| Breast lesion removal (open) (19120) |
$1,169.54 |
$1,559.38 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$339.75 |
$453 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,297.29 |
$5,729.72 |
1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$644.28 |
$859.04 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$933.66 |
$1,244.88 |
1.0× |
| Diagnostic colonoscopy (45378) |
$899.27 |
$1,199.02 |
0.9× |
| Colonoscopy with biopsy (45380) |
$1,072.07 |
$1,429.43 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,209.66 |
$1,612.88 |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$4,539.31 |
$6,052.41 |
0.7× |
| Inguinal hernia repair (age 5+) (49505) |
$3,026.62 |
$4,035.48 |
0.8× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,950.86 |
$6,601.14 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,470.10 |
$7,293.47 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$3,494.67 |
$4,659.56 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$269.57 |
$359.42 |
0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$940.22 |
$1,253.62 |
1.0× |
| CT head/brain without contrast (70450) |
$793.33 |
$1,057.77 |
7.4× |
| MRI brain without contrast (70551) |
$1,444.28 |
$1,925.70 |
5.9× |
| MRI brain without and with contrast (70553) |
$2,161.88 |
$2,882.50 |
6.1× |
| X-ray lower spine, 4+ views (72110) |
$253.17 |
$337.56 |
2.4× |
| MRI lumbar spine without contrast (72148) |
$1,410.74 |
$1,880.98 |
5.8× |
| CT pelvis with contrast (72193) |
$1,712.06 |
$2,282.74 |
9.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,374.86 |
$1,833.14 |
5.6× |
| CT abdomen and pelvis with contrast (74177) |
$1,883.24 |
$2,510.99 |
5.3× |
| Ultrasound, abdomen complete (76700) |
$399.68 |
$532.90 |
3.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$422.65 |
$563.53 |
4.0× |
| Ultrasound, transvaginal (76830) |
$305.73 |
$407.64 |
2.9× |
| Mammography, one breast (diagnostic) (77065) |
$187.90 |
$250.52 |
2.2× |
| Mammography, both breasts (diagnostic) (77066) |
$212.78 |
$283.70 |
1.9× |
| Mammography, screening (bilateral) (77067) |
$134.66 |
$179.56 |
1.5× |
| Basic metabolic panel (80048) |
$108.42 |
$144.56 |
12.8× |
| Comprehensive metabolic panel (80053) |
$100.88 |
$134.50 |
9.6× |
| Obstetric panel (80055) |
$148.98 |
$198.64 |
3.1× |
| Lipid panel (80061) |
$72.50 |
$96.67 |
5.4× |
| Renal function panel (80069) |
$111.54 |
$148.72 |
12.9× |
| Hepatic function panel (80076) |
$158.34 |
$211.12 |
19.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$38.22 |
$50.96 |
11.0× |
| PSA, total (84153) |
$99.42 |
$132.55 |
5.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$78.30 |
$104.40 |
4.7× |
| CBC with automated differential (85025) |
$37.50 |
$50 |
4.8× |
| Prothrombin time (PT) (85610) |
$77.22 |
$102.96 |
18.0× |
| Partial thromboplastin time (PTT) (85730) |
$61.62 |
$82.16 |
10.3× |
| Psychotherapy, 30 minutes (90832) |
$57.33 |
$76.44 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$90.09 |
$120.12 |
0.5× |
| Psychotherapy, 60 minutes (90837) |
$112.20 |
$149.60 |
0.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$87.63 |
$116.84 |
0.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$110.57 |
$147.42 |
0.6× |
| Group psychotherapy (90853) |
$31.94 |
$42.59 |
0.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$116.22 |
$154.96 |
4.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$352.58 |
$470.11 |
2.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$376.74 |
$502.32 |
2.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$454.55 |
$606.06 |
3.3× |
| Office consultation (low complexity, ~30 min) (99243) |
$154.79 |
$206.39 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$208.03 |
$277.37 |
1.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$399 |
$532 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$194.52 |
$259.35 |
— |