| Breast lesion removal (open) (19120) |
$5,207.42 |
$8,679.04 |
1.5× |
| Shoulder arthroscopy with decompression (29826) |
$8,840.39 |
$14,733.98 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,910.96 |
$8,184.94 |
1.7× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,344.43 |
$3,907.38 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,190.75 |
$1,984.58 |
1.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,869.82 |
$3,116.37 |
2.4× |
| Diagnostic colonoscopy (45378) |
$1,673.41 |
$2,789.02 |
2.1× |
| Colonoscopy with biopsy (45380) |
$1,924.49 |
$3,207.49 |
1.9× |
| Colonoscopy with lesion removal (45385) |
$1,869.52 |
$3,115.87 |
1.8× |
| Colonoscopy with endoscopic ultrasound (45391) |
$13,276.45 |
$22,127.42 |
12.9× |
| Laparoscopic gallbladder removal (47562) |
$5,309.70 |
$8,849.50 |
1.0× |
| Inguinal hernia repair (age 5+) (49505) |
$14,864.47 |
$24,774.12 |
4.8× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,440.76 |
$7,401.26 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$7,741.75 |
$12,902.92 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$4,523.41 |
$7,539.02 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$579 |
$965 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,119.59 |
$5,199.32 |
4.1× |
| Cataract removal with lens insertion (66984) |
$1,783.72 |
$2,972.88 |
0.9× |
| CT head/brain without contrast (70450) |
$455.70 |
$759.50 |
5.1× |
| MRI brain without contrast (70551) |
$740.40 |
$1,234 |
3.6× |
| MRI brain with contrast (70552) |
$716.40 |
$1,194 |
2.4× |
| MRI brain without and with contrast (70553) |
$1,161.90 |
$1,936.50 |
3.9× |
| X-ray lower spine, 4+ views (72110) |
$133.80 |
$223 |
1.5× |
| MRI lumbar spine without contrast (72148) |
$774.30 |
$1,290.50 |
3.8× |
| CT pelvis with contrast (72193) |
$666.90 |
$1,111.50 |
4.4× |
| MRI lower-extremity joint without contrast (73721) |
$740.40 |
$1,234 |
3.6× |
| CT abdomen and pelvis with contrast (74177) |
$1,426.50 |
$2,377.50 |
4.7× |
| Ultrasound, abdomen complete (76700) |
$325.20 |
$542 |
3.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$203.40 |
$339 |
2.3× |
| Ultrasound, transvaginal (76830) |
$223.50 |
$372.50 |
2.5× |
| Mammography, one breast (diagnostic) (77065) |
$223.80 |
$373 |
2.6× |
| Mammography, both breasts (diagnostic) (77066) |
$223.80 |
$373 |
2.0× |
| Mammography, screening (bilateral) (77067) |
$223.80 |
$373 |
2.5× |
| Basic metabolic panel (80048) |
$69.60 |
$116 |
8.2× |
| Comprehensive metabolic panel (80053) |
$108 |
$180 |
10.2× |
| Lipid panel (80061) |
$84 |
$140 |
6.3× |
| Renal function panel (80069) |
$75 |
$125 |
8.6× |
| Hepatic function panel (80076) |
$78 |
$130 |
9.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$5.40 |
$9 |
1.6× |
| PSA, total (84153) |
$66 |
$110 |
3.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$58.20 |
$97 |
3.5× |
| CBC with automated differential (85025) |
$44.40 |
$74 |
5.7× |
| CBC, automated (85027) |
$40.80 |
$68 |
6.3× |
| Prothrombin time (PT) (85610) |
$24.62 |
$41.04 |
5.7× |
| Partial thromboplastin time (PTT) (85730) |
$41.10 |
$68.50 |
6.8× |
| Psychotherapy, 30 minutes (90832) |
$108 |
$180 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$150 |
$250 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$150 |
$250 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$168 |
$280 |
1.1× |
| Group psychotherapy (90853) |
$90 |
$150 |
1.0× |
| Sleep study (attended polysomnography) (95810) |
$1,593.90 |
$2,656.50 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$33.30 |
$55.50 |
1.1× |