
$4,672 |
$4,672 |
1.0× |
| Shoulder arthroscopy with decompression (29826) |
$250 |
$250 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,410 |
$3,410 |
0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$990 |
$990 |
0.9× |
| Laparoscopic gallbladder removal (47562) |
$5,975 |
$5,975 |
0.8× |
| Inguinal hernia repair (age 5+) (49505) |
$3,832 |
$3,832 |
0.9× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$930 |
$930 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,311 |
$1,311 |
1.2× |
| CT head/brain without contrast (70450) |
$1,070 |
$1,070 |
8.5× |
| MRI brain without contrast (70551) |
$1,768 |
$1,768 |
6.2× |
| MRI brain with contrast (70552) |
$2,284 |
$2,284 |
5.5× |
| MRI brain without and with contrast (70553) |
$3,000 |
$3,000 |
7.2× |
| X-ray lower spine, 4+ views (72110) |
$340 |
$340 |
2.7× |
| MRI lumbar spine without contrast (72148) |
$1,735 |
$1,735 |
6.1× |
| CT pelvis with contrast (72193) |
$1,271 |
$1,271 |
6.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,856 |
$1,856 |
6.5× |
| CT abdomen and pelvis with contrast (74177) |
$935 |
$935 |
2.2× |
| Ultrasound, abdomen complete (76700) |
$226 |
$226 |
1.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$594 |
$594 |
4.7× |
| Ultrasound, transvaginal (76830) |
$372 |
$372 |
3.0× |
| Mammography, one breast (diagnostic) (77065) |
$442 |
$442 |
5.1× |
| Mammography, both breasts (diagnostic) (77066) |
$523 |
$523 |
4.7× |
| Mammography, screening (bilateral) (77067) |
$413 |
$413 |
4.5× |
| Basic metabolic panel (80048) |
$22 |
$22 |
2.6× |
| Comprehensive metabolic panel (80053) |
$28 |
$28 |
2.7× |
| Lipid panel (80061) |
$35 |
$35 |
2.6× |
| Renal function panel (80069) |
$13 |
$13 |
1.5× |
| Hepatic function panel (80076) |
$22 |
$22 |
2.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$10 |
$10 |
2.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$13 |
$13 |
3.7× |
| PSA, total (84153) |
$86 |
$86 |
4.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$44 |
$44 |
2.6× |
| CBC with automated differential (85025) |
$21 |
$21 |
2.7× |
| CBC, automated (85027) |
$17 |
$17 |
2.6× |
| Prothrombin time (PT) (85610) |
$10 |
$10 |
2.3× |
| Partial thromboplastin time (PTT) (85730) |
$29 |
$29 |
4.8× |
| Psychotherapy, 30 minutes (90832) |
$250 |
$250 |
1.2× |
| Psychotherapy, 45 minutes (90834) |
$280 |
$280 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$310 |
$310 |
1.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$250 |
$250 |
1.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$280 |
$280 |
1.3× |
| Group psychotherapy (90853) |
$274 |
$274 |
2.3× |
| Electrocardiogram (ECG), complete (93000) |
$72.50 |
$72.50 |
1.0× |
| Left heart catheterization (93452) |
$6,821 |
$6,821 |
1.8× |
| Sleep study (attended polysomnography) (95810) |
$2,294 |
$2,294 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$95 |
$95 |
3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$250 |
$250 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$300 |
$300 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$350 |
$350 |
2.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$297 |
$297 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$333 |
$333 |
— |