| Breast lesion removal (open) (19120) |
$17,394.52 |
$17,394.52 |
3.7× |
| Shoulder arthroscopy with decompression (29826) |
$60,144.88 |
$60,144.88 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$36,857.68 |
$36,857.68 |
9.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$15,781.62 |
$15,781.62 |
2.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$11,093.44 |
$11,093.44 |
10.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$13,996.69 |
$13,996.69 |
12.9× |
| Diagnostic colonoscopy (45378) |
$11,987.69 |
$11,987.69 |
10.8× |
| Colonoscopy with biopsy (45380) |
$12,301.04 |
$12,301.04 |
8.6× |
| Colonoscopy with lesion removal (45385) |
$14,541.26 |
$14,541.26 |
10.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$3,204 |
$3,204 |
2.2× |
| Laparoscopic gallbladder removal (47562) |
$29,278.86 |
$29,278.86 |
4.0× |
| Inguinal hernia repair (age 5+) (49505) |
$16,909.66 |
$16,909.66 |
3.9× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,368 |
$2,368 |
2.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,615 |
$2,615 |
2.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$5,196 |
$5,196 |
7.9× |
| Cataract removal with lens insertion (66984) |
$27,583.96 |
$27,583.96 |
10.0× |
| CT head/brain without contrast (70450) |
$2,466 |
$2,466 |
19.7× |
| MRI brain without contrast (70551) |
$3,763 |
$3,763 |
13.2× |
| MRI brain with contrast (70552) |
$4,412 |
$4,412 |
10.6× |
| MRI brain without and with contrast (70553) |
$5,423 |
$5,423 |
13.0× |
| X-ray lower spine, 4+ views (72110) |
$913 |
$913 |
7.3× |
| MRI lumbar spine without contrast (72148) |
$3,763 |
$3,763 |
13.2× |
| CT pelvis with contrast (72193) |
$3,044 |
$3,044 |
14.5× |
| MRI lower-extremity joint without contrast (73721) |
$3,763 |
$3,763 |
13.2× |
| CT abdomen and pelvis with contrast (74177) |
$6,938.48 |
$6,938.48 |
16.6× |
| Ultrasound, abdomen complete (76700) |
$1,965 |
$1,965 |
15.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,507 |
$1,507 |
12.0× |
| Ultrasound, transvaginal (76830) |
$2,131 |
$2,131 |
17.0× |
| Mammography, one breast (diagnostic) (77065) |
$9,023 |
$9,023 |
104.7× |
| Mammography, both breasts (diagnostic) (77066) |
$760 |
$760 |
6.9× |
| Mammography, screening (bilateral) (77067) |
$799 |
$799 |
8.8× |
| Basic metabolic panel (80048) |
$94 |
$94 |
11.1× |
| Comprehensive metabolic panel (80053) |
$158 |
$158 |
15.0× |
| Lipid panel (80061) |
$135.50 |
$135.50 |
10.1× |
| Renal function panel (80069) |
$104.50 |
$104.50 |
12.0× |
| Hepatic function panel (80076) |
$199 |
$199 |
24.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$92 |
$92 |
22.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$66.74 |
$66.74 |
19.2× |
| PSA, total (84153) |
$302 |
$302 |
16.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$639.50 |
$639.50 |
38.1× |
| CBC with automated differential (85025) |
$164 |
$164 |
21.1× |
| CBC, automated (85027) |
$100.50 |
$100.50 |
15.5× |
| Prothrombin time (PT) (85610) |
$89 |
$89 |
20.7× |
| Partial thromboplastin time (PTT) (85730) |
$108 |
$108 |
18.0× |
| Psychotherapy, 30 minutes (90832) |
$377 |
$377 |
1.8× |
| Psychotherapy, 45 minutes (90834) |
$311 |
$311 |
1.5× |
| Psychotherapy, 60 minutes (90837) |
$485.50 |
$485.50 |
2.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$283 |
$283 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$265 |
$265 |
1.2× |
| Group psychotherapy (90853) |
$198 |
$198 |
1.6× |
| Left heart catheterization (93452) |
$20,952 |
$20,952 |
5.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$230 |
$230 |
7.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$228 |
$228 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$228 |
$228 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$268 |
$268 |
1.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$168 |
$168 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$168 |
$168 |
— |