| Breast lesion removal (open) (19120) |
$711.20 |
$1,016 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$233.46 |
$333.52 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$705.63 |
$1,008.04 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$432.60 |
$618 |
0.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$501.90 |
$717 |
0.6× |
| Diagnostic colonoscopy (45378) |
$610.40 |
$872 |
0.8× |
| Colonoscopy with biopsy (45380) |
$671.30 |
$959 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$865.20 |
$1,236 |
0.8× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$2,003.40 |
$2,862 |
0.4× |
| Inguinal hernia repair (age 5+) (49505) |
$938 |
$1,340 |
0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$784.90 |
$1,121.29 |
1.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$926.80 |
$1,324 |
2.0× |
| Cataract removal with lens insertion (66984) |
$2,554.09 |
$3,648.70 |
1.3× |
| CT head/brain without contrast (70450) |
$639.80 |
$914 |
7.1× |
| MRI brain without contrast (70551) |
$1,247.40 |
$1,782 |
6.1× |
| MRI brain with contrast (70552) |
$1,379 |
$1,970 |
4.6× |
| MRI brain without and with contrast (70553) |
$1,484 |
$2,120 |
4.9× |
| X-ray lower spine, 4+ views (72110) |
$121.10 |
$173 |
1.3× |
| MRI lumbar spine without contrast (72148) |
$1,232 |
$1,760 |
6.0× |
| CT pelvis with contrast (72193) |
$723.80 |
$1,034 |
4.8× |
| MRI lower-extremity joint without contrast (73721) |
$730.80 |
$1,044 |
3.6× |
| CT abdomen and pelvis with contrast (74177) |
$1,409.80 |
$2,014 |
4.7× |
| Ultrasound, abdomen complete (76700) |
$231.70 |
$331 |
2.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$199.10 |
$284.43 |
2.2× |
| Ultrasound, transvaginal (76830) |
$193.20 |
$276 |
2.1× |
| Mammography, one breast (diagnostic) (77065) |
$115.25 |
$164.64 |
1.3× |
| Mammography, both breasts (diagnostic) (77066) |
$152.84 |
$218.35 |
1.4× |
| Mammography, screening (bilateral) (77067) |
$121.79 |
$173.98 |
1.3× |
| Basic metabolic panel (80048) |
$56.70 |
$81 |
6.7× |
| Comprehensive metabolic panel (80053) |
$68.25 |
$97.50 |
6.5× |
| Lipid panel (80061) |
$35.70 |
$51 |
2.7× |
| Renal function panel (80069) |
$72.10 |
$103 |
8.3× |
| Hepatic function panel (80076) |
$58.45 |
$83.50 |
7.2× |
| PSA, total (84153) |
$35.35 |
$50.50 |
1.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$20.65 |
$29.50 |
1.2× |
| CBC with automated differential (85025) |
$36.40 |
$52 |
4.7× |
| CBC, automated (85027) |
$36.40 |
$52 |
5.6× |
| Prothrombin time (PT) (85610) |
$17.50 |
$25 |
4.1× |
| Partial thromboplastin time (PTT) (85730) |
$20.30 |
$29 |
3.4× |
| Psychotherapy, 30 minutes (90832) |
$94.89 |
$135.56 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$137.04 |
$195.76 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$167.17 |
$238.81 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$142.02 |
$202.88 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$144.65 |
$206.64 |
0.9× |
| Group psychotherapy (90853) |
$81.59 |
$116.56 |
0.9× |
| Electrocardiogram (ECG), complete (93000) |
$31.50 |
$45 |
0.6× |
| Sleep study (attended polysomnography) (95810) |
$738.15 |
$1,054.50 |
1.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$58.80 |
$84 |
2.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$137.41 |
$196.30 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$206.82 |
$295.46 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$273.01 |
$390.02 |
2.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$137.41 |
$196.30 |
1.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$206.82 |
$295.46 |
1.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$80.50 |
$115 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$83.30 |
$119 |
— |