| Breast lesion removal (open) (19120) |
$8,249 |
$8,249 |
1.7× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$12,812 |
$12,812 |
1.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,981 |
$1,981 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,981 |
$1,981 |
1.7× |
| Diagnostic colonoscopy (45378) |
$1,994 |
$1,994 |
1.7× |
| Colonoscopy with biopsy (45380) |
$2,598 |
$2,598 |
1.7× |
| Colonoscopy with lesion removal (45385) |
$2,598 |
$2,598 |
1.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,598 |
$2,598 |
1.7× |
| Laparoscopic gallbladder removal (47562) |
$12,506 |
$12,506 |
1.7× |
| Inguinal hernia repair (age 5+) (49505) |
$8,498 |
$8,498 |
1.9× |
| Laparoscopic radical prostatectomy (55866) |
$21,804 |
$21,804 |
1.6× |
| Obstetric care, vaginal delivery (global) (59400) |
$160 |
$160 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,045 |
$2,045 |
1.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,342 |
$1,342 |
2.0× |
| Cataract removal with lens insertion (66984) |
$7,690 |
$7,690 |
2.7× |
| CT head/brain without contrast (70450) |
$1,275 |
$1,275 |
9.8× |
| MRI brain without contrast (70551) |
$2,004 |
$2,004 |
6.7× |
| MRI brain without and with contrast (70553) |
$5,954 |
$5,954 |
13.7× |
| X-ray lower spine, 4+ views (72110) |
$187 |
$187 |
1.4× |
| MRI lumbar spine without contrast (72148) |
$3,545 |
$3,545 |
11.9× |
| CT pelvis with contrast (72193) |
$1,881 |
$1,881 |
8.6× |
| MRI lower-extremity joint without contrast (73721) |
$509 |
$509 |
1.7× |
| CT abdomen and pelvis with contrast (74177) |
$2,763 |
$2,763 |
6.3× |
| Ultrasound, abdomen complete (76700) |
$440 |
$440 |
3.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$400 |
$400 |
3.1× |
| Ultrasound, transvaginal (76830) |
$349 |
$349 |
2.7× |
| Mammography, one breast (diagnostic) (77065) |
$687 |
$687 |
8.0× |
| Mammography, both breasts (diagnostic) (77066) |
$279 |
$279 |
2.5× |
| Mammography, screening (bilateral) (77067) |
$1,069 |
$1,069 |
11.7× |
| Basic metabolic panel (80048) |
$65 |
$65 |
7.7× |
| Comprehensive metabolic panel (80053) |
$156 |
$156 |
14.8× |
| Lipid panel (80061) |
$284 |
$284 |
21.2× |
| Renal function panel (80069) |
$366 |
$366 |
42.2× |
| Hepatic function panel (80076) |
$625 |
$625 |
76.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$25 |
$25 |
6.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$24 |
$24 |
6.9× |
| PSA, total (84153) |
$431 |
$431 |
23.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$349 |
$349 |
20.8× |
| CBC with automated differential (85025) |
$236 |
$236 |
30.4× |
| CBC, automated (85027) |
$36 |
$36 |
5.6× |
| Prothrombin time (PT) (85610) |
$188 |
$188 |
43.8× |
| Partial thromboplastin time (PTT) (85730) |
$312 |
$312 |
51.9× |
| Psychotherapy, 30 minutes (90832) |
$630 |
$630 |
2.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$1,329 |
$1,329 |
6.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$289 |
$289 |
1.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$18,307 |
$18,307 |
110.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$471 |
$471 |
2.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,251 |
$1,251 |
7.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$229 |
$229 |
1.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$36,807 |
$36,807 |
221.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$12,839 |
$12,839 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$36,991 |
$36,991 |
— |