| Breast lesion removal (open) (19120) |
$5,482 |
$7,832 |
1.5× |
| Shoulder arthroscopy with decompression (29826) |
$12,739 |
$18,199 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$7,926 |
$11,323 |
2.6× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,619 |
$3,742 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,563.50 |
$2,545.50 |
1.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,594.50 |
$2,637.50 |
1.9× |
| Diagnostic colonoscopy (45378) |
$1,274 |
$2,231 |
1.5× |
| Colonoscopy with biopsy (45380) |
$1,522.50 |
$2,664.50 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$1,693.50 |
$2,970.50 |
1.5× |
| Laparoscopic gallbladder removal (47562) |
$5,654.50 |
$8,741 |
1.0× |
| Inguinal hernia repair (age 5+) (49505) |
$5,532 |
$7,903 |
1.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$930 |
$1,328.50 |
1.1× |
| CT head/brain without contrast (70450) |
$1,107 |
$1,581 |
11.5× |
| MRI brain without contrast (70551) |
$1,697 |
$2,424 |
7.7× |
| MRI brain with contrast (70552) |
$3,759 |
$5,370 |
11.7× |
| MRI brain without and with contrast (70553) |
$3,759 |
$5,370 |
11.7× |
| X-ray lower spine, 4+ views (72110) |
$216 |
$358.50 |
2.2× |
| MRI lumbar spine without contrast (72148) |
$1,696 |
$2,423 |
7.7× |
| CT pelvis with contrast (72193) |
$980 |
$1,400 |
6.1× |
| MRI lower-extremity joint without contrast (73721) |
$2,090 |
$2,986 |
9.5× |
| CT abdomen and pelvis with contrast (74177) |
$1,425 |
$2,036 |
4.4× |
| Ultrasound, abdomen complete (76700) |
$381 |
$544 |
4.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$399 |
$570 |
4.1× |
| Ultrasound, transvaginal (76830) |
$291 |
$416 |
3.0× |
| Mammography, one breast (diagnostic) (77065) |
$226.50 |
$323.50 |
2.6× |
| Mammography, both breasts (diagnostic) (77066) |
$229.50 |
$328 |
2.1× |
| Mammography, screening (bilateral) (77067) |
$204.50 |
$292 |
2.2× |
| Basic metabolic panel (80048) |
$61 |
$87 |
7.2× |
| Comprehensive metabolic panel (80053) |
$135 |
$193 |
12.8× |
| Lipid panel (80061) |
$106 |
$152 |
7.9× |
| Renal function panel (80069) |
$75 |
$107 |
8.6× |
| Hepatic function panel (80076) |
$71 |
$102 |
8.7× |
| PSA, total (84153) |
$115 |
$164.50 |
6.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$111 |
$158 |
6.6× |
| CBC with automated differential (85025) |
$85 |
$122 |
10.9× |
| CBC, automated (85027) |
$72 |
$103 |
11.1× |
| Prothrombin time (PT) (85610) |
$39 |
$69 |
9.1× |
| Partial thromboplastin time (PTT) (85730) |
$48.50 |
$69.50 |
8.1× |
| Electrocardiogram (ECG), complete (93000) |
$49 |
$70 |
0.9× |
| Left heart catheterization (93452) |
$5,356 |
$7,652 |
1.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$94 |
$134 |
3.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$124.50 |
$265.50 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$178.50 |
$380.50 |
1.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$225.50 |
$480.50 |
1.8× |