| Breast lesion removal (open) (19120) |
$374 |
$440 |
0.1× |
| Shoulder arthroscopy with decompression (29826) |
$4,617.20 |
$5,432 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,041.75 |
$4,755 |
1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$849.15 |
$999 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$942.65 |
$1,109 |
1.1× |
| Diagnostic colonoscopy (45378) |
$1,055.70 |
$1,242 |
1.2× |
| Colonoscopy with biopsy (45380) |
$1,160.68 |
$1,365.50 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,247.38 |
$1,467.50 |
1.1× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$2,688.55 |
$3,163 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$1,275 |
$1,500 |
0.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$410.98 |
$483.50 |
0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$592.88 |
$697.50 |
0.7× |
| Cataract removal with lens insertion (66984) |
$3,937.20 |
$4,632 |
1.9× |
| CT head/brain without contrast (70450) |
$537.20 |
$632 |
5.6× |
| MRI brain without contrast (70551) |
$697 |
$820 |
3.2× |
| MRI brain with contrast (70552) |
$722.50 |
$850 |
2.3× |
| MRI brain without and with contrast (70553) |
$770.10 |
$906 |
2.4× |
| X-ray lower spine, 4+ views (72110) |
$424.32 |
$499.20 |
4.4× |
| MRI lumbar spine without contrast (72148) |
$697 |
$820 |
3.2× |
| CT pelvis with contrast (72193) |
$544 |
$640 |
3.4× |
| MRI lower-extremity joint without contrast (73721) |
$697 |
$820 |
3.2× |
| CT abdomen and pelvis with contrast (74177) |
$544 |
$640 |
1.7× |
| Ultrasound, abdomen complete (76700) |
$335.75 |
$395 |
3.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$325.55 |
$383 |
3.4× |
| Ultrasound, transvaginal (76830) |
$194.65 |
$229 |
2.0× |
| Mammography, one breast (diagnostic) (77065) |
$158.95 |
$187 |
1.8× |
| Mammography, both breasts (diagnostic) (77066) |
$177.65 |
$209 |
1.6× |
| Mammography, screening (bilateral) (77067) |
$177.65 |
$209 |
1.9× |
| Basic metabolic panel (80048) |
$56.10 |
$66 |
6.6× |
| Comprehensive metabolic panel (80053) |
$79.05 |
$93 |
7.5× |
| Obstetric panel (80055) |
$190.40 |
$224 |
4.0× |
| Lipid panel (80061) |
$64.60 |
$76 |
4.8× |
| Renal function panel (80069) |
$61.20 |
$72 |
7.1× |
| Hepatic function panel (80076) |
$50.15 |
$59 |
6.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$17 |
$20 |
4.9× |
| PSA, total (84153) |
$71.82 |
$84.50 |
3.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$55.25 |
$65 |
3.3× |
| CBC with automated differential (85025) |
$32.30 |
$38 |
4.2× |
| CBC, automated (85027) |
$32.30 |
$38 |
5.0× |
| Prothrombin time (PT) (85610) |
$22.95 |
$27 |
5.3× |
| Partial thromboplastin time (PTT) (85730) |
$29.75 |
$35 |
5.0× |
| Psychotherapy, 30 minutes (90832) |
$183.60 |
$216 |
1.1× |
| Psychotherapy, 45 minutes (90834) |
$207.82 |
$244.50 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$249.90 |
$294 |
1.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$218.02 |
$256.50 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$149.60 |
$176 |
0.9× |
| Group psychotherapy (90853) |
$250.75 |
$295 |
2.7× |
| Electrocardiogram (ECG), complete (93000) |
$81.60 |
$96 |
1.5× |
| Sleep study (attended polysomnography) (95810) |
$1,062.50 |
$1,250 |
1.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$55.68 |
$65.50 |
1.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$184.88 |
$217.50 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$217.60 |
$256 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$234.60 |
$276 |
1.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$193.80 |
$228 |
1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$266.05 |
$313 |
2.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$156.40 |
$184 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$177.65 |
$209 |
— |