| Breast lesion removal (open) (19120) |
$2,038.08 |
$9,264 |
0.6× |
| Shoulder arthroscopy with decompression (29826) |
$4,777.52 |
$21,716 |
— |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$5,343.36 |
$24,288 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$825.66 |
$3,753 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$842.16 |
$3,828 |
1.0× |
| Diagnostic colonoscopy (45378) |
$763.29 |
$3,469.50 |
0.9× |
| Colonoscopy with biopsy (45380) |
$946 |
$4,300 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$756.14 |
$3,437 |
0.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$678.70 |
$3,085 |
0.6× |
| Laparoscopic gallbladder removal (47562) |
$5,078.04 |
$23,082 |
0.9× |
| Laparoscopic radical prostatectomy (55866) |
$9,357.70 |
$42,535 |
1.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$640.42 |
$2,911 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$814 |
$3,700 |
1.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$543.84 |
$2,472 |
1.1× |
| Cataract removal with lens insertion (66984) |
$2,184.38 |
$9,929 |
1.0× |
| CT head/brain without contrast (70450) |
$389.18 |
$1,769 |
4.1× |
| MRI brain without contrast (70551) |
$606.10 |
$2,755 |
2.8× |
| MRI brain with contrast (70552) |
$814 |
$3,700 |
2.6× |
| MRI brain without and with contrast (70553) |
$984.28 |
$4,474 |
3.1× |
| X-ray lower spine, 4+ views (72110) |
$127.60 |
$580 |
1.3× |
| MRI lumbar spine without contrast (72148) |
$606.10 |
$2,755 |
2.8× |
| CT pelvis with contrast (72193) |
$532.62 |
$2,421 |
3.4× |
| MRI lower-extremity joint without contrast (73721) |
$606.10 |
$2,755 |
2.8× |
| CT abdomen and pelvis with contrast (74177) |
$865.04 |
$3,932 |
2.7× |
| Ultrasound, abdomen complete (76700) |
$178.20 |
$810 |
1.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$177.54 |
$807 |
1.9× |
| Ultrasound, transvaginal (76830) |
$178.20 |
$810 |
1.9× |
| Mammography, one breast (diagnostic) (77065) |
$121.66 |
$553 |
1.4× |
| Mammography, both breasts (diagnostic) (77066) |
$170.50 |
$775 |
1.5× |
| Mammography, screening (bilateral) (77067) |
$133.32 |
$606 |
1.5× |
| Basic metabolic panel (80048) |
$20.02 |
$91 |
2.4× |
| Comprehensive metabolic panel (80053) |
$24.64 |
$112 |
2.3× |
| Obstetric panel (80055) |
$82.94 |
$377 |
1.7× |
| Lipid panel (80061) |
$27.94 |
$127 |
2.1× |
| Renal function panel (80069) |
$20.24 |
$92 |
2.3× |
| Hepatic function panel (80076) |
$18.92 |
$86 |
2.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$7.48 |
$34 |
1.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$6.16 |
$28 |
1.8× |
| PSA, total (84153) |
$42.90 |
$195 |
2.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$38.94 |
$177 |
2.3× |
| CBC with automated differential (85025) |
$16.72 |
$76 |
2.2× |
| CBC, automated (85027) |
$14.30 |
$65 |
2.2× |
| Prothrombin time (PT) (85610) |
$8.58 |
$39 |
2.0× |
| Partial thromboplastin time (PTT) (85730) |
$16.28 |
$74 |
2.7× |
| Psychotherapy, 30 minutes (90832) |
$129.36 |
$588 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$171.82 |
$781 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$171.82 |
$781 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$200.20 |
$910 |
1.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$200.20 |
$910 |
1.2× |
| Group psychotherapy (90853) |
$94.60 |
$430 |
1.0× |
| Electrocardiogram (ECG), complete (93000) |
$170.28 |
$774 |
3.2× |
| Left heart catheterization (93452) |
$3,227.62 |
$14,671 |
1.1× |
| Sleep study (attended polysomnography) (95810) |
$1,338.70 |
$6,085 |
1.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$33 |
$150 |
1.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$106.48 |
$484 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$140.80 |
$640 |
1.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$192.50 |
$875 |
1.6× |
| Preventive visit, new patient (age 40–64) (99386) |
$132.44 |
$602 |
— |