| Breast lesion removal (open) (19120) |
$1,159.90 |
$1,657 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$491.40 |
$702 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,525.30 |
$2,179 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$347.20 |
$496 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$391.30 |
$559 |
0.4× |
| Diagnostic colonoscopy (45378) |
$887.60 |
$1,268 |
0.9× |
| Colonoscopy with biopsy (45380) |
$1,010.10 |
$1,443 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$1,250.20 |
$1,786 |
1.0× |
Laparoscopic gallbladder removal (47562)
unusually low — confirm this is the full procedure |
$2,977.80 |
$4,254 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$1,474.90 |
$2,107 |
0.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$238 |
$340 |
0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,078 |
$1,540 |
1.2× |
| CT head/brain without contrast (70450) |
$1,522.50 |
$2,175 |
14.3× |
| MRI brain without contrast (70551) |
$1,645.70 |
$2,351 |
6.8× |
| MRI brain with contrast (70552) |
$1,534.40 |
$2,192 |
4.3× |
| MRI brain without and with contrast (70553) |
$2,092.30 |
$2,989 |
5.9× |
| X-ray lower spine, 4+ views (72110) |
$533.40 |
$762 |
5.0× |
| MRI lumbar spine without contrast (72148) |
$1,634.50 |
$2,335 |
6.7× |
| CT pelvis with contrast (72193) |
$1,196.30 |
$1,709 |
6.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,337 |
$1,910 |
5.5× |
| CT abdomen and pelvis with contrast (74177) |
$3,278.10 |
$4,683 |
9.2× |
| Ultrasound, abdomen complete (76700) |
$777.70 |
$1,111 |
7.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$396.20 |
$566 |
3.7× |
| Ultrasound, transvaginal (76830) |
$526.05 |
$751.50 |
4.9× |
| Mammography, one breast (diagnostic) (77065) |
$189.70 |
$271 |
2.2× |
| Mammography, both breasts (diagnostic) (77066) |
$212.10 |
$303 |
1.9× |
| Mammography, screening (bilateral) (77067) |
$172.20 |
$246 |
1.9× |
| Basic metabolic panel (80048) |
$140.70 |
$201 |
16.6× |
| Comprehensive metabolic panel (80053) |
$147.70 |
$211 |
14.0× |
| Obstetric panel (80055) |
$252.70 |
$361 |
5.3× |
| Lipid panel (80061) |
$84 |
$120 |
6.3× |
| Renal function panel (80069) |
$109.20 |
$156 |
12.6× |
| Hepatic function panel (80076) |
$133.70 |
$191 |
16.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$14.70 |
$21 |
4.2× |
| PSA, total (84153) |
$91.70 |
$131 |
5.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$123.90 |
$177 |
7.4× |
| CBC with automated differential (85025) |
$54.60 |
$78 |
7.0× |
| CBC, automated (85027) |
$17.50 |
$25 |
2.7× |
| Prothrombin time (PT) (85610) |
$40.95 |
$58.50 |
9.5× |
| Partial thromboplastin time (PTT) (85730) |
$74.20 |
$106 |
12.3× |
| Psychotherapy, 30 minutes (90832) |
$107.10 |
$153 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$248.50 |
$355 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$264.60 |
$378 |
1.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$203.70 |
$291 |
1.1× |
| Group psychotherapy (90853) |
$212.10 |
$303 |
2.0× |
| Sleep study (attended polysomnography) (95810) |
$3,647 |
$5,210 |
4.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$147 |
$210 |
5.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$88.55 |
$126.50 |
0.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$163.45 |
$233.50 |
1.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$34.30 |
$49 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$38.50 |
$55 |
— |