| Breast lesion removal (open) (19120) |
$414.96 |
$988 |
0.1× |
| Knee arthroscopy with meniscectomy (29881) |
$5,703.56 |
$16,775.18 |
1.9× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$6,066.84 |
$17,843.65 |
1.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$638.52 |
$1,878 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$638.52 |
$1,878 |
0.8× |
| Diagnostic colonoscopy (45378) |
$609.62 |
$1,793 |
0.7× |
| Colonoscopy with biopsy (45380) |
$804.10 |
$2,365 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$804.10 |
$2,365 |
0.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$804.10 |
$2,365 |
0.7× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$2,266.07 |
$6,453.50 |
0.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$427.72 |
$1,258 |
0.5× |
| CT head/brain without contrast (70450) |
$212.50 |
$625 |
2.2× |
| MRI brain without contrast (70551) |
$423.98 |
$1,247 |
2.0× |
| MRI brain with contrast (70552) |
$450.50 |
$1,325 |
1.4× |
| MRI brain without and with contrast (70553) |
$614.72 |
$1,808 |
1.9× |
| X-ray lower spine, 4+ views (72110) |
$93.10 |
$245 |
1.0× |
| MRI lumbar spine without contrast (72148) |
$423.98 |
$1,247 |
2.0× |
| CT pelvis with contrast (72193) |
$307.70 |
$905 |
1.9× |
| MRI lower-extremity joint without contrast (73721) |
$635.97 |
$1,870.50 |
2.9× |
| CT abdomen and pelvis with contrast (74177) |
$394.40 |
$1,160 |
1.2× |
| Ultrasound, abdomen complete (76700) |
$89.08 |
$262 |
0.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$103.04 |
$272 |
1.1× |
| Ultrasound, transvaginal (76830) |
$89.66 |
$237 |
0.9× |
| Mammography, one breast (diagnostic) (77065) |
$68 |
$200 |
0.8× |
| Mammography, both breasts (diagnostic) (77066) |
$77.86 |
$229 |
0.7× |
| Mammography, screening (bilateral) (77067) |
$64.94 |
$191 |
0.7× |
| Basic metabolic panel (80048) |
$15.30 |
$45 |
1.8× |
| Comprehensive metabolic panel (80053) |
$18.70 |
$55 |
1.8× |
| Obstetric panel (80055) |
$96.90 |
$285 |
2.0× |
| Lipid panel (80061) |
$15.30 |
$45 |
1.1× |
| Renal function panel (80069) |
$42.84 |
$126 |
4.9× |
| Hepatic function panel (80076) |
$31.96 |
$94 |
3.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$4.20 |
$10 |
1.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$11.56 |
$34 |
3.3× |
| PSA, total (84153) |
$31.96 |
$94 |
1.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$22.10 |
$65 |
1.3× |
| CBC with automated differential (85025) |
$13.60 |
$40 |
1.8× |
| CBC, automated (85027) |
$8.50 |
$25 |
1.3× |
| Prothrombin time (PT) (85610) |
$6.80 |
$20 |
1.6× |
| Partial thromboplastin time (PTT) (85730) |
$6.80 |
$20 |
1.1× |
| Psychotherapy, 30 minutes (90832) |
$37.80 |
$90 |
0.2× |
| Psychotherapy, 45 minutes (90834) |
$50.40 |
$120 |
0.3× |
| Psychotherapy, 60 minutes (90837) |
$75.60 |
$180 |
0.5× |
| Left heart catheterization (93452) |
$2,726.12 |
$8,018 |
0.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$21.08 |
$62 |
0.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$70.72 |
$208 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$74.46 |
$219 |
0.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$78.20 |
$230 |
0.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$139.86 |
$333 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$139.86 |
$333 |
— |