| Breast lesion removal (open) (19120) |
$1,565.05 |
$1,565.05 |
0.4× |
| Shoulder arthroscopy with decompression (29826) |
$3,326.95 |
$3,326.95 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$7,054.28 |
$7,054.28 |
1.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,105.32 |
$2,105.32 |
2.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,508.05 |
$2,508.05 |
2.5× |
| Diagnostic colonoscopy (45378) |
$2,854.62 |
$2,854.62 |
2.8× |
| Colonoscopy with biopsy (45380) |
$3,079.45 |
$3,079.45 |
2.3× |
| Colonoscopy with lesion removal (45385) |
$3,475.72 |
$3,475.72 |
2.6× |
| Laparoscopic gallbladder removal (47562) |
$10,683.32 |
$10,683.32 |
1.6× |
| Inguinal hernia repair (age 5+) (49505) |
$10,635.62 |
$10,635.62 |
2.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$724.50 |
$724.50 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$380.35 |
$380.35 |
0.4× |
| CT head/brain without contrast (70450) |
$999.45 |
$999.45 |
8.6× |
| MRI brain without contrast (70551) |
$2,445.25 |
$2,445.25 |
9.2× |
| MRI brain with contrast (70552) |
$2,347.05 |
$2,347.05 |
6.0× |
| MRI brain without and with contrast (70553) |
$2,972.55 |
$2,972.55 |
7.6× |
| X-ray lower spine, 4+ views (72110) |
$525 |
$525 |
4.5× |
| MRI lumbar spine without contrast (72148) |
$1,768.88 |
$1,768.88 |
6.7× |
| CT pelvis with contrast (72193) |
$1,661.22 |
$1,661.22 |
8.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,659.02 |
$1,659.02 |
6.2× |
| CT abdomen and pelvis with contrast (74177) |
$2,184.80 |
$2,184.80 |
5.6× |
| Ultrasound, abdomen complete (76700) |
$625.62 |
$625.62 |
5.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$560.82 |
$560.82 |
4.8× |
| Ultrasound, transvaginal (76830) |
$601.52 |
$601.52 |
5.2× |
| Mammography, one breast (diagnostic) (77065) |
$305.95 |
$305.95 |
3.6× |
| Mammography, both breasts (diagnostic) (77066) |
$375.82 |
$375.82 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$424.05 |
$424.05 |
4.7× |
| Basic metabolic panel (80048) |
$75.75 |
$75.75 |
9.0× |
| Comprehensive metabolic panel (80053) |
$56.45 |
$56.45 |
5.3× |
| Obstetric panel (80055) |
$254.86 |
$254.86 |
5.3× |
| Lipid panel (80061) |
$61.95 |
$61.95 |
4.6× |
| Renal function panel (80069) |
$100.04 |
$100.04 |
11.5× |
| Hepatic function panel (80076) |
$28.90 |
$28.90 |
3.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$26.68 |
$26.68 |
7.7× |
| PSA, total (84153) |
$60.50 |
$60.50 |
3.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$76.15 |
$76.15 |
4.5× |
| CBC with automated differential (85025) |
$75.75 |
$75.75 |
9.7× |
| CBC, automated (85027) |
$68.13 |
$68.13 |
10.5× |
| Prothrombin time (PT) (85610) |
$40.95 |
$40.95 |
9.5× |
| Partial thromboplastin time (PTT) (85730) |
$26.55 |
$26.55 |
4.4× |
| Psychotherapy, 30 minutes (90832) |
$197 |
$197 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$131.71 |
$131.71 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$381 |
$381 |
1.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$226.01 |
$226.01 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$266.05 |
$266.05 |
1.3× |
| Group psychotherapy (90853) |
$109.41 |
$109.41 |
1.0× |
| Electrocardiogram (ECG), complete (93000) |
$178.25 |
$178.25 |
2.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$125.88 |
$125.88 |
4.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$258.05 |
$258.05 |
1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$323.18 |
$323.18 |
2.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$323.02 |
$323.02 |
2.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$269.28 |
$269.28 |
1.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$398.12 |
$398.12 |
2.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$38.60 |
$38.60 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$425 |
$425 |
— |