| Breast lesion removal (open) (19120) |
$1,107 |
$1,107 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$3,492 |
$3,492 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,875 |
$3,875 |
1.3× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,552 |
$2,552 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$699.50 |
$699.50 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$892.50 |
$892.50 |
1.1× |
| Diagnostic colonoscopy (45378) |
$870 |
$870 |
1.0× |
| Colonoscopy with biopsy (45380) |
$1,035.50 |
$1,035.50 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,177 |
$1,177 |
1.1× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$1,665.50 |
$1,665.50 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,183 |
$1,183 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,683 |
$2,683 |
3.4× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$739 |
$739 |
1.5× |
| Cataract removal with lens insertion (66984) |
$3,825 |
$3,825 |
1.8× |
| CT head/brain without contrast (70450) |
$870 |
$870 |
9.2× |
| MRI brain without contrast (70551) |
$1,066 |
$1,066 |
4.9× |
| MRI brain with contrast (70552) |
$1,353.50 |
$1,353.50 |
4.3× |
| MRI brain without and with contrast (70553) |
$1,687 |
$1,687 |
5.4× |
| X-ray lower spine, 4+ views (72110) |
$119 |
$119 |
1.3× |
| MRI lumbar spine without contrast (72148) |
$1,070 |
$1,070 |
5.0× |
| CT pelvis with contrast (72193) |
$1,346.50 |
$1,346.50 |
8.5× |
| MRI lower-extremity joint without contrast (73721) |
$959 |
$959 |
4.5× |
| CT abdomen and pelvis with contrast (74177) |
$1,639 |
$1,639 |
5.2× |
| Ultrasound, abdomen complete (76700) |
$375 |
$375 |
4.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$407 |
$407 |
4.3× |
| Ultrasound, transvaginal (76830) |
$381.50 |
$381.50 |
4.0× |
| Mammography, one breast (diagnostic) (77065) |
$304 |
$304 |
3.5× |
| Mammography, both breasts (diagnostic) (77066) |
$375 |
$375 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$339.50 |
$339.50 |
3.7× |
| Basic metabolic panel (80048) |
$31 |
$31 |
3.7× |
| Comprehensive metabolic panel (80053) |
$37.50 |
$37.50 |
3.6× |
| Lipid panel (80061) |
$47.50 |
$47.50 |
3.5× |
| Renal function panel (80069) |
$32 |
$32 |
3.7× |
| Hepatic function panel (80076) |
$30 |
$30 |
3.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$9.35 |
$9.35 |
2.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$7.65 |
$7.65 |
2.2× |
| PSA, total (84153) |
$80.50 |
$80.50 |
4.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$58 |
$58 |
3.5× |
| CBC with automated differential (85025) |
$121 |
$121 |
15.6× |
| CBC, automated (85027) |
$24 |
$24 |
3.7× |
| Prothrombin time (PT) (85610) |
$14 |
$14 |
3.3× |
| Partial thromboplastin time (PTT) (85730) |
$18.85 |
$18.85 |
3.1× |
| Psychotherapy, 30 minutes (90832) |
$203 |
$203 |
1.3× |
| Psychotherapy, 45 minutes (90834) |
$200 |
$200 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$320 |
$320 |
2.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$217.50 |
$217.50 |
1.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$227 |
$227 |
1.4× |
| Group psychotherapy (90853) |
$207.50 |
$207.50 |
2.3× |
| Electrocardiogram (ECG), complete (93000) |
$36.70 |
$36.70 |
0.7× |
| Sleep study (attended polysomnography) (95810) |
$1,453 |
$1,453 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$84 |
$84 |
2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$164 |
$164 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$280 |
$280 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$361 |
$361 |
3.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$192 |
$192 |
1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$475 |
$475 |
4.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$159.35 |
$159.35 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$190.10 |
$190.10 |
— |