| Breast lesion removal (open) (19120) |
$2,870.66 |
$11,041 |
0.7× |
| Shoulder arthroscopy with decompression (29826) |
$1,970.54 |
$7,579 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$2,437.50 |
$9,375 |
0.7× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$4,410.38 |
$16,963 |
0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$888.42 |
$3,417 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$855.92 |
$3,292 |
0.9× |
| Diagnostic colonoscopy (45378) |
$1,235.78 |
$4,753 |
1.3× |
| Colonoscopy with biopsy (45380) |
$1,369.68 |
$5,268 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,418.30 |
$5,455 |
1.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$776.36 |
$2,986 |
0.6× |
| Laparoscopic gallbladder removal (47562) |
$4,944.42 |
$19,017 |
0.8× |
| Inguinal hernia repair (age 5+) (49505) |
$2,198.56 |
$8,456 |
0.6× |
| Cataract removal with lens insertion (66984) |
$1,755 |
$6,750 |
0.7× |
| CT head/brain without contrast (70450) |
$113.88 |
$438 |
1.0× |
| MRI brain without contrast (70551) |
$231.66 |
$891 |
0.9× |
| MRI brain with contrast (70552) |
$339.30 |
$1,305 |
0.9× |
| MRI brain without and with contrast (70553) |
$390.52 |
$1,502 |
1.1× |
| X-ray lower spine, 4+ views (72110) |
$54.60 |
$210 |
0.5× |
| MRI lumbar spine without contrast (72148) |
$223.34 |
$859 |
0.9× |
| CT pelvis with contrast (72193) |
$287.56 |
$1,106 |
1.6× |
| MRI lower-extremity joint without contrast (73721) |
$251.68 |
$968 |
1.0× |
| CT abdomen and pelvis with contrast (74177) |
$368.16 |
$1,416 |
1.0× |
| Ultrasound, abdomen complete (76700) |
$128.70 |
$495 |
1.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$141.44 |
$544 |
1.3× |
| Ultrasound, transvaginal (76830) |
$138.58 |
$533 |
1.3× |
| Mammography, screening (bilateral) (77067) |
$152.88 |
$588 |
1.7× |
| Basic metabolic panel (80048) |
$16.51 |
$63.50 |
2.0× |
| Comprehensive metabolic panel (80053) |
$20.67 |
$79.50 |
2.0× |
| Lipid panel (80061) |
$26.26 |
$101 |
2.0× |
| Renal function panel (80069) |
$16.77 |
$64.50 |
1.9× |
| Hepatic function panel (80076) |
$15.99 |
$61.50 |
2.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$6.63 |
$25.50 |
1.9× |
| PSA, total (84153) |
$36.01 |
$138.50 |
2.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$32.63 |
$125.50 |
1.9× |
| CBC with automated differential (85025) |
$15.21 |
$58.50 |
2.0× |
| CBC, automated (85027) |
$12.74 |
$49 |
2.0× |
| Prothrombin time (PT) (85610) |
$8.58 |
$33 |
2.0× |
| Partial thromboplastin time (PTT) (85730) |
$11.44 |
$44 |
1.9× |
| Psychotherapy, 30 minutes (90832) |
$122.46 |
$471 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$170.56 |
$656 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$173.68 |
$668 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$139.88 |
$538 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$139.88 |
$538 |
0.8× |
| Group psychotherapy (90853) |
$82.42 |
$317 |
0.8× |
| Left heart catheterization (93452) |
$3,159.52 |
$12,152 |
0.9× |
| Sleep study (attended polysomnography) (95810) |
$1,889.68 |
$7,268 |
2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$48.10 |
$185 |
1.7× |