| Breast lesion removal (open) (19120) |
$2,422.64 |
$5,506 |
0.7× |
| Knee arthroscopy with meniscectomy (29881) |
$3,498.88 |
$7,952 |
1.2× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$2,726.68 |
$6,197 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,005.40 |
$2,285 |
1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,005.40 |
$2,285 |
1.2× |
| Diagnostic colonoscopy (45378) |
$1,067 |
$2,425 |
1.3× |
| Colonoscopy with biopsy (45380) |
$1,067 |
$2,425 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,067 |
$2,425 |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$5,365.80 |
$12,195 |
1.0× |
| Inguinal hernia repair (age 5+) (49505) |
$5,355.24 |
$12,171 |
1.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$749.76 |
$1,704 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$749.76 |
$1,704 |
0.9× |
| Cataract removal with lens insertion (66984) |
$2,906.64 |
$6,606 |
1.4× |
| CT head/brain without contrast (70450) |
$370.48 |
$842 |
3.9× |
| MRI brain without contrast (70551) |
$739.64 |
$1,681 |
3.4× |
| MRI brain with contrast (70552) |
$785.84 |
$1,786 |
2.5× |
| MRI brain without and with contrast (70553) |
$1,072.28 |
$2,437 |
3.4× |
| X-ray lower spine, 4+ views (72110) |
$229.68 |
$522 |
2.4× |
| MRI lumbar spine without contrast (72148) |
$739.64 |
$1,681 |
3.4× |
| CT pelvis with contrast (72193) |
$536.80 |
$1,220 |
3.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,109.46 |
$2,521.50 |
5.1× |
| CT abdomen and pelvis with contrast (74177) |
$688.16 |
$1,564 |
2.2× |
| Ultrasound, abdomen complete (76700) |
$155.32 |
$353 |
1.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$165.88 |
$377 |
1.8× |
| Ultrasound, transvaginal (76830) |
$146.96 |
$334 |
1.6× |
| Mammography, one breast (diagnostic) (77065) |
$114.84 |
$261 |
1.3× |
| Mammography, both breasts (diagnostic) (77066) |
$135.08 |
$307 |
1.2× |
| Mammography, screening (bilateral) (77067) |
$128.92 |
$293 |
1.4× |
| Basic metabolic panel (80048) |
$26.84 |
$61 |
3.2× |
| Comprehensive metabolic panel (80053) |
$33.88 |
$77 |
3.2× |
| Lipid panel (80061) |
$28.16 |
$64 |
2.1× |
| Renal function panel (80069) |
$20.24 |
$46 |
2.3× |
| Hepatic function panel (80076) |
$19.36 |
$44 |
2.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$7.48 |
$17 |
1.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$5.72 |
$13 |
1.6× |
| PSA, total (84153) |
$43.12 |
$98 |
2.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$39.16 |
$89 |
2.3× |
| CBC with automated differential (85025) |
$24.64 |
$56 |
3.2× |
| CBC, automated (85027) |
$15.40 |
$35 |
2.4× |
| Prothrombin time (PT) (85610) |
$12.76 |
$29 |
3.0× |
| Partial thromboplastin time (PTT) (85730) |
$15.18 |
$34.50 |
2.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$55 |
$125 |
0.3× |
| Group psychotherapy (90853) |
$37.84 |
$86 |
0.4× |
| Left heart catheterization (93452) |
$7,788 |
$17,700 |
2.7× |
| Sleep study (attended polysomnography) (95810) |
$1,626.24 |
$3,696 |
2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$72.60 |
$165 |
2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$73.04 |
$166 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$77 |
$175 |
0.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$80.96 |
$184 |
0.7× |