| Breast lesion removal (open) (19120) |
$1,022 |
$1,460 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$392 |
$560 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,251.60 |
$1,788 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$718.90 |
$1,027 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,560.95 |
$3,658.50 |
2.5× |
| Diagnostic colonoscopy (45378) |
$813.40 |
$1,162 |
0.8× |
| Colonoscopy with biopsy (45380) |
$1,051.40 |
$1,502 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$2,668.05 |
$3,811.50 |
2.0× |
| Laparoscopic gallbladder removal (47562) |
$6,793.85 |
$9,705.50 |
1.0× |
| Inguinal hernia repair (age 5+) (49505) |
$1,201.20 |
$1,716 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,940.20 |
$8,486 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,987.80 |
$8,554 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$313.25 |
$447.50 |
0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$607.52 |
$867.88 |
0.6× |
| CT head/brain without contrast (70450) |
$700.53 |
$1,000.75 |
6.0× |
| MRI brain without contrast (70551) |
$864.85 |
$1,235.50 |
3.3× |
| MRI brain with contrast (70552) |
$1,105.65 |
$1,579.50 |
2.8× |
| MRI brain without and with contrast (70553) |
$1,611.40 |
$2,302 |
4.1× |
| X-ray lower spine, 4+ views (72110) |
$220.15 |
$314.50 |
1.9× |
| MRI lumbar spine without contrast (72148) |
$846.30 |
$1,209 |
3.2× |
| CT pelvis with contrast (72193) |
$1,003.45 |
$1,433.50 |
5.1× |
| MRI lower-extremity joint without contrast (73721) |
$774.20 |
$1,106 |
2.9× |
| CT abdomen and pelvis with contrast (74177) |
$1,956.85 |
$2,795.50 |
5.0× |
| Ultrasound, abdomen complete (76700) |
$252.70 |
$361 |
2.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$297.85 |
$425.50 |
2.6× |
| Ultrasound, transvaginal (76830) |
$123.90 |
$177 |
1.1× |
| Mammography, one breast (diagnostic) (77065) |
$175 |
$250 |
2.0× |
| Mammography, both breasts (diagnostic) (77066) |
$413 |
$590 |
3.7× |
| Mammography, screening (bilateral) (77067) |
$241.85 |
$345.50 |
2.7× |
| Basic metabolic panel (80048) |
$40.60 |
$58 |
4.8× |
| Comprehensive metabolic panel (80053) |
$58.36 |
$83.38 |
5.5× |
| Lipid panel (80061) |
$64.40 |
$92 |
4.8× |
| Renal function panel (80069) |
$42 |
$60 |
4.8× |
| Hepatic function panel (80076) |
$39.90 |
$57 |
4.9× |
| PSA, total (84153) |
$88.20 |
$126 |
4.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$80.50 |
$115 |
4.8× |
| CBC with automated differential (85025) |
$42.62 |
$60.88 |
5.5× |
| CBC, automated (85027) |
$31.50 |
$45 |
4.9× |
| Prothrombin time (PT) (85610) |
$22.40 |
$32 |
5.2× |
| Partial thromboplastin time (PTT) (85730) |
$31.85 |
$45.50 |
5.3× |
| Psychotherapy, 30 minutes (90832) |
$167.30 |
$239 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$222.60 |
$318 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$334.60 |
$478 |
1.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$270.20 |
$386 |
1.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$280.70 |
$401 |
1.4× |
| Group psychotherapy (90853) |
$67.20 |
$96 |
0.6× |
| Electrocardiogram (ECG), complete (93000) |
$72.80 |
$104 |
1.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$91 |
$130 |
3.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$219.10 |
$313 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$325.50 |
$465 |
2.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$429.80 |
$614 |
2.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$255.50 |
$365 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$295.40 |
$422 |
— |