| Breast lesion removal (open) (19120) |
$3,953.21 |
$4,392.46 |
1.0× |
| Knee arthroscopy with meniscectomy (29881) |
$1,860.26 |
$2,066.94 |
0.6× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,455.16 |
$2,727.96 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,038.47 |
$2,264.97 |
2.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,271.90 |
$1,413.22 |
1.4× |
| Diagnostic colonoscopy (45378) |
$984.38 |
$1,093.75 |
1.1× |
| Colonoscopy with biopsy (45380) |
$1,235.68 |
$1,372.98 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,202.78 |
$1,336.42 |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$3,629.20 |
$4,032.45 |
0.6× |
| CT head/brain without contrast (70450) |
$335.70 |
$373 |
3.2× |
| MRI brain without contrast (70551) |
$569.25 |
$632.50 |
2.4× |
| MRI brain with contrast (70552) |
$678.15 |
$753.50 |
1.9× |
| MRI brain without and with contrast (70553) |
$678.15 |
$753.50 |
1.9× |
| X-ray lower spine, 4+ views (72110) |
$140.85 |
$156.50 |
1.3× |
| MRI lumbar spine without contrast (72148) |
$569.25 |
$632.50 |
2.4× |
| CT pelvis with contrast (72193) |
$648.45 |
$720.50 |
3.7× |
| MRI lower-extremity joint without contrast (73721) |
$623.70 |
$693 |
2.6× |
| CT abdomen and pelvis with contrast (74177) |
$811.80 |
$902 |
2.3× |
| Ultrasound, abdomen complete (76700) |
$222.30 |
$247 |
2.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$178.65 |
$198.50 |
1.7× |
| Ultrasound, transvaginal (76830) |
$162.45 |
$180.50 |
1.6× |
| Basic metabolic panel (80048) |
$103.50 |
$115 |
12.2× |
| Comprehensive metabolic panel (80053) |
$162.90 |
$181 |
15.4× |
| Obstetric panel (80055) |
$111.60 |
$124 |
2.3× |
| Lipid panel (80061) |
$122.40 |
$136 |
9.1× |
| Renal function panel (80069) |
$117 |
$130 |
13.5× |
| Hepatic function panel (80076) |
$108.90 |
$121 |
13.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$36.90 |
$41 |
9.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$24.30 |
$27 |
7.0× |
| PSA, total (84153) |
$140.40 |
$156 |
7.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$132.30 |
$147 |
7.9× |
| CBC with automated differential (85025) |
$84.60 |
$94 |
10.9× |
| CBC, automated (85027) |
$76.50 |
$85 |
11.8× |
| Prothrombin time (PT) (85610) |
$45 |
$50 |
10.5× |
| Partial thromboplastin time (PTT) (85730) |
$57.60 |
$64 |
9.6× |
| Psychotherapy, 30 minutes (90832) |
$106.04 |
$117.82 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$147.42 |
$163.80 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$180.58 |
$200.64 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$231.75 |
$257.50 |
1.3× |
| Electrocardiogram (ECG), complete (93000) |
$72.90 |
$81 |
1.2× |
| Sleep study (attended polysomnography) (95810) |
$1,611.12 |
$1,790.14 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$107.10 |
$119 |
3.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$204.64 |
$227.38 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$231.66 |
$257.40 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$365.38 |
$405.98 |
2.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$233.55 |
$259.50 |
1.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$260.10 |
$289 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$154.80 |
$172 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$161.78 |
$179.76 |
— |