| Breast lesion removal (open) (19120) |
$6,709 |
$6,709 |
1.4× |
| Knee arthroscopy with meniscectomy (29881) |
$6,709 |
$6,709 |
1.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,825 |
$2,825 |
2.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,825 |
$2,825 |
2.6× |
| Diagnostic colonoscopy (45378) |
$2,868 |
$2,868 |
2.6× |
| Colonoscopy with biopsy (45380) |
$2,868 |
$2,868 |
2.0× |
| Colonoscopy with lesion removal (45385) |
$4,044 |
$4,044 |
2.8× |
| Colonoscopy with endoscopic ultrasound (45391) |
$4,044 |
$4,044 |
2.8× |
| Obstetric care, vaginal delivery (global) (59400) |
$7,678 |
$7,678 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,300 |
$1,300 |
1.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,172 |
$2,172 |
2.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$4,357 |
$4,357 |
6.6× |
| CT head/brain without contrast (70450) |
$1,058 |
$1,058 |
8.4× |
| MRI brain without contrast (70551) |
$2,945 |
$2,945 |
10.3× |
| MRI brain with contrast (70552) |
$3,872 |
$3,872 |
9.3× |
| MRI brain without and with contrast (70553) |
$4,115 |
$4,115 |
9.8× |
| X-ray lower spine, 4+ views (72110) |
$560 |
$560 |
4.5× |
| MRI lumbar spine without contrast (72148) |
$2,945 |
$2,945 |
10.3× |
| CT pelvis with contrast (72193) |
$1,917 |
$1,917 |
9.1× |
| MRI lower-extremity joint without contrast (73721) |
$2,945 |
$2,945 |
10.3× |
| CT abdomen and pelvis with contrast (74177) |
$1,991 |
$1,991 |
4.8× |
| Ultrasound, abdomen complete (76700) |
$1,214 |
$1,214 |
9.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$950 |
$950 |
7.6× |
| Ultrasound, transvaginal (76830) |
$740 |
$740 |
5.9× |
| Mammography, one breast (diagnostic) (77065) |
$607 |
$607 |
7.0× |
| Mammography, both breasts (diagnostic) (77066) |
$749 |
$749 |
6.8× |
| Mammography, screening (bilateral) (77067) |
$728 |
$728 |
8.0× |
| Basic metabolic panel (80048) |
$61 |
$61 |
7.2× |
| Comprehensive metabolic panel (80053) |
$127 |
$127 |
12.0× |
| Lipid panel (80061) |
$73 |
$73 |
5.5× |
| Renal function panel (80069) |
$70 |
$70 |
8.1× |
| Hepatic function panel (80076) |
$61 |
$61 |
7.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$58 |
$58 |
14.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$58 |
$58 |
16.7× |
| PSA, total (84153) |
$121 |
$121 |
6.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$113 |
$113 |
6.7× |
| CBC with automated differential (85025) |
$58 |
$58 |
7.5× |
| CBC, automated (85027) |
$58 |
$58 |
9.0× |
| Prothrombin time (PT) (85610) |
$58 |
$58 |
13.5× |
| Partial thromboplastin time (PTT) (85730) |
$58 |
$58 |
9.7× |
| Psychotherapy, 30 minutes (90832) |
$292 |
$292 |
1.4× |
| Psychotherapy, 45 minutes (90834) |
$366 |
$366 |
1.7× |
| Psychotherapy, 60 minutes (90837) |
$366 |
$366 |
1.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$433 |
$433 |
2.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$428 |
$428 |
2.0× |
| Group psychotherapy (90853) |
$186 |
$186 |
1.5× |
| Electrocardiogram (ECG), complete (93000) |
$204 |
$204 |
2.9× |
| Left heart catheterization (93452) |
$9,503 |
$9,503 |
2.4× |
| Sleep study (attended polysomnography) (95810) |
$3,618 |
$3,618 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$185 |
$185 |
6.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$236 |
$236 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$317 |
$317 |
2.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$423 |
$423 |
2.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$180 |
$180 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$180 |
$180 |
— |