| Breast lesion removal (open) (19120) |
$1,757.25 |
$2,343 |
0.5× |
| Shoulder arthroscopy with decompression (29826) |
$1,078.50 |
$1,438 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,414.50 |
$5,886 |
1.5× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,038.50 |
$2,718 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$599.25 |
$799 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$608.62 |
$811.50 |
0.7× |
| Diagnostic colonoscopy (45378) |
$849 |
$1,132 |
1.0× |
| Colonoscopy with biopsy (45380) |
$891.75 |
$1,189 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$1,049 |
$1,398.66 |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$3,512.25 |
$4,683 |
0.6× |
| Inguinal hernia repair (age 5+) (49505) |
$2,550 |
$3,400 |
0.8× |
| Obstetric care, vaginal delivery (global) (59400) |
$2,464.28 |
$3,285.71 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$2,437.50 |
$3,250 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$649.50 |
$866 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$453 |
$604 |
0.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,156.88 |
$1,542.50 |
2.3× |
| Cataract removal with lens insertion (66984) |
$3,115.50 |
$4,154 |
1.5× |
| CT head/brain without contrast (70450) |
$900 |
$1,200 |
9.4× |
| MRI brain without contrast (70551) |
$1,350 |
$1,800 |
6.2× |
| MRI brain with contrast (70552) |
$1,350 |
$1,800 |
4.2× |
| MRI brain without and with contrast (70553) |
$1,462.50 |
$1,950 |
4.6× |
| X-ray lower spine, 4+ views (72110) |
$366 |
$488 |
3.8× |
| MRI lumbar spine without contrast (72148) |
$1,350 |
$1,800 |
6.2× |
| CT pelvis with contrast (72193) |
$900 |
$1,200 |
5.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,350 |
$1,800 |
6.2× |
| CT abdomen and pelvis with contrast (74177) |
$900 |
$1,200 |
2.8× |
| Ultrasound, abdomen complete (76700) |
$720 |
$960 |
7.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$292.50 |
$390 |
3.0× |
| Ultrasound, transvaginal (76830) |
$216.75 |
$289 |
2.3× |
| Mammography, one breast (diagnostic) (77065) |
$131.25 |
$175 |
1.5× |
| Mammography, both breasts (diagnostic) (77066) |
$150 |
$200 |
1.4× |
| Mammography, screening (bilateral) (77067) |
$150 |
$200 |
1.6× |
| Basic metabolic panel (80048) |
$57.75 |
$77 |
6.8× |
| Comprehensive metabolic panel (80053) |
$95.25 |
$127 |
9.0× |
| Obstetric panel (80055) |
$249 |
$332 |
5.2× |
| Lipid panel (80061) |
$82.50 |
$110 |
6.2× |
| Renal function panel (80069) |
$103.50 |
$138 |
11.9× |
| Hepatic function panel (80076) |
$178.50 |
$238 |
21.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$12.75 |
$17 |
3.7× |
| PSA, total (84153) |
$87 |
$116 |
4.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$51.75 |
$69 |
3.1× |
| CBC with automated differential (85025) |
$47.25 |
$63 |
6.1× |
| CBC, automated (85027) |
$33 |
$44 |
5.1× |
| Prothrombin time (PT) (85610) |
$22.88 |
$30.50 |
5.3× |
| Partial thromboplastin time (PTT) (85730) |
$54 |
$72 |
9.0× |
| Psychotherapy, 30 minutes (90832) |
$168.75 |
$225 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$183.75 |
$245 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$195 |
$260 |
1.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$393.75 |
$525 |
2.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$393.75 |
$525 |
2.4× |
| Group psychotherapy (90853) |
$468.75 |
$625 |
5.0× |
| Electrocardiogram (ECG), complete (93000) |
$56.25 |
$75 |
1.0× |
| Sleep study (attended polysomnography) (95810) |
$1,725 |
$2,300 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$59.25 |
$79 |
2.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$79.12 |
$105.50 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$103.50 |
$138 |
0.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$141.75 |
$189 |
1.2× |