| Breast lesion removal (open) (19120) |
$3,797.08 |
$19,984.62 |
1.1× |
| Shoulder arthroscopy with decompression (29826) |
$6,195.42 |
$32,607.48 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,379.86 |
$17,788.74 |
1.2× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,651.55 |
$13,955.53 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,235.70 |
$11,766.83 |
2.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,462.41 |
$7,696.88 |
1.8× |
| Diagnostic colonoscopy (45378) |
$1,219.89 |
$6,420.48 |
1.5× |
| Colonoscopy with biopsy (45380) |
$1,199.39 |
$6,312.57 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,172.18 |
$6,169.37 |
1.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$9,975.41 |
$52,502.17 |
9.3× |
| Laparoscopic gallbladder removal (47562) |
$4,107.92 |
$21,620.61 |
0.8× |
| Inguinal hernia repair (age 5+) (49505) |
$4,843.82 |
$25,493.81 |
1.5× |
| Laparoscopic radical prostatectomy (55866) |
$6,520.54 |
$34,318.63 |
0.7× |
| Obstetric care, vaginal delivery (global) (59400) |
$2,759.35 |
$14,522.91 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,620.52 |
$29,581.69 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$2,759.36 |
$14,522.95 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$548.72 |
$2,888 |
0.7× |
| Cataract removal with lens insertion (66984) |
$2,707.18 |
$14,248.31 |
1.3× |
| CT head/brain without contrast (70450) |
$269.80 |
$1,420 |
2.9× |
| MRI brain without contrast (70551) |
$206.91 |
$1,089 |
1.0× |
| MRI brain with contrast (70552) |
$308.56 |
$1,624 |
1.0× |
| MRI brain without and with contrast (70553) |
$345.80 |
$1,820 |
1.1× |
| X-ray lower spine, 4+ views (72110) |
$105.45 |
$555 |
1.1× |
| MRI lumbar spine without contrast (72148) |
$206.91 |
$1,089 |
1.0× |
| CT pelvis with contrast (72193) |
$327.37 |
$1,723 |
2.1× |
| MRI lower-extremity joint without contrast (73721) |
$726.37 |
$3,823 |
3.4× |
| CT abdomen and pelvis with contrast (74177) |
$576.27 |
$3,033 |
1.8× |
| Ultrasound, abdomen complete (76700) |
$134.14 |
$706 |
1.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$101.65 |
$535 |
1.1× |
| Ultrasound, transvaginal (76830) |
$102.41 |
$539 |
1.1× |
| Mammography, one breast (diagnostic) (77065) |
$75.24 |
$396 |
0.9× |
| Mammography, both breasts (diagnostic) (77066) |
$91.58 |
$482 |
0.8× |
| Mammography, screening (bilateral) (77067) |
$76 |
$400 |
0.8× |
| Basic metabolic panel (80048) |
$14.06 |
$74 |
1.7× |
| Comprehensive metabolic panel (80053) |
$16.53 |
$87 |
1.6× |
| Lipid panel (80061) |
$16.91 |
$89 |
1.3× |
| Hepatic function panel (80076) |
$14.06 |
$74 |
1.7× |
| Urinalysis, non-automated, with microscopy (81000) |
— |
$4.79 |
— |
| Urinalysis, non-automated, without microscopy (81002) |
$9.31 |
$49 |
2.7× |
| PSA, total (84153) |
$24.32 |
$128 |
1.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$22.23 |
$117 |
1.3× |
| CBC with automated differential (85025) |
$12.73 |
$67 |
1.6× |
| CBC, automated (85027) |
$10.26 |
$54 |
1.6× |
| Prothrombin time (PT) (85610) |
$56.05 |
$295 |
13.1× |
| Partial thromboplastin time (PTT) (85730) |
$56.05 |
$295 |
9.3× |
| Left heart catheterization (93452) |
$4,311.39 |
$22,691.55 |
1.5× |
| Sleep study (attended polysomnography) (95810) |
$971.28 |
$5,112 |
1.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$13.96 |
$73.50 |
0.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$146.68 |
$772 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$193.99 |
$1,021 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$248.90 |
$1,310 |
2.1× |