| Breast lesion removal (open) (19120) |
$2,973.97 |
$17,493.94 |
0.8× |
| Knee arthroscopy with meniscectomy (29881) |
$3,088.24 |
$18,166.12 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$304.62 |
$1,903.88 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$304.62 |
$1,903.88 |
0.4× |
| Diagnostic colonoscopy (45378) |
$297.96 |
$1,862.23 |
0.4× |
| Colonoscopy with biopsy (45380) |
$391.92 |
$2,449.48 |
0.4× |
| Colonoscopy with lesion removal (45385) |
$391.92 |
$2,449.48 |
0.4× |
| Colonoscopy with endoscopic ultrasound (45391) |
$391.92 |
$2,449.48 |
0.4× |
| Laparoscopic gallbladder removal (47562) |
$6,981.17 |
$41,065.73 |
1.3× |
| Inguinal hernia repair (age 5+) (49505) |
$5,595.60 |
$32,915.31 |
1.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$189.44 |
$1,184 |
0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$340.80 |
$2,130 |
0.4× |
| CT head/brain without contrast (70450) |
$293.44 |
$1,834 |
3.1× |
| MRI brain without contrast (70551) |
$468.96 |
$2,931 |
2.2× |
| MRI brain with contrast (70552) |
$556.16 |
$3,476 |
1.8× |
| MRI brain without and with contrast (70553) |
$907.04 |
$5,669 |
2.9× |
| X-ray lower spine, 4+ views (72110) |
$75.84 |
$474 |
0.8× |
| MRI lumbar spine without contrast (72148) |
$477.28 |
$2,983 |
2.2× |
| CT pelvis with contrast (72193) |
$347.68 |
$2,173 |
2.2× |
| MRI lower-extremity joint without contrast (73721) |
$680.40 |
$4,252.50 |
3.1× |
| CT abdomen and pelvis with contrast (74177) |
$702.88 |
$4,393 |
2.2× |
| Ultrasound, abdomen complete (76700) |
$135.68 |
$848 |
1.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$169.92 |
$1,062 |
1.8× |
| Ultrasound, transvaginal (76830) |
$91.68 |
$573 |
1.0× |
| Mammography, one breast (diagnostic) (77065) |
$56.96 |
$356 |
0.7× |
| Mammography, both breasts (diagnostic) (77066) |
$113.92 |
$712 |
1.0× |
| Mammography, screening (bilateral) (77067) |
$65.60 |
$410 |
0.7× |
| Basic metabolic panel (80048) |
$59.36 |
$371 |
7.0× |
| Comprehensive metabolic panel (80053) |
$77.92 |
$487 |
7.4× |
| Lipid panel (80061) |
$40.24 |
$251.50 |
3.0× |
| Renal function panel (80069) |
$68.96 |
$431 |
7.9× |
| Hepatic function panel (80076) |
$73.60 |
$460 |
9.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$4.48 |
$28 |
1.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$3.12 |
$19.50 |
0.9× |
| PSA, total (84153) |
$45.60 |
$285 |
2.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$39.04 |
$244 |
2.3× |
| CBC with automated differential (85025) |
$29.60 |
$185 |
3.8× |
| CBC, automated (85027) |
$25.28 |
$158 |
3.9× |
| Prothrombin time (PT) (85610) |
$17.60 |
$110 |
4.1× |
| Partial thromboplastin time (PTT) (85730) |
$30.40 |
$190 |
5.1× |
| Left heart catheterization (93452) |
$978.72 |
$6,117 |
0.3× |
| Sleep study (attended polysomnography) (95810) |
$722.88 |
$4,518 |
0.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$18.24 |
$114 |
0.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$72.64 |
$454 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$96.16 |
$601 |
0.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$131.52 |
$822 |
1.1× |