| Breast lesion removal (open) (19120) |
$2,764.86 |
$6,547 |
0.7× |
| Shoulder arthroscopy with decompression (29826) |
$6,122.28 |
$15,020 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,855 |
$10,252 |
1.2× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,981.06 |
$6,785 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,138.94 |
$2,378 |
1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,294.80 |
$3,043 |
1.4× |
| Diagnostic colonoscopy (45378) |
$1,345.50 |
$2,767 |
1.4× |
| Colonoscopy with biopsy (45380) |
$1,345.50 |
$3,043 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,463.30 |
$3,043 |
1.2× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,185.22 |
— |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$6,098.79 |
$11,500 |
1.0× |
| Inguinal hernia repair (age 5+) (49505) |
$4,109.31 |
$7,935 |
1.1× |
| Laparoscopic radical prostatectomy (55866) |
$11,850.96 |
— |
1.1× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,142.62 |
— |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$3,557.25 |
— |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$3,305.88 |
— |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
— |
$2,826 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$944.94 |
$4,498 |
1.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$696.54 |
$1,594 |
1.3× |
| Cataract removal with lens insertion (66984) |
$3,196.59 |
$3,462 |
1.4× |
| CT head/brain without contrast (70450) |
$479.48 |
$1,382.50 |
4.5× |
| MRI brain without contrast (70551) |
$1,386.38 |
$1,800 |
5.8× |
| MRI brain with contrast (70552) |
$835.14 |
$2,508 |
2.4× |
| MRI brain without and with contrast (70553) |
$1,735.98 |
$2,500 |
4.9× |
| X-ray lower spine, 4+ views (72110) |
$154.96 |
$376.50 |
1.5× |
| MRI lumbar spine without contrast (72148) |
$1,174.80 |
$2,648 |
4.9× |
| CT pelvis with contrast (72193) |
$583.53 |
$1,984 |
3.3× |
| MRI lower-extremity joint without contrast (73721) |
$816.18 |
$2,192 |
3.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,167.06 |
$1,129 |
3.3× |
| Ultrasound, abdomen complete (76700) |
$202.17 |
$214 |
1.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$202.17 |
$245 |
1.9× |
| Ultrasound, transvaginal (76830) |
$202.17 |
$282.50 |
1.9× |
| Basic metabolic panel (80048) |
$24.88 |
$92.50 |
2.9× |
| Comprehensive metabolic panel (80053) |
$31.06 |
$108.50 |
2.9× |
| Lipid panel (80061) |
$33.33 |
$61 |
2.5× |
| Renal function panel (80069) |
$25.50 |
$102 |
2.9× |
| Hepatic function panel (80076) |
$24.02 |
$30.50 |
2.9× |
| PSA, total (84153) |
$54.04 |
$110 |
2.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$46.23 |
$97 |
2.8× |
| CBC with automated differential (85025) |
$22.84 |
$52.18 |
2.9× |
| CBC, automated (85027) |
$18.04 |
$41 |
2.8× |
| Prothrombin time (PT) (85610) |
$11.55 |
$100 |
2.7× |
| Partial thromboplastin time (PTT) (85730) |
$17.62 |
$123 |
2.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$316.32 |
— |
1.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$316.32 |
— |
1.8× |
| Group psychotherapy (90853) |
$132.78 |
— |
1.3× |
| Electrocardiogram (ECG), complete (93000) |
$42.68 |
— |
0.7× |
| Left heart catheterization (93452) |
$7,452.20 |
$12,528.10 |
2.3× |
| Sleep study (attended polysomnography) (95810) |
$1,548.69 |
— |
1.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$53.19 |
$113.20 |
1.8× |