| Breast lesion removal (open) (19120) |
$998 |
$1,426 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$186 |
$265 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,073 |
$1,533 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,027 |
$1,467 |
1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$883 |
$1,261.50 |
1.1× |
| Diagnostic colonoscopy (45378) |
$819 |
$1,170.50 |
1.0× |
| Colonoscopy with biopsy (45380) |
$1,240 |
$1,772 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,123 |
$1,604 |
1.0× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$1,694 |
$2,420 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,270.50 |
$1,210 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$905.50 |
$1,293.50 |
1.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$526 |
$751 |
1.0× |
| Cataract removal with lens insertion (66984) |
$3,091 |
$4,416 |
1.5× |
| CT head/brain without contrast (70450) |
$735 |
$1,049.50 |
7.6× |
| MRI brain without contrast (70551) |
$1,794 |
$2,563 |
8.2× |
| MRI brain with contrast (70552) |
$1,476 |
$2,108.50 |
4.6× |
| MRI brain without and with contrast (70553) |
$1,618 |
$2,311.50 |
5.0× |
| X-ray lower spine, 4+ views (72110) |
$74 |
$105 |
0.8× |
| MRI lumbar spine without contrast (72148) |
$1,148.50 |
$1,640.50 |
5.2× |
| CT pelvis with contrast (72193) |
$818.50 |
$1,169 |
5.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,034 |
$1,477 |
4.7× |
| CT abdomen and pelvis with contrast (74177) |
$2,450 |
$3,500 |
7.6× |
| Ultrasound, abdomen complete (76700) |
$460 |
$657.50 |
4.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$335 |
$479 |
3.5× |
| Ultrasound, transvaginal (76830) |
$325 |
$464.50 |
3.4× |
| Mammography, one breast (diagnostic) (77065) |
$213 |
$304.50 |
2.5× |
| Mammography, both breasts (diagnostic) (77066) |
$411 |
$587 |
3.7× |
| Mammography, screening (bilateral) (77067) |
$216 |
$308.50 |
2.4× |
| Basic metabolic panel (80048) |
$31.50 |
$45 |
3.7× |
| Comprehensive metabolic panel (80053) |
$23 |
$32.50 |
2.2× |
| Lipid panel (80061) |
$45.50 |
$64.50 |
3.4× |
| Renal function panel (80069) |
$17 |
$24 |
2.0× |
| Hepatic function panel (80076) |
$55 |
$78 |
6.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$10 |
$14 |
2.9× |
| PSA, total (84153) |
$59 |
$84 |
3.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$21 |
$30 |
1.3× |
| CBC with automated differential (85025) |
$28 |
$40 |
3.6× |
| CBC, automated (85027) |
$34 |
$48 |
5.3× |
| Prothrombin time (PT) (85610) |
$34 |
$48 |
7.9× |
| Partial thromboplastin time (PTT) (85730) |
$38 |
$54 |
6.3× |
| Psychotherapy, 30 minutes (90832) |
$154 |
$220 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$204 |
$291 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$300 |
$428 |
1.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$196 |
$280 |
1.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$204 |
$292 |
1.2× |
| Group psychotherapy (90853) |
$55 |
$78 |
0.6× |
| Electrocardiogram (ECG), complete (93000) |
$50 |
$71 |
0.9× |
| Sleep study (attended polysomnography) (95810) |
$2,448 |
$3,497 |
3.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$88.50 |
$126.50 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$177 |
$253 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$254.50 |
$364 |
2.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$335 |
$479 |
2.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$198 |
$283 |
1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$284 |
$406 |
2.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$189 |
$270 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$224 |
$320 |
— |