| Breast lesion removal (open) (19120) |
$6,932.28 |
$6,932.28 |
1.9× |
| Shoulder arthroscopy with decompression (29826) |
$5,997.98 |
$5,997.98 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$6,134.02 |
$6,134.02 |
2.0× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$9,954.02 |
$9,954.02 |
1.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,953.58 |
$1,953.58 |
2.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,258.24 |
$2,258.24 |
2.7× |
| Diagnostic colonoscopy (45378) |
$952.98 |
$952.98 |
1.1× |
| Colonoscopy with biopsy (45380) |
$1,043.90 |
$1,043.90 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,130.16 |
$1,130.16 |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$10,461.28 |
$10,461.28 |
1.9× |
| Inguinal hernia repair (age 5+) (49505) |
$6,417.61 |
$6,417.61 |
1.9× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,030 |
$4,030 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$7,789.30 |
$7,789.30 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$4,220 |
$4,220 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$754.29 |
$754.29 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,487.64 |
$1,487.64 |
1.8× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$2,730.03 |
$2,730.03 |
5.4× |
| Cataract removal with lens insertion (66984) |
$8,117.37 |
$8,117.37 |
3.8× |
| CT head/brain without contrast (70450) |
$1,372.59 |
$1,372.59 |
14.3× |
| MRI brain without contrast (70551) |
$1,578.63 |
$1,578.63 |
7.2× |
| MRI brain with contrast (70552) |
$1,578.63 |
$1,578.63 |
4.9× |
| MRI brain without and with contrast (70553) |
$1,578.63 |
$1,578.63 |
4.9× |
| X-ray lower spine, 4+ views (72110) |
$106 |
$106 |
1.1× |
| MRI lumbar spine without contrast (72148) |
$1,578.63 |
$1,578.63 |
7.2× |
| CT pelvis with contrast (72193) |
$1,075.99 |
$1,075.99 |
6.7× |
| MRI lower-extremity joint without contrast (73721) |
$3,064.32 |
$3,064.32 |
14.0× |
| CT abdomen and pelvis with contrast (74177) |
$1,372.59 |
$1,372.59 |
4.3× |
| Ultrasound, abdomen complete (76700) |
$235 |
$235 |
2.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$313.46 |
$313.46 |
3.3× |
| Ultrasound, transvaginal (76830) |
$212.50 |
$212.50 |
2.2× |
| Mammography, one breast (diagnostic) (77065) |
$369.66 |
$369.66 |
4.3× |
| Mammography, both breasts (diagnostic) (77066) |
$369.66 |
$369.66 |
3.3× |
| Mammography, screening (bilateral) (77067) |
$369.66 |
$369.66 |
4.1× |
| Basic metabolic panel (80048) |
$49.48 |
$49.48 |
5.8× |
| Comprehensive metabolic panel (80053) |
$64.02 |
$64.02 |
6.1× |
| Obstetric panel (80055) |
$196.58 |
$196.58 |
4.1× |
| Lipid panel (80061) |
$84.77 |
$84.77 |
6.3× |
| Renal function panel (80069) |
$47.98 |
$47.98 |
5.5× |
| Hepatic function panel (80076) |
$67.82 |
$67.82 |
8.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$11.05 |
$11.05 |
2.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$21.20 |
$21.20 |
6.1× |
| PSA, total (84153) |
$133.42 |
$133.42 |
7.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$95.96 |
$95.96 |
5.7× |
| CBC with automated differential (85025) |
$40.08 |
$40.08 |
5.2× |
| CBC, automated (85027) |
$41.70 |
$41.70 |
6.4× |
| Prothrombin time (PT) (85610) |
$31.62 |
$31.62 |
7.4× |
| Partial thromboplastin time (PTT) (85730) |
$44.80 |
$44.80 |
7.5× |
| Psychotherapy, 30 minutes (90832) |
$328.40 |
$328.40 |
2.0× |
| Psychotherapy, 45 minutes (90834) |
$309.55 |
$309.55 |
1.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$385 |
$385 |
2.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$332.99 |
$332.99 |
2.0× |
| Group psychotherapy (90853) |
$196.40 |
$196.40 |
2.1× |
| Electrocardiogram (ECG), complete (93000) |
$40.44 |
$40.44 |
0.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$79.86 |
$79.86 |
2.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$315.12 |
$315.12 |
2.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$470.55 |
$470.55 |
3.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$621.42 |
$621.42 |
5.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$220 |
$220 |
1.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$272 |
$272 |
2.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$250 |
$250 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$260 |
$260 |
— |