| Breast lesion removal (open) (19120) |
$2,470.76 |
$9,883.03 |
0.6× |
| Knee arthroscopy with meniscectomy (29881) |
$3,229.69 |
$12,918.76 |
1.0× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,459.77 |
$9,839.06 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,031.55 |
$4,126.21 |
1.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,699.23 |
$6,796.90 |
1.9× |
| Diagnostic colonoscopy (45378) |
$735.58 |
$2,942.30 |
0.8× |
| Colonoscopy with biopsy (45380) |
$1,508.87 |
$6,035.48 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$2,498.24 |
$9,992.96 |
2.1× |
| Laparoscopic gallbladder removal (47562) |
$4,146.51 |
$16,586.04 |
0.7× |
| Inguinal hernia repair (age 5+) (49505) |
$3,673.26 |
$14,693.05 |
1.0× |
| Cataract removal with lens insertion (66984) |
$2,370.38 |
$9,481.53 |
1.0× |
| CT head/brain without contrast (70450) |
$575.38 |
$2,301.50 |
5.5× |
| MRI brain without contrast (70551) |
$518.69 |
$2,074.75 |
2.2× |
| MRI brain with contrast (70552) |
$527.81 |
$2,111.25 |
1.5× |
| MRI brain without and with contrast (70553) |
$881.38 |
$3,525.50 |
2.5× |
| X-ray lower spine, 4+ views (72110) |
$139.25 |
$557 |
1.3× |
| MRI lumbar spine without contrast (72148) |
$707.06 |
$2,828.25 |
3.0× |
| CT pelvis with contrast (72193) |
$569.56 |
$2,278.25 |
3.2× |
| MRI lower-extremity joint without contrast (73721) |
$827 |
$3,308 |
3.5× |
| CT abdomen and pelvis with contrast (74177) |
$1,076.06 |
$4,304.25 |
3.1× |
| Ultrasound, abdomen complete (76700) |
$241 |
$964 |
2.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$231 |
$924 |
2.2× |
| Ultrasound, transvaginal (76830) |
$217.75 |
$871 |
2.1× |
| Mammography, one breast (diagnostic) (77065) |
$125.38 |
$501.50 |
1.5× |
| Mammography, both breasts (diagnostic) (77066) |
$253.18 |
$1,012.75 |
2.3× |
| Mammography, screening (bilateral) (77067) |
$113.56 |
$454.25 |
1.2× |
| Basic metabolic panel (80048) |
$55 |
$220 |
6.5× |
| Comprehensive metabolic panel (80053) |
$51.75 |
$207 |
4.9× |
| Renal function panel (80069) |
$88.88 |
$355.50 |
10.2× |
| Hepatic function panel (80076) |
$62 |
$248 |
7.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$9.19 |
$36.75 |
2.6× |
| PSA, total (84153) |
$34.94 |
$139.75 |
1.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$26.56 |
$106.25 |
1.6× |
| CBC with automated differential (85025) |
$26.31 |
$105.25 |
3.4× |
| CBC, automated (85027) |
$20.19 |
$80.75 |
3.1× |
| Prothrombin time (PT) (85610) |
$16.22 |
$64.88 |
3.8× |
| Partial thromboplastin time (PTT) (85730) |
$23.81 |
$95.25 |
4.0× |
| Sleep study (attended polysomnography) (95810) |
$559.06 |
$2,236.25 |
0.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$30 |
$120 |
1.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$88.06 |
$352.25 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$119.44 |
$477.75 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$159 |
$636 |
1.2× |