| Breast lesion removal (open) (19120) |
$8,536 |
$8,536 |
2.2× |
| Shoulder arthroscopy with decompression (29826) |
$4,048 |
$4,048 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,512 |
$5,512 |
1.7× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$7,666 |
$7,666 |
1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,937 |
$2,937 |
3.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,937 |
$2,937 |
3.2× |
| Diagnostic colonoscopy (45378) |
$2,025 |
$2,025 |
2.2× |
| Colonoscopy with biopsy (45380) |
$2,072 |
$2,072 |
1.7× |
| Colonoscopy with lesion removal (45385) |
$2,260 |
$2,260 |
1.9× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,310 |
$2,310 |
1.9× |
| Laparoscopic gallbladder removal (47562) |
$12,800 |
$12,800 |
2.1× |
| Inguinal hernia repair (age 5+) (49505) |
$7,805 |
$7,805 |
2.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,647 |
$2,647 |
3.0× |
| Cataract removal with lens insertion (66984) |
$5,115 |
$5,115 |
2.2× |
| CT head/brain without contrast (70450) |
$1,430 |
$1,430 |
13.6× |
| MRI brain without contrast (70551) |
$1,430 |
$1,430 |
6.0× |
| MRI brain with contrast (70552) |
$1,409 |
$1,409 |
4.0× |
| MRI brain without and with contrast (70553) |
$2,090 |
$2,090 |
6.0× |
| X-ray lower spine, 4+ views (72110) |
$520 |
$520 |
5.0× |
| MRI lumbar spine without contrast (72148) |
$1,980 |
$1,980 |
8.3× |
| CT pelvis with contrast (72193) |
$1,430 |
$1,430 |
8.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,870 |
$1,870 |
5.3× |
| Ultrasound, abdomen complete (76700) |
$851 |
$851 |
8.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$535 |
$535 |
5.1× |
| Ultrasound, transvaginal (76830) |
$641 |
$641 |
6.1× |
| Mammography, one breast (diagnostic) (77065) |
$164 |
$164 |
1.9× |
| Mammography, both breasts (diagnostic) (77066) |
$370 |
$370 |
3.3× |
| Mammography, screening (bilateral) (77067) |
$220 |
$220 |
2.4× |
| Basic metabolic panel (80048) |
$84 |
$84 |
9.9× |
| Comprehensive metabolic panel (80053) |
$77 |
$77 |
7.3× |
| Lipid panel (80061) |
$114 |
$114 |
8.5× |
| Renal function panel (80069) |
$43 |
$43 |
5.0× |
| Hepatic function panel (80076) |
$46 |
$46 |
5.6× |
| PSA, total (84153) |
$107 |
$107 |
5.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$164 |
$164 |
9.8× |
| CBC with automated differential (85025) |
$66 |
$66 |
8.5× |
| CBC, automated (85027) |
$67 |
$67 |
10.4× |
| Prothrombin time (PT) (85610) |
$23 |
$23 |
5.4× |
| Partial thromboplastin time (PTT) (85730) |
$92 |
$92 |
15.3× |
| Psychotherapy, 30 minutes (90832) |
$215 |
$215 |
1.2× |
| Psychotherapy, 45 minutes (90834) |
$285 |
$285 |
1.6× |
| Psychotherapy, 60 minutes (90837) |
$400 |
$400 |
2.2× |
| Electrocardiogram (ECG), complete (93000) |
$85 |
$85 |
1.4× |
| Sleep study (attended polysomnography) (95810) |
$3,805 |
$3,805 |
4.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$143 |
$143 |
4.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$154 |
$154 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$227 |
$227 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$281 |
$281 |
2.1× |