| Breast lesion removal (open) (19120) |
$1,590.84 |
$4,419 |
0.4× |
| Shoulder arthroscopy with decompression (29826) |
$3,824.64 |
$10,624 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$2,579.76 |
$7,166 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$935.64 |
$2,599 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,297.80 |
$3,605 |
1.4× |
| Diagnostic colonoscopy (45378) |
$1,444.32 |
$4,012 |
1.5× |
| Colonoscopy with biopsy (45380) |
$1,013.04 |
$2,814 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$1,301.94 |
$3,616.50 |
1.0× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,215 |
$3,375 |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$4,941.36 |
$13,726 |
0.8× |
| Inguinal hernia repair (age 5+) (49505) |
$3,079.80 |
$8,555 |
0.8× |
Laparoscopic radical prostatectomy (55866)
unusually low: confirm this is the full procedure |
$4,652.28 |
$12,923 |
0.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$816.84 |
$2,269 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$681.84 |
$1,894 |
0.7× |
| Cataract removal with lens insertion (66984) |
$1,590.84 |
$4,419 |
0.7× |
| CT head/brain without contrast (70450) |
$651.24 |
$1,809 |
6.0× |
| MRI brain without contrast (70551) |
$1,080.36 |
$3,001 |
4.4× |
| MRI brain with contrast (70552) |
$1,319.40 |
$3,665 |
3.6× |
| MRI brain without and with contrast (70553) |
$1,746.36 |
$4,851 |
4.8× |
| X-ray lower spine, 4+ views (72110) |
$107.64 |
$299 |
1.0× |
| MRI lumbar spine without contrast (72148) |
$1,080.36 |
$3,001 |
4.4× |
| CT pelvis with contrast (72193) |
$1,054.44 |
$2,929 |
5.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,080.36 |
$3,001 |
4.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,989.72 |
$5,527 |
5.5× |
| Ultrasound, abdomen complete (76700) |
$307.80 |
$855 |
2.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$302.40 |
$840 |
2.8× |
| Ultrasound, transvaginal (76830) |
$319.32 |
$887 |
2.9× |
| Mammography, one breast (diagnostic) (77065) |
$97.20 |
$270 |
1.1× |
| Mammography, both breasts (diagnostic) (77066) |
$120.24 |
$334 |
1.1× |
| Mammography, screening (bilateral) (77067) |
$105.84 |
$294 |
1.2× |
| Basic metabolic panel (80048) |
$58.68 |
$163 |
6.9× |
| Comprehensive metabolic panel (80053) |
$73.08 |
$203 |
6.9× |
| Obstetric panel (80055) |
$143.28 |
$398 |
3.0× |
| Lipid panel (80061) |
$59.76 |
$166 |
4.5× |
| Renal function panel (80069) |
$34.20 |
$95 |
3.9× |
| Hepatic function panel (80076) |
$36.36 |
$101 |
4.5× |
| PSA, total (84153) |
$28.44 |
$79 |
1.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$74.16 |
$206 |
4.4× |
| CBC with automated differential (85025) |
$32.76 |
$91 |
4.2× |
| CBC, automated (85027) |
$32.40 |
$90 |
5.0× |
| Prothrombin time (PT) (85610) |
$27.72 |
$77 |
6.5× |
| Partial thromboplastin time (PTT) (85730) |
$24.48 |
$68 |
4.1× |
| Psychotherapy, 30 minutes (90832) |
$100.08 |
$278 |
0.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$114.48 |
$318 |
0.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$100.80 |
$280 |
0.5× |
| Left heart catheterization (93452) |
$6,129.36 |
$17,026 |
1.8× |
| Sleep study (attended polysomnography) (95810) |
$1,485.36 |
$4,126 |
1.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$72.36 |
$201 |
2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$109.44 |
$304 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$128.16 |
$356 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$212.40 |
$590 |
1.5× |
| Preventive visit, new patient (age 40–64) (99386) |
$81.36 |
$226 |
— |