| Breast lesion removal (open) (19120) |
— |
$12,252.09 |
— |
| Knee arthroscopy with meniscectomy (29881) |
— |
$21,393.09 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$742 |
$2,650 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$742 |
$2,650 |
0.9× |
| Diagnostic colonoscopy (45378) |
$483.84 |
$1,728 |
0.6× |
| Colonoscopy with biopsy (45380) |
$483.84 |
$1,728 |
0.4× |
| Colonoscopy with lesion removal (45385) |
$483.84 |
$1,728 |
0.4× |
| Colonoscopy with endoscopic ultrasound (45391) |
$342.16 |
$1,222 |
0.3× |
| Laparoscopic gallbladder removal (47562) |
— |
$24,268.22 |
— |
| Inguinal hernia repair (age 5+) (49505) |
— |
$16,997.08 |
— |
| Laparoscopic radical prostatectomy (55866) |
— |
$45,725.54 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$390.32 |
$1,394 |
0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$593.88 |
$2,121 |
0.7× |
| CT head/brain without contrast (70450) |
$285.04 |
$1,018 |
2.9× |
| MRI brain without contrast (70551) |
$504 |
$1,800 |
2.3× |
| MRI brain with contrast (70552) |
$448 |
$1,600 |
1.4× |
| MRI brain without and with contrast (70553) |
$784.28 |
$2,801 |
2.4× |
| X-ray lower spine, 4+ views (72110) |
$104.16 |
$372 |
1.1× |
| MRI lumbar spine without contrast (72148) |
$504 |
$1,800 |
2.3× |
| CT pelvis with contrast (72193) |
$440.72 |
$1,574 |
2.7× |
| MRI lower-extremity joint without contrast (73721) |
$756 |
$2,700 |
3.4× |
| CT abdomen and pelvis with contrast (74177) |
$440.72 |
$1,574 |
1.3× |
| Ultrasound, abdomen complete (76700) |
$145.88 |
$521 |
1.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$141.40 |
$505 |
1.4× |
| Ultrasound, transvaginal (76830) |
$145.88 |
$521 |
1.5× |
| Mammography, one breast (diagnostic) (77065) |
$71.12 |
$254 |
0.8× |
| Mammography, both breasts (diagnostic) (77066) |
$120.12 |
$429 |
1.1× |
| Mammography, screening (bilateral) (77067) |
$97.44 |
$348 |
1.1× |
| Basic metabolic panel (80048) |
$33.04 |
$118 |
3.9× |
| Comprehensive metabolic panel (80053) |
$39.20 |
$140 |
3.7× |
| Lipid panel (80061) |
$15.96 |
$57 |
1.2× |
| Renal function panel (80069) |
$35 |
$125 |
4.0× |
| Hepatic function panel (80076) |
$47.88 |
$171 |
5.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$9.80 |
$35 |
2.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$5.04 |
$18 |
1.4× |
| PSA, total (84153) |
$28.28 |
$101 |
1.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$12.32 |
$44 |
0.7× |
| CBC with automated differential (85025) |
$13.16 |
$47 |
1.7× |
| CBC, automated (85027) |
$15.40 |
$55 |
2.4× |
| Prothrombin time (PT) (85610) |
$7.70 |
$27.50 |
1.8× |
| Partial thromboplastin time (PTT) (85730) |
$12.04 |
$43 |
2.0× |
| Left heart catheterization (93452) |
$1,854.72 |
$6,624 |
0.6× |
| Sleep study (attended polysomnography) (95810) |
$1,147.72 |
$4,099 |
1.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$89.32 |
$319 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$118.30 |
$422.50 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$195.30 |
$697.50 |
1.6× |