| Breast lesion removal (open) (19120) |
$917.70 |
$917.70 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$405.95 |
$405.95 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,236.25 |
$1,236.25 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,433.25 |
$1,433.25 |
1.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,377.95 |
$1,377.95 |
1.8× |
| Diagnostic colonoscopy (45378) |
$1,448.88 |
$1,448.88 |
1.8× |
| Colonoscopy with biopsy (45380) |
$1,894.25 |
$1,894.25 |
1.8× |
| Colonoscopy with lesion removal (45385) |
$817.75 |
$817.75 |
0.8× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$1,684.75 |
$1,684.75 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,167.25 |
$1,167.25 |
0.4× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$800.40 |
$800.40 |
1.7× |
| CT head/brain without contrast (70450) |
$824.05 |
$824.05 |
9.1× |
| MRI brain without contrast (70551) |
$1,291 |
$1,291 |
6.3× |
| MRI brain with contrast (70552) |
$1,417.18 |
$1,417.18 |
4.7× |
| MRI brain without and with contrast (70553) |
$1,475.75 |
$1,475.75 |
4.9× |
| X-ray lower spine, 4+ views (72110) |
$183.60 |
$183.60 |
2.0× |
| MRI lumbar spine without contrast (72148) |
$1,291.50 |
$1,291.50 |
6.3× |
| CT pelvis with contrast (72193) |
$1,262.75 |
$1,262.75 |
8.4× |
| MRI lower-extremity joint without contrast (73721) |
$2,384 |
$2,384 |
11.6× |
| CT abdomen and pelvis with contrast (74177) |
$1,496.50 |
$1,496.50 |
5.0× |
| Ultrasound, abdomen complete (76700) |
$296 |
$296 |
3.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$484 |
$484 |
5.4× |
| Ultrasound, transvaginal (76830) |
$372.52 |
$372.52 |
4.1× |
| Basic metabolic panel (80048) |
$48.12 |
$48.12 |
5.7× |
| Comprehensive metabolic panel (80053) |
$99.12 |
$99.12 |
9.4× |
| Obstetric panel (80055) |
$345.12 |
$345.12 |
7.2× |
| Lipid panel (80061) |
$53.50 |
$53.50 |
4.0× |
| Renal function panel (80069) |
$81.38 |
$81.38 |
9.4× |
| Hepatic function panel (80076) |
$76.38 |
$76.38 |
9.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$24.25 |
$24.25 |
6.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$14 |
$14 |
4.0× |
| PSA, total (84153) |
$73.50 |
$73.50 |
4.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$67.25 |
$67.25 |
4.0× |
| CBC with automated differential (85025) |
$50 |
$50 |
6.4× |
| CBC, automated (85027) |
$108 |
$108 |
16.7× |
| Prothrombin time (PT) (85610) |
$50 |
$50 |
11.7× |
| Partial thromboplastin time (PTT) (85730) |
$88 |
$88 |
14.6× |
| Psychotherapy, 30 minutes (90832) |
$160 |
$160 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$270.50 |
$270.50 |
1.8× |
| Psychotherapy, 60 minutes (90837) |
$262.50 |
$262.50 |
1.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$100 |
$100 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$220 |
$220 |
1.4× |
| Group psychotherapy (90853) |
$170 |
$170 |
1.9× |
| Electrocardiogram (ECG), complete (93000) |
$42 |
$42 |
0.8× |
| Sleep study (attended polysomnography) (95810) |
$404.80 |
$404.80 |
0.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$150 |
$150 |
5.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$250.70 |
$250.70 |
2.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$306 |
$325 |
2.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$388 |
$425 |
3.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$358.80 |
$358.80 |
3.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$333.48 |
$507.48 |
2.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$100 |
$191 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$158 |
$216 |
— |