| Breast lesion removal (open) (19120) |
$1,480.05 |
$6,727.50 |
0.4× |
| Shoulder arthroscopy with decompression (29826) |
$12,874.14 |
$58,518.80 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$7,972.09 |
$36,236.78 |
2.6× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$7,103.67 |
$32,289.42 |
1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$635.80 |
$2,890 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$635.80 |
$2,890 |
0.7× |
| Diagnostic colonoscopy (45378) |
$674.74 |
$3,067 |
0.8× |
| Colonoscopy with biopsy (45380) |
$674.74 |
$3,067 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$674.74 |
$3,067 |
0.6× |
| Colonoscopy with endoscopic ultrasound (45391) |
$809.60 |
$3,680 |
0.7× |
| Laparoscopic gallbladder removal (47562) |
$3,393.28 |
$15,424 |
0.6× |
| Inguinal hernia repair (age 5+) (49505) |
$10,169.84 |
$46,226.55 |
3.0× |
| Laparoscopic radical prostatectomy (55866) |
$33,277.59 |
$151,261.78 |
3.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$784.74 |
$3,567 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$172.04 |
$782 |
0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$334.95 |
$1,522.50 |
0.4× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$685.74 |
$3,117 |
1.3× |
| Cataract removal with lens insertion (66984) |
$5,686.29 |
$25,846.79 |
2.6× |
| CT head/brain without contrast (70450) |
$235.62 |
$1,071 |
2.4× |
| MRI brain without contrast (70551) |
$582.34 |
$2,647 |
2.6× |
| MRI brain with contrast (70552) |
$628.76 |
$2,858 |
1.9× |
| MRI brain without and with contrast (70553) |
$667.48 |
$3,034 |
2.0× |
| X-ray lower spine, 4+ views (72110) |
$67.32 |
$306 |
0.7× |
| MRI lumbar spine without contrast (72148) |
$465.96 |
$2,118 |
2.1× |
| CT pelvis with contrast (72193) |
$335.72 |
$1,526 |
2.0× |
| MRI lower-extremity joint without contrast (73721) |
$522.06 |
$2,373 |
2.3× |
| CT abdomen and pelvis with contrast (74177) |
$503.36 |
$2,288 |
1.5× |
| Ultrasound, abdomen complete (76700) |
$107.80 |
$490 |
1.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$113.30 |
$515 |
1.2× |
| Ultrasound, transvaginal (76830) |
$89.32 |
$406 |
0.9× |
| Mammography, one breast (diagnostic) (77065) |
$80.74 |
$367 |
0.9× |
| Mammography, both breasts (diagnostic) (77066) |
$102.96 |
$468 |
0.9× |
| Mammography, screening (bilateral) (77067) |
$85.36 |
$388 |
0.9× |
| Basic metabolic panel (80048) |
$19.69 |
$89.50 |
2.3× |
| Comprehensive metabolic panel (80053) |
$14.52 |
$66 |
1.4× |
| Lipid panel (80061) |
$14.74 |
$67 |
1.1× |
| Renal function panel (80069) |
$12.76 |
$58 |
1.5× |
| Hepatic function panel (80076) |
$9.24 |
$42 |
1.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$3.52 |
$16 |
0.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$2.64 |
$12 |
0.8× |
| PSA, total (84153) |
$25.96 |
$118 |
1.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$27.28 |
$124 |
1.6× |
| CBC with automated differential (85025) |
$10.56 |
$48 |
1.4× |
| CBC, automated (85027) |
$8.36 |
$38 |
1.3× |
| Prothrombin time (PT) (85610) |
$5.06 |
$23 |
1.2× |
| Partial thromboplastin time (PTT) (85730) |
$8.14 |
$37 |
1.4× |
| Psychotherapy, 30 minutes (90832) |
$44.22 |
$201 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$58.96 |
$268 |
0.4× |
| Psychotherapy, 60 minutes (90837) |
$73.70 |
$335 |
0.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$73.70 |
$335 |
0.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$73.70 |
$335 |
0.4× |
| Group psychotherapy (90853) |
$71.94 |
$327 |
0.8× |
| Left heart catheterization (93452) |
$4,661.58 |
$21,189 |
1.5× |
| Sleep study (attended polysomnography) (95810) |
$888.58 |
$4,039 |
1.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$38.28 |
$174 |
1.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$36.52 |
$166 |
0.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$38.50 |
$175 |
0.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$40.48 |
$184 |
0.3× |