| Breast lesion removal (open) (19120) |
$3,198 |
$3,198 |
0.8× |
| Shoulder arthroscopy with decompression (29826) |
$4,620 |
$4,620 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$6,093 |
$6,093 |
1.8× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low — confirm this is the full procedure |
$2,315 |
$2,315 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,228 |
$2,228 |
2.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,296.50 |
$2,296.50 |
2.5× |
| Diagnostic colonoscopy (45378) |
$2,312.50 |
$2,312.50 |
2.4× |
| Colonoscopy with biopsy (45380) |
$2,078 |
$2,078 |
1.7× |
| Colonoscopy with lesion removal (45385) |
$2,677 |
$2,677 |
2.2× |
| Laparoscopic gallbladder removal (47562) |
$7,182 |
$7,182 |
1.2× |
| Inguinal hernia repair (age 5+) (49505) |
$3,915 |
$3,915 |
1.1× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,536 |
$4,536 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,217 |
$5,217 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,327 |
$2,327 |
2.6× |
| Cataract removal with lens insertion (66984) |
$1,869 |
$1,869 |
0.8× |
| CT head/brain without contrast (70450) |
$1,010 |
$1,010 |
9.5× |
| MRI brain without contrast (70551) |
$483 |
$483 |
2.0× |
| MRI brain with contrast (70552) |
$1,937 |
$1,937 |
5.4× |
| MRI brain without and with contrast (70553) |
$2,484.50 |
$2,484.50 |
7.0× |
| X-ray lower spine, 4+ views (72110) |
$356 |
$356 |
3.3× |
| MRI lumbar spine without contrast (72148) |
$1,754.50 |
$1,754.50 |
7.2× |
| CT pelvis with contrast (72193) |
$323 |
$323 |
1.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,504.50 |
$1,504.50 |
6.2× |
| CT abdomen and pelvis with contrast (74177) |
$346 |
$346 |
1.0× |
| Ultrasound, abdomen complete (76700) |
$627.50 |
$627.50 |
5.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$548.50 |
$548.50 |
5.1× |
| Ultrasound, transvaginal (76830) |
$433.50 |
$433.50 |
4.1× |
| Mammography, one breast (diagnostic) (77065) |
$255 |
$255 |
3.0× |
| Mammography, both breasts (diagnostic) (77066) |
$285.50 |
$285.50 |
2.6× |
| Mammography, screening (bilateral) (77067) |
$202 |
$202 |
2.2× |
| Basic metabolic panel (80048) |
$203 |
$203 |
24.0× |
| Comprehensive metabolic panel (80053) |
$276 |
$276 |
26.1× |
| Obstetric panel (80055) |
$525 |
$525 |
11.0× |
| Lipid panel (80061) |
$196 |
$196 |
14.6× |
| Renal function panel (80069) |
$214 |
$214 |
24.7× |
| Hepatic function panel (80076) |
$203 |
$203 |
24.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$54.50 |
$54.50 |
13.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$38 |
$38 |
10.9× |
| PSA, total (84153) |
$214 |
$214 |
11.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$212 |
$212 |
12.6× |
| CBC with automated differential (85025) |
$125 |
$125 |
16.1× |
| CBC, automated (85027) |
$113 |
$113 |
17.5× |
| Prothrombin time (PT) (85610) |
$84 |
$84 |
19.6× |
| Partial thromboplastin time (PTT) (85730) |
$128 |
$128 |
21.3× |
| Psychotherapy, 30 minutes (90832) |
$196 |
$196 |
1.1× |
| Psychotherapy, 45 minutes (90834) |
$259 |
$259 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$335 |
$335 |
1.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$460 |
$460 |
2.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$486 |
$486 |
2.7× |
| Electrocardiogram (ECG), complete (93000) |
$136.50 |
$136.50 |
2.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$130 |
$130 |
4.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$177 |
$177 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$200 |
$200 |
1.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$246.50 |
$246.50 |
1.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$519 |
$519 |
3.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$777 |
$777 |
5.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$193 |
$193 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$197 |
$197 |
— |