| Breast lesion removal (open) (19120) |
$3,255 |
$5,008 |
0.8× |
| Knee arthroscopy with meniscectomy (29881) |
$3,626 |
$5,579 |
1.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,386 |
$5,209 |
3.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,464 |
$3,791 |
2.7× |
| Diagnostic colonoscopy (45378) |
$2,200 |
$3,385 |
2.4× |
| Colonoscopy with biopsy (45380) |
$2,484 |
$3,822 |
2.1× |
| Colonoscopy with lesion removal (45385) |
$2,707 |
$4,164 |
2.3× |
| Laparoscopic gallbladder removal (47562) |
$4,897 |
$7,534 |
0.8× |
| Inguinal hernia repair (age 5+) (49505) |
$4,434 |
$6,821 |
1.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,218 |
$4,950 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$3,625 |
$5,577 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$3,444 |
$5,298 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$383.50 |
$589.50 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,138 |
$1,750 |
1.3× |
| CT head/brain without contrast (70450) |
$1,342 |
$2,065 |
12.8× |
| MRI brain without contrast (70551) |
$1,676 |
$2,578 |
7.0× |
| MRI brain with contrast (70552) |
$2,010 |
$3,093 |
5.7× |
| MRI brain without and with contrast (70553) |
$2,265 |
$3,484 |
6.5× |
| X-ray lower spine, 4+ views (72110) |
$364 |
$560.50 |
3.5× |
| MRI lumbar spine without contrast (72148) |
$1,676 |
$2,578 |
7.0× |
| CT pelvis with contrast (72193) |
$1,513 |
$2,328 |
8.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,676 |
$2,578 |
7.0× |
| CT abdomen and pelvis with contrast (74177) |
$3,028 |
$4,658 |
8.6× |
| Ultrasound, abdomen complete (76700) |
$654 |
$1,006 |
6.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$273 |
$420 |
2.6× |
| Ultrasound, transvaginal (76830) |
$393 |
$605 |
3.7× |
| Mammography, one breast (diagnostic) (77065) |
$168.50 |
$258.50 |
2.0× |
| Mammography, both breasts (diagnostic) (77066) |
$265 |
$407 |
2.4× |
| Mammography, screening (bilateral) (77067) |
$219 |
$336.50 |
2.4× |
| Basic metabolic panel (80048) |
$125 |
$192.50 |
14.8× |
| Comprehensive metabolic panel (80053) |
$133.50 |
$206 |
12.6× |
| Obstetric panel (80055) |
$190 |
$292.50 |
4.0× |
| Lipid panel (80061) |
$84 |
$129 |
6.3× |
| Renal function panel (80069) |
$131.50 |
$203 |
15.1× |
| Hepatic function panel (80076) |
$111 |
$171 |
13.6× |
| Urinalysis, non-automated, with microscopy (81000) |
$13 |
$20 |
3.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$18.50 |
$28.50 |
5.3× |
| PSA, total (84153) |
$88 |
$136 |
4.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$111.50 |
$171.50 |
6.6× |
| CBC with automated differential (85025) |
$59.50 |
$91.50 |
7.7× |
| CBC, automated (85027) |
$46 |
$70.50 |
7.1× |
| Prothrombin time (PT) (85610) |
$36 |
$55 |
8.4× |
| Partial thromboplastin time (PTT) (85730) |
$54 |
$83 |
9.0× |
| Psychotherapy, 30 minutes (90832) |
$81 |
$124 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$111 |
$170 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$130 |
$200 |
0.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$130 |
$200 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$130 |
$200 |
0.7× |
| Sleep study (attended polysomnography) (95810) |
$2,360 |
$3,630 |
2.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$70 |
$107 |
2.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$93 |
$143 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$65 |
$100 |
0.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$72 |
$110 |
0.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$139 |
$214 |
1.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$198 |
$305 |
1.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$99 |
$152 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$116.50 |
$179.50 |
— |