| Breast lesion removal (open) (19120) |
$10,392 |
$10,392 |
2.5× |
| Shoulder arthroscopy with decompression (29826) |
$2,859 |
$2,859 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$6,877 |
$6,877 |
2.0× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$12,747 |
$12,747 |
2.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,526 |
$2,526 |
2.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,526 |
$2,526 |
2.7× |
| Diagnostic colonoscopy (45378) |
$2,509 |
$2,509 |
2.6× |
| Colonoscopy with biopsy (45380) |
$3,234 |
$3,234 |
2.6× |
| Colonoscopy with lesion removal (45385) |
$3,234 |
$3,234 |
2.6× |
| Colonoscopy with endoscopic ultrasound (45391) |
$3,234 |
$3,234 |
2.6× |
| Laparoscopic gallbladder removal (47562) |
$15,131 |
$15,131 |
2.4× |
| Inguinal hernia repair (age 5+) (49505) |
$12,945 |
$12,945 |
3.5× |
| Laparoscopic radical prostatectomy (55866) |
$26,271 |
$26,271 |
2.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,430 |
$2,430 |
2.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,645 |
$3,645 |
4.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,535 |
$1,535 |
2.7× |
| Cataract removal with lens insertion (66984) |
$5,599 |
$5,599 |
2.3× |
| CT head/brain without contrast (70450) |
$819 |
$819 |
7.5× |
| MRI brain without contrast (70551) |
$1,857 |
$1,857 |
7.5× |
| MRI brain with contrast (70552) |
$2,263 |
$2,263 |
6.2× |
| MRI brain without and with contrast (70553) |
$2,263 |
$2,263 |
6.2× |
| X-ray lower spine, 4+ views (72110) |
$441 |
$441 |
4.0× |
| MRI lumbar spine without contrast (72148) |
$1,857 |
$1,857 |
7.5× |
| CT pelvis with contrast (72193) |
$1,093 |
$1,093 |
6.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,857 |
$1,857 |
7.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,263 |
$2,263 |
6.2× |
| Ultrasound, abdomen complete (76700) |
$441 |
$441 |
4.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$441 |
$441 |
4.0× |
| Ultrasound, transvaginal (76830) |
$441 |
$441 |
4.0× |
| Mammography, one breast (diagnostic) (77065) |
$319 |
$319 |
3.7× |
| Mammography, both breasts (diagnostic) (77066) |
$407 |
$407 |
3.7× |
| Mammography, screening (bilateral) (77067) |
$337 |
$337 |
3.7× |
| Basic metabolic panel (80048) |
$38 |
$38 |
4.5× |
| Comprehensive metabolic panel (80053) |
$47 |
$47 |
4.5× |
| Lipid panel (80061) |
$40.62 |
$40.62 |
3.0× |
| Renal function panel (80069) |
$39 |
$39 |
4.5× |
| Hepatic function panel (80076) |
$36 |
$36 |
4.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$31 |
$31 |
7.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$15 |
$15 |
4.3× |
| PSA, total (84153) |
$53.82 |
$53.82 |
2.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$75 |
$75 |
4.5× |
| CBC with automated differential (85025) |
$35 |
$35 |
4.5× |
| CBC, automated (85027) |
$29 |
$29 |
4.5× |
| Prothrombin time (PT) (85610) |
$19 |
$19 |
4.4× |
| Partial thromboplastin time (PTT) (85730) |
$21.26 |
$21.26 |
3.5× |
| Psychotherapy, 30 minutes (90832) |
$466 |
$466 |
2.5× |
| Psychotherapy, 45 minutes (90834) |
$466 |
$466 |
2.5× |
| Psychotherapy, 60 minutes (90837) |
$466 |
$466 |
2.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$466 |
$466 |
2.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$466 |
$466 |
2.5× |
| Group psychotherapy (90853) |
$268 |
$268 |
2.5× |
| Left heart catheterization (93452) |
$19,903 |
$19,903 |
5.9× |
| Sleep study (attended polysomnography) (95810) |
$4,833 |
$4,833 |
5.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$72 |
$72 |
2.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$428 |
$428 |
— |