| Breast lesion removal (open) (19120) |
$612.80 |
$766 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$727.60 |
$909.50 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,761.20 |
$2,201.50 |
0.5× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$5,239.20 |
$6,549 |
0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$546.80 |
$683.50 |
0.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$563.20 |
$704 |
0.6× |
| Diagnostic colonoscopy (45378) |
$697.20 |
$871.50 |
0.7× |
| Colonoscopy with biopsy (45380) |
$782.80 |
$978.50 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$940.40 |
$1,175.50 |
0.8× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$2,451.20 |
$3,064 |
0.4× |
| Inguinal hernia repair (age 5+) (49505) |
$1,614.40 |
$2,018 |
0.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$156 |
$195 |
0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$501.20 |
$626.50 |
0.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$710.40 |
$888 |
1.3× |
| Cataract removal with lens insertion (66984) |
$2,655.20 |
$3,319 |
1.1× |
| CT head/brain without contrast (70450) |
$804 |
$1,005 |
7.7× |
| MRI brain without contrast (70551) |
$1,524.80 |
$1,906 |
6.4× |
| MRI brain with contrast (70552) |
$1,768.80 |
$2,211 |
5.1× |
| MRI brain without and with contrast (70553) |
$2,280.80 |
$2,851 |
6.5× |
| X-ray lower spine, 4+ views (72110) |
$248 |
$310 |
2.4× |
| MRI lumbar spine without contrast (72148) |
$1,829.60 |
$2,287 |
7.7× |
| CT pelvis with contrast (72193) |
$877.60 |
$1,097 |
5.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,464 |
$1,830 |
6.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,755.20 |
$2,194 |
5.0× |
| Ultrasound, abdomen complete (76700) |
$556 |
$695 |
5.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$531.20 |
$664 |
5.1× |
| Ultrasound, transvaginal (76830) |
$478.40 |
$598 |
4.6× |
| Mammography, one breast (diagnostic) (77065) |
$200 |
$250 |
2.3× |
| Mammography, both breasts (diagnostic) (77066) |
$268 |
$335 |
2.4× |
| Mammography, screening (bilateral) (77067) |
$228 |
$285 |
2.5× |
| Basic metabolic panel (80048) |
$126.40 |
$158 |
14.9× |
| Comprehensive metabolic panel (80053) |
$148.80 |
$186 |
14.1× |
| Lipid panel (80061) |
$76 |
$95 |
5.7× |
| Renal function panel (80069) |
$138.40 |
$173 |
15.9× |
| Hepatic function panel (80076) |
$101.60 |
$127 |
12.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$34.40 |
$43 |
8.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$27.20 |
$34 |
7.8× |
| PSA, total (84153) |
$77.60 |
$97 |
4.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$74.40 |
$93 |
4.4× |
| CBC with automated differential (85025) |
$56.80 |
$71 |
7.3× |
| CBC, automated (85027) |
$27.20 |
$34 |
4.2× |
| Prothrombin time (PT) (85610) |
$26.40 |
$33 |
6.2× |
| Partial thromboplastin time (PTT) (85730) |
$34.40 |
$43 |
5.7× |
| Psychotherapy, 30 minutes (90832) |
$252 |
$315 |
1.4× |
| Psychotherapy, 45 minutes (90834) |
$264 |
$330 |
1.5× |
| Psychotherapy, 60 minutes (90837) |
$280 |
$350 |
1.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$112 |
$140 |
0.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$128 |
$160 |
0.7× |
| Group psychotherapy (90853) |
$42.40 |
$53 |
0.4× |
| Sleep study (attended polysomnography) (95810) |
$1,836 |
$2,295 |
2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$88 |
$110 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$156 |
$195 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$184 |
$230 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$150.80 |
$188.50 |
1.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$221.60 |
$277 |
1.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$267.20 |
$334 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$120 |
$150 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$120 |
$150 |
— |