| Breast lesion removal (open) (19120) |
$2,344.68 |
$8,684 |
0.6× |
| Shoulder arthroscopy with decompression (29826) |
$3,376.62 |
$12,506 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$789.21 |
$2,923 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,243.08 |
$4,604 |
1.5× |
| Diagnostic colonoscopy (45378) |
$959.85 |
$3,555 |
1.1× |
| Colonoscopy with biopsy (45380) |
$1,476.09 |
$5,467 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,000.35 |
$3,705 |
0.9× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,035.18 |
$3,834 |
0.9× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$2,778.57 |
$10,291 |
0.5× |
| Laparoscopic radical prostatectomy (55866) |
$6,993.54 |
$25,902 |
0.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$653.67 |
$2,421 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$925.29 |
$3,427 |
1.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$555.12 |
$2,056 |
1.1× |
| Cataract removal with lens insertion (66984) |
$1,543.86 |
$5,718 |
0.7× |
| CT head/brain without contrast (70450) |
$861.57 |
$3,191 |
8.8× |
| MRI brain without contrast (70551) |
$917.46 |
$3,398 |
4.1× |
| MRI brain with contrast (70552) |
$231.39 |
$857 |
0.7× |
| MRI brain without and with contrast (70553) |
$2,454.03 |
$9,089 |
7.5× |
| X-ray lower spine, 4+ views (72110) |
$236.79 |
$877 |
2.4× |
| MRI lumbar spine without contrast (72148) |
$1,017.63 |
$3,769 |
4.5× |
| CT pelvis with contrast (72193) |
$663.93 |
$2,459 |
4.0× |
| MRI lower-extremity joint without contrast (73721) |
$851.31 |
$3,153 |
3.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,109.51 |
$7,813 |
6.4× |
| Ultrasound, abdomen complete (76700) |
$353.16 |
$1,308 |
3.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$318.33 |
$1,179 |
3.2× |
| Ultrasound, transvaginal (76830) |
$265.95 |
$985 |
2.7× |
| Mammography, one breast (diagnostic) (77065) |
$91.80 |
$340 |
1.1× |
| Mammography, both breasts (diagnostic) (77066) |
$135.54 |
$502 |
1.2× |
| Mammography, screening (bilateral) (77067) |
$115.56 |
$428 |
1.3× |
| Basic metabolic panel (80048) |
$92.61 |
$343 |
10.9× |
| Comprehensive metabolic panel (80053) |
$114.48 |
$424 |
10.8× |
| Obstetric panel (80055) |
$84.51 |
$313 |
1.8× |
| Lipid panel (80061) |
$83.97 |
$311 |
6.3× |
| Renal function panel (80069) |
$112.32 |
$416 |
12.9× |
| Hepatic function panel (80076) |
$177.39 |
$657 |
21.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$11.61 |
$43 |
2.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$5.40 |
$20 |
1.6× |
| PSA, total (84153) |
$56.16 |
$208 |
3.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$46.17 |
$171 |
2.7× |
| CBC with automated differential (85025) |
$82.35 |
$305 |
10.6× |
| CBC, automated (85027) |
$58.05 |
$215 |
9.0× |
| Prothrombin time (PT) (85610) |
$49.95 |
$185 |
11.6× |
| Partial thromboplastin time (PTT) (85730) |
$59.13 |
$219 |
9.8× |
| Psychotherapy, 30 minutes (90832) |
$133.11 |
$493 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$177.12 |
$656 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$177.12 |
$656 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$132.03 |
$489 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$132.03 |
$489 |
0.8× |
| Group psychotherapy (90853) |
$62.37 |
$231 |
0.7× |
| Electrocardiogram (ECG), complete (93000) |
$113.40 |
$420 |
2.0× |
| Left heart catheterization (93452) |
$2,502.90 |
$9,270 |
0.8× |
| Sleep study (attended polysomnography) (95810) |
$2,039.85 |
$7,555 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$33.75 |
$125 |
1.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$21.33 |
$79 |
0.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$24.30 |
$90 |
0.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$30.24 |
$112 |
0.2× |