| Breast lesion removal (open) (19120) |
$2,045.28 |
$6,391.50 |
0.6× |
| Knee arthroscopy with meniscectomy (29881) |
— |
$22,472.19 |
— |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
— |
$11,484.64 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$878.72 |
$2,746 |
1.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$878.72 |
$2,746 |
1.1× |
| Diagnostic colonoscopy (45378) |
$932.48 |
$2,914 |
1.1× |
| Colonoscopy with biopsy (45380) |
$932.48 |
$2,914 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$932.48 |
$2,914 |
0.9× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,118.72 |
$3,496 |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$4,688.96 |
$14,653 |
0.9× |
| Inguinal hernia repair (age 5+) (49505) |
— |
$17,611.79 |
— |
| Laparoscopic radical prostatectomy (55866) |
— |
$62,425.25 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$237.76 |
$743 |
0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$463.20 |
$1,447.50 |
0.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$948 |
$2,962.50 |
1.9× |
| CT head/brain without contrast (70450) |
$229.12 |
$716 |
2.4× |
| MRI brain without contrast (70551) |
$452.48 |
$1,414 |
2.1× |
| MRI brain with contrast (70552) |
$488.64 |
$1,527 |
1.5× |
| MRI brain without and with contrast (70553) |
$648.32 |
$2,026 |
2.1× |
| X-ray lower spine, 4+ views (72110) |
$93.12 |
$291 |
1.0× |
| MRI lumbar spine without contrast (72148) |
$452.80 |
$1,415 |
2.1× |
| CT pelvis with contrast (72193) |
$326.08 |
$1,019 |
2.1× |
| MRI lower-extremity joint without contrast (73721) |
$675.84 |
$2,112 |
3.1× |
| CT abdomen and pelvis with contrast (74177) |
$488.96 |
$1,528 |
1.5× |
| Ultrasound, abdomen complete (76700) |
$104.96 |
$328 |
1.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$110.08 |
$344 |
1.2× |
| Ultrasound, transvaginal (76830) |
$86.72 |
$271 |
0.9× |
| Mammography, one breast (diagnostic) (77065) |
$72.96 |
$228 |
0.8× |
| Mammography, both breasts (diagnostic) (77066) |
$86.40 |
$270 |
0.8× |
| Mammography, screening (bilateral) (77067) |
$77.44 |
$242 |
0.8× |
| Basic metabolic panel (80048) |
$27.36 |
$85.50 |
3.2× |
| Comprehensive metabolic panel (80053) |
$20.16 |
$63 |
1.9× |
| Lipid panel (80061) |
$20.48 |
$64 |
1.5× |
| Renal function panel (80069) |
$17.92 |
$56 |
2.1× |
| Hepatic function panel (80076) |
$12.80 |
$40 |
1.6× |
| Urinalysis, non-automated, with microscopy (81000) |
$5.12 |
$16 |
1.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$3.84 |
$12 |
1.1× |
| PSA, total (84153) |
$32.64 |
$102 |
1.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$33.92 |
$106 |
2.0× |
| CBC with automated differential (85025) |
$14.72 |
$46 |
1.9× |
| CBC, automated (85027) |
$11.84 |
$37 |
1.8× |
| Prothrombin time (PT) (85610) |
$7.04 |
$22 |
1.6× |
| Partial thromboplastin time (PTT) (85730) |
$11.68 |
$36.50 |
1.9× |
| Psychotherapy, 30 minutes (90832) |
$40.64 |
$127 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$53.76 |
$168 |
0.3× |
| Psychotherapy, 60 minutes (90837) |
$53.76 |
$168 |
0.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$62.08 |
$194 |
0.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$62.08 |
$194 |
0.4× |
| Group psychotherapy (90853) |
$58.88 |
$184 |
0.6× |
| Left heart catheterization (93452) |
$5,758.72 |
$17,996 |
2.0× |
| Sleep study (attended polysomnography) (95810) |
$1,228.16 |
$3,838 |
1.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$53.12 |
$166 |
1.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$50.56 |
$158 |
0.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$53.44 |
$167 |
0.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$56 |
$175 |
0.5× |