| Breast lesion removal (open) (19120) |
$5,334.40 |
$6,668 |
1.2× |
| Shoulder arthroscopy with decompression (29826) |
$1,089.60 |
$1,362 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,230.40 |
$1,538 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$911.20 |
$1,139 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$811.20 |
$1,014 |
0.8× |
| Diagnostic colonoscopy (45378) |
$935.20 |
$1,169 |
0.9× |
| Colonoscopy with biopsy (45380) |
$1,078.40 |
$1,348 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$1,317.60 |
$1,647 |
1.0× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$2,412 |
$3,015 |
0.4× |
| Inguinal hernia repair (age 5+) (49505) |
$2,087.20 |
$2,609 |
0.5× |
| Obstetric care, vaginal delivery (global) (59400) |
$6,480 |
$8,100 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$7,189.60 |
$8,987 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$6,739.20 |
$8,424 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$872.80 |
$1,091 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$999.60 |
$1,249.50 |
1.0× |
| CT head/brain without contrast (70450) |
$860 |
$1,075 |
7.4× |
| MRI brain without contrast (70551) |
$1,288.80 |
$1,611 |
4.8× |
| MRI brain with contrast (70552) |
$1,518 |
$1,897.50 |
3.9× |
| MRI brain without and with contrast (70553) |
$1,960 |
$2,450 |
5.0× |
| X-ray lower spine, 4+ views (72110) |
$313.60 |
$392 |
2.7× |
| MRI lumbar spine without contrast (72148) |
$1,270.80 |
$1,588.50 |
4.8× |
| CT pelvis with contrast (72193) |
$1,065.60 |
$1,332 |
5.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,168.40 |
$1,460.50 |
4.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,101.20 |
$2,626.50 |
5.4× |
| Ultrasound, abdomen complete (76700) |
$451.60 |
$564.50 |
3.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$120 |
$150 |
1.0× |
| Ultrasound, transvaginal (76830) |
$348 |
$435 |
3.0× |
| Mammography, one breast (diagnostic) (77065) |
$250 |
$312.50 |
2.9× |
| Mammography, both breasts (diagnostic) (77066) |
$319.20 |
$399 |
2.9× |
| Mammography, screening (bilateral) (77067) |
$394.40 |
$493 |
4.3× |
| Basic metabolic panel (80048) |
$81.60 |
$102 |
9.6× |
| Comprehensive metabolic panel (80053) |
$95.20 |
$119 |
9.0× |
| Lipid panel (80061) |
$96.80 |
$121 |
7.2× |
| Renal function panel (80069) |
$64 |
$80 |
7.4× |
| Hepatic function panel (80076) |
$76.80 |
$96 |
9.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$52.80 |
$66 |
13.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$27.20 |
$34 |
7.8× |
| PSA, total (84153) |
$111.20 |
$139 |
6.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$88.80 |
$111 |
5.3× |
| CBC with automated differential (85025) |
$57.60 |
$72 |
7.4× |
| CBC, automated (85027) |
$54.40 |
$68 |
8.4× |
| Prothrombin time (PT) (85610) |
$44 |
$55 |
10.3× |
| Partial thromboplastin time (PTT) (85730) |
$65.20 |
$81.50 |
10.8× |
| Psychotherapy, 30 minutes (90832) |
$126.80 |
$158.50 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$173.60 |
$217 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$217.60 |
$272 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$224 |
$280 |
1.1× |
| Sleep study (attended polysomnography) (95810) |
$2,583.60 |
$3,229.50 |
2.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$116.80 |
$146 |
4.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$267.20 |
$334 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$410 |
$512.50 |
2.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$526.40 |
$658 |
3.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$172 |
$215 |
1.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$253.60 |
$317 |
1.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$92.80 |
$116 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$174.40 |
$218 |
— |