| Breast lesion removal (open) (19120) |
$13,476.46 |
$13,476.46 |
2.9× |
| Shoulder arthroscopy with decompression (29826) |
$19,745.22 |
$19,745.22 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$14,128.95 |
$14,128.95 |
3.6× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$17,581.97 |
$17,581.97 |
2.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$7,097.24 |
$7,097.24 |
6.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$9,453.21 |
$9,453.21 |
8.7× |
| Diagnostic colonoscopy (45378) |
$8,683.35 |
$8,683.35 |
7.8× |
| Colonoscopy with biopsy (45380) |
$7,929.54 |
$7,929.54 |
5.5× |
| Colonoscopy with lesion removal (45385) |
$8,107.67 |
$8,107.67 |
5.7× |
| Laparoscopic gallbladder removal (47562) |
$21,055.13 |
$21,055.13 |
2.9× |
| Inguinal hernia repair (age 5+) (49505) |
$13,795.24 |
$13,795.24 |
3.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,031 |
$1,031 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,916.50 |
$2,916.50 |
2.8× |
| Cataract removal with lens insertion (66984) |
$21,002.50 |
$21,002.50 |
7.6× |
| CT head/brain without contrast (70450) |
$1,625 |
$1,625 |
13.0× |
| MRI brain without contrast (70551) |
$3,818 |
$3,818 |
13.4× |
| MRI brain with contrast (70552) |
$4,650 |
$4,650 |
11.1× |
| MRI brain without and with contrast (70553) |
$5,257 |
$5,257 |
12.6× |
| X-ray lower spine, 4+ views (72110) |
$1,050 |
$1,050 |
8.4× |
| MRI lumbar spine without contrast (72148) |
$3,889 |
$3,889 |
13.6× |
| CT pelvis with contrast (72193) |
$3,607 |
$3,607 |
17.2× |
| MRI lower-extremity joint without contrast (73721) |
$3,889 |
$3,889 |
13.6× |
| CT abdomen and pelvis with contrast (74177) |
$4,791.35 |
$4,791.35 |
11.5× |
| Ultrasound, abdomen complete (76700) |
$1,608 |
$1,608 |
12.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,028 |
$1,028 |
8.2× |
| Ultrasound, transvaginal (76830) |
$2,669 |
$2,669 |
21.3× |
| Mammography, one breast (diagnostic) (77065) |
$1,614 |
$1,614 |
18.7× |
| Mammography, both breasts (diagnostic) (77066) |
$717 |
$717 |
6.5× |
| Mammography, screening (bilateral) (77067) |
$708 |
$708 |
7.8× |
| Basic metabolic panel (80048) |
$91 |
$91 |
10.8× |
| Comprehensive metabolic panel (80053) |
$176.50 |
$176.50 |
16.7× |
| Lipid panel (80061) |
$166.50 |
$166.50 |
12.4× |
| Renal function panel (80069) |
$166 |
$166 |
19.1× |
| Hepatic function panel (80076) |
$134 |
$134 |
16.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$7.49 |
$7.49 |
2.2× |
| PSA, total (84153) |
$230 |
$230 |
12.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$321 |
$321 |
19.1× |
| CBC with automated differential (85025) |
$56 |
$56 |
7.2× |
| CBC, automated (85027) |
$56 |
$56 |
8.7× |
| Prothrombin time (PT) (85610) |
$30.60 |
$30.60 |
7.1× |
| Partial thromboplastin time (PTT) (85730) |
$49 |
$49 |
8.2× |
| Psychotherapy, 30 minutes (90832) |
$368 |
$368 |
1.7× |
| Psychotherapy, 45 minutes (90834) |
$828 |
$828 |
3.9× |
| Psychotherapy, 60 minutes (90837) |
$550 |
$550 |
2.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$659 |
$659 |
3.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$659 |
$659 |
3.1× |
| Group psychotherapy (90853) |
$656 |
$656 |
5.4× |
| Sleep study (attended polysomnography) (95810) |
$5,165 |
$5,165 |
5.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$195 |
$195 |
6.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$265 |
$265 |
1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$564 |
$564 |
3.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,007 |
$1,007 |
6.3× |