| Breast lesion removal (open) (19120) |
$2,518.96 |
$6,808 |
0.6× |
| Shoulder arthroscopy with decompression (29826) |
$1,564.18 |
$4,227.50 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,756.94 |
$4,748.50 |
0.5× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,863.06 |
$7,738 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$980.13 |
$2,649 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$987.72 |
$2,669.50 |
1.0× |
| Diagnostic colonoscopy (45378) |
$979.39 |
$2,647 |
1.0× |
| Colonoscopy with biopsy (45380) |
$881.71 |
$2,383 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$881.71 |
$2,383 |
0.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$978.84 |
$2,645.50 |
0.8× |
| Laparoscopic gallbladder removal (47562) |
$4,253.52 |
$11,496 |
0.7× |
| Inguinal hernia repair (age 5+) (49505) |
$3,405.85 |
$9,205 |
0.9× |
| Laparoscopic radical prostatectomy (55866) |
$9,368.03 |
$25,319 |
0.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$626.78 |
$1,694 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$468.79 |
$1,267 |
0.5× |
| Cataract removal with lens insertion (66984) |
$1,763.05 |
$4,765 |
0.7× |
| CT head/brain without contrast (70450) |
$1,319.42 |
$3,566 |
12.2× |
| MRI brain without contrast (70551) |
$1,841.12 |
$4,976 |
7.4× |
| MRI brain with contrast (70552) |
$2,638.47 |
$7,131 |
7.3× |
| MRI brain without and with contrast (70553) |
$2,698.78 |
$7,294 |
7.4× |
| X-ray lower spine, 4+ views (72110) |
$411.07 |
$1,111 |
3.8× |
| MRI lumbar spine without contrast (72148) |
$2,506.38 |
$6,774 |
10.1× |
| CT pelvis with contrast (72193) |
$1,642.80 |
$4,440 |
9.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,693.12 |
$4,576 |
6.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,682.87 |
$7,251 |
7.4× |
| Ultrasound, abdomen complete (76700) |
$563.14 |
$1,522 |
5.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$223.48 |
$604 |
2.1× |
| Ultrasound, transvaginal (76830) |
$405.52 |
$1,096 |
3.7× |
| Mammography, one breast (diagnostic) (77065) |
$195.36 |
$528 |
2.3× |
| Mammography, both breasts (diagnostic) (77066) |
$262.70 |
$710 |
2.4× |
| Mammography, screening (bilateral) (77067) |
$201.28 |
$544 |
2.2× |
| Basic metabolic panel (80048) |
$136.16 |
$368 |
16.1× |
| Comprehensive metabolic panel (80053) |
$141.34 |
$382 |
13.4× |
| Obstetric panel (80055) |
$153.55 |
$415 |
3.2× |
| Lipid panel (80061) |
$122.47 |
$331 |
9.1× |
| Renal function panel (80069) |
$136.90 |
$370 |
15.8× |
| Hepatic function panel (80076) |
$127.65 |
$345 |
15.6× |
| PSA, total (84153) |
$65.12 |
$176 |
3.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$96.20 |
$260 |
5.7× |
| CBC with automated differential (85025) |
$41.07 |
$111 |
5.3× |
| CBC, automated (85027) |
$41.44 |
$112 |
6.4× |
| Prothrombin time (PT) (85610) |
$31.45 |
$85 |
7.3× |
| Partial thromboplastin time (PTT) (85730) |
$47.36 |
$128 |
7.9× |
| Psychotherapy, 30 minutes (90832) |
$140.23 |
$379 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$191.66 |
$518 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$218.30 |
$590 |
1.2× |
| Left heart catheterization (93452) |
$6,296.66 |
$17,018 |
1.9× |
| Sleep study (attended polysomnography) (95810) |
$2,494.91 |
$6,743 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$76.22 |
$206 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$152.26 |
$411.50 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$183.52 |
$496 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$212.56 |
$574.50 |
1.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$90.28 |
$244 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$90.28 |
$244 |
— |