| Breast lesion removal (open) (19120) |
$5,197.69 |
$25,988.47 |
1.3× |
| Shoulder arthroscopy with decompression (29826) |
$18,182.93 |
$90,914.65 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$6,822.48 |
$34,112.38 |
2.0× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$4,173.44 |
$20,867.18 |
0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,213.66 |
$11,068.28 |
2.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,056.04 |
$15,280.18 |
3.2× |
| Diagnostic colonoscopy (45378) |
$2,244.92 |
$11,224.60 |
2.3× |
| Colonoscopy with biopsy (45380) |
$2,638.18 |
$13,190.91 |
2.1× |
| Colonoscopy with lesion removal (45385) |
$2,533.83 |
$12,669.17 |
2.0× |
| Colonoscopy with endoscopic ultrasound (45391) |
$4,018.85 |
$20,094.23 |
3.2× |
| Laparoscopic gallbladder removal (47562) |
$12,257.38 |
$61,286.88 |
1.9× |
| Inguinal hernia repair (age 5+) (49505) |
$8,151.04 |
$40,755.20 |
2.2× |
| Laparoscopic radical prostatectomy (55866) |
$31,031.53 |
$155,157.63 |
2.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$4,070.20 |
$20,351.01 |
4.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$994.66 |
$4,973.30 |
1.1× |
| Cataract removal with lens insertion (66984) |
$4,293.54 |
$21,467.71 |
1.8× |
| CT head/brain without contrast (70450) |
$1,168 |
$5,840 |
10.7× |
| MRI brain without contrast (70551) |
$1,026.20 |
$5,131 |
4.1× |
| MRI brain with contrast (70552) |
$1,373.60 |
$6,868 |
3.8× |
| MRI brain without and with contrast (70553) |
$1,654.20 |
$8,271 |
4.5× |
| X-ray lower spine, 4+ views (72110) |
$446.20 |
$2,231 |
4.1× |
| MRI lumbar spine without contrast (72148) |
$1,375.40 |
$6,877 |
5.5× |
| CT pelvis with contrast (72193) |
$2,172 |
$10,860 |
11.9× |
| MRI lower-extremity joint without contrast (73721) |
$963.80 |
$4,819 |
3.9× |
| CT abdomen and pelvis with contrast (74177) |
$3,057.30 |
$15,286.50 |
8.4× |
| Ultrasound, abdomen complete (76700) |
$429.60 |
$2,148 |
3.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$248.40 |
$1,242 |
2.3× |
| Ultrasound, transvaginal (76830) |
$368.60 |
$1,843 |
3.4× |
| Mammography, one breast (diagnostic) (77065) |
$99.60 |
$498 |
1.2× |
| Mammography, both breasts (diagnostic) (77066) |
$119.60 |
$598 |
1.1× |
| Mammography, screening (bilateral) (77067) |
$87.20 |
$436 |
1.0× |
| Basic metabolic panel (80048) |
$15.60 |
$78 |
1.8× |
| Comprehensive metabolic panel (80053) |
$22 |
$110 |
2.1× |
| Lipid panel (80061) |
$16.50 |
$82.50 |
1.2× |
| Renal function panel (80069) |
$18 |
$90 |
2.1× |
| Hepatic function panel (80076) |
$14.80 |
$74 |
1.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$9 |
$45 |
2.6× |
| PSA, total (84153) |
$9.60 |
$48 |
0.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$28.80 |
$144 |
1.7× |
| CBC with automated differential (85025) |
$13.80 |
$69 |
1.8× |
| CBC, automated (85027) |
$12.80 |
$64 |
2.0× |
| Prothrombin time (PT) (85610) |
$10.40 |
$52 |
2.4× |
| Partial thromboplastin time (PTT) (85730) |
$13.80 |
$69 |
2.3× |
| Psychotherapy, 30 minutes (90832) |
$37.40 |
$187 |
0.2× |
| Psychotherapy, 45 minutes (90834) |
$55.40 |
$277 |
0.3× |
| Psychotherapy, 60 minutes (90837) |
$82.60 |
$413 |
0.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$194.60 |
$973 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$230 |
$1,150 |
1.2× |
| Group psychotherapy (90853) |
$60.20 |
$301 |
0.6× |
| Left heart catheterization (93452) |
$5,571.20 |
$27,856 |
1.6× |
| Sleep study (attended polysomnography) (95810) |
$1,601.60 |
$8,008 |
1.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$56 |
$280 |
1.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$150 |
$750 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$178 |
$890 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$240.20 |
$1,201 |
1.7× |