| Breast lesion removal (open) (19120) |
$2,731.20 |
$9,104 |
0.8× |
| Shoulder arthroscopy with decompression (29826) |
$1,598.09 |
$5,326.96 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,255.90 |
$10,853 |
1.1× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$2,817.90 |
$9,393 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,790.85 |
$5,969.50 |
2.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,169.55 |
$3,898.50 |
1.4× |
| Diagnostic colonoscopy (45378) |
$2,348.25 |
$7,827.50 |
2.8× |
| Colonoscopy with biopsy (45380) |
$1,559.40 |
$5,198 |
1.5× |
| Colonoscopy with lesion removal (45385) |
$2,339.10 |
$7,797 |
2.2× |
| Laparoscopic gallbladder removal (47562) |
$3,255.90 |
$10,853 |
0.6× |
| Inguinal hernia repair (age 5+) (49505) |
$3,250.20 |
$10,834 |
1.0× |
Laparoscopic radical prostatectomy (55866)
unusually low: confirm this is the full procedure |
$3,205.65 |
$10,685.50 |
0.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$726 |
$2,420 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$686.40 |
$2,288 |
0.9× |
| CT head/brain without contrast (70450) |
$659.70 |
$2,199 |
7.0× |
| MRI brain without contrast (70551) |
$1,532.10 |
$5,107 |
7.2× |
| MRI brain with contrast (70552) |
$1,232.25 |
$4,107.50 |
3.9× |
| MRI brain without and with contrast (70553) |
$2,095.80 |
$6,986 |
6.7× |
| X-ray lower spine, 4+ views (72110) |
$301.20 |
$1,004 |
3.2× |
| MRI lumbar spine without contrast (72148) |
$1,471.20 |
$4,904 |
6.9× |
| CT pelvis with contrast (72193) |
$1,722.60 |
$5,742 |
11.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,434.90 |
$4,783 |
6.7× |
| CT abdomen and pelvis with contrast (74177) |
$1,309.20 |
$4,364 |
4.2× |
| Ultrasound, abdomen complete (76700) |
$430.80 |
$1,436 |
4.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$334.50 |
$1,115 |
3.6× |
| Ultrasound, transvaginal (76830) |
$277.50 |
$925 |
3.0× |
| Mammography, one breast (diagnostic) (77065) |
$101.40 |
$338 |
1.2× |
| Mammography, both breasts (diagnostic) (77066) |
$132 |
$440 |
1.2× |
| Mammography, screening (bilateral) (77067) |
$23.70 |
$79 |
0.3× |
| Basic metabolic panel (80048) |
$93.75 |
$312.50 |
11.1× |
| Comprehensive metabolic panel (80053) |
$48.60 |
$162 |
4.6× |
| Obstetric panel (80055) |
$114 |
$380 |
2.4× |
| Lipid panel (80061) |
$34.35 |
$114.50 |
2.6× |
| Renal function panel (80069) |
$86.25 |
$287.50 |
9.9× |
| Hepatic function panel (80076) |
$91.80 |
$306 |
11.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$16.80 |
$56 |
4.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$13.65 |
$45.50 |
3.9× |
| PSA, total (84153) |
$83.40 |
$278 |
4.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$54.60 |
$182 |
3.2× |
| CBC with automated differential (85025) |
$22.50 |
$75 |
2.9× |
| CBC, automated (85027) |
$22.50 |
$75 |
3.5× |
| Prothrombin time (PT) (85610) |
$5.10 |
$17 |
1.2× |
| Partial thromboplastin time (PTT) (85730) |
$27.60 |
$92 |
4.6× |
| Left heart catheterization (93452) |
$2,715.30 |
$9,051 |
0.9× |
| Sleep study (attended polysomnography) (95810) |
$1,911.60 |
$6,372 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$96.75 |
$322.50 |
3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$111 |
$370 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$143.40 |
$478 |
1.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$188.10 |
$627 |
1.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$121.80 |
$406 |
1.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$134.70 |
$449 |
1.1× |