| Breast lesion removal (open) (19120) |
$1,313.10 |
$1,459 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$2,034.90 |
$2,261 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$2,965.50 |
$3,295 |
0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,464.30 |
$1,627 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,661.40 |
$1,846 |
1.8× |
| Diagnostic colonoscopy (45378) |
$959.40 |
$1,066 |
1.0× |
| Colonoscopy with biopsy (45380) |
$1,082.70 |
$1,203 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,398.60 |
$1,554 |
1.1× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$2,639.70 |
$2,933 |
0.4× |
| Inguinal hernia repair (age 5+) (49505) |
$1,974.60 |
$2,194 |
0.5× |
| Obstetric care, cesarean delivery (global) (59510) |
$6,666.30 |
$7,407 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$804.15 |
$893.50 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,444.95 |
$1,605.50 |
1.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$2,138.40 |
$2,376 |
3.8× |
| Cataract removal with lens insertion (66984) |
$2,524.50 |
$2,805 |
1.1× |
| CT head/brain without contrast (70450) |
$1,530 |
$1,700 |
14.2× |
| MRI brain without contrast (70551) |
$2,702.70 |
$3,003 |
11.0× |
| MRI brain with contrast (70552) |
$3,019.50 |
$3,355 |
8.4× |
| MRI brain without and with contrast (70553) |
$3,979.80 |
$4,422 |
11.1× |
| X-ray lower spine, 4+ views (72110) |
$391.50 |
$435 |
3.6× |
| MRI lumbar spine without contrast (72148) |
$2,719.80 |
$3,022 |
11.0× |
| CT pelvis with contrast (72193) |
$1,998.90 |
$2,221 |
11.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,669.40 |
$2,966 |
10.8× |
| CT abdomen and pelvis with contrast (74177) |
$3,545.10 |
$3,939 |
9.8× |
| Ultrasound, abdomen complete (76700) |
$608.40 |
$676 |
5.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$561.60 |
$624 |
5.2× |
| Ultrasound, transvaginal (76830) |
$438.30 |
$487 |
4.1× |
| Mammography, one breast (diagnostic) (77065) |
$276.30 |
$307 |
3.2× |
| Mammography, both breasts (diagnostic) (77066) |
$357.30 |
$397 |
3.2× |
| Mammography, screening (bilateral) (77067) |
$420.30 |
$467 |
4.6× |
| Basic metabolic panel (80048) |
$56.12 |
$62.36 |
6.6× |
| Comprehensive metabolic panel (80053) |
$129.60 |
$144 |
12.3× |
| Lipid panel (80061) |
$65.61 |
$72.90 |
4.9× |
| Renal function panel (80069) |
$67.02 |
$74.47 |
7.7× |
| Hepatic function panel (80076) |
$63.19 |
$70.21 |
7.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$92.70 |
$103 |
23.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$40.05 |
$44.50 |
11.5× |
| PSA, total (84153) |
$111.60 |
$124 |
6.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$65.38 |
$72.65 |
3.9× |
| CBC with automated differential (85025) |
$116.10 |
$129 |
14.9× |
| CBC, automated (85027) |
$43.95 |
$48.83 |
6.8× |
| Prothrombin time (PT) (85610) |
$71.10 |
$79 |
16.6× |
| Partial thromboplastin time (PTT) (85730) |
$92.70 |
$103 |
15.4× |
| Psychotherapy, 30 minutes (90832) |
$375.30 |
$417 |
2.0× |
| Psychotherapy, 45 minutes (90834) |
$454.95 |
$505.50 |
2.5× |
| Psychotherapy, 60 minutes (90837) |
$519.30 |
$577 |
2.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$472.05 |
$524.50 |
2.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$783 |
$870 |
4.3× |
| Group psychotherapy (90853) |
$950.85 |
$1,056.50 |
9.1× |
| Electrocardiogram (ECG), complete (93000) |
$158.40 |
$176 |
2.6× |
| Sleep study (attended polysomnography) (95810) |
$2,524.05 |
$2,804.50 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$174.15 |
$193.50 |
6.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$234 |
$260 |
1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$333 |
$370 |
2.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$424.35 |
$471.50 |
3.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$388.80 |
$432 |
2.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$552.60 |
$614 |
4.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$285.30 |
$317 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$300.15 |
$333.50 |
— |