| Breast lesion removal (open) (19120) |
$4,443.60 |
$14,812 |
1.0× |
| Shoulder arthroscopy with decompression (29826) |
$3,440.70 |
$11,469 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,765.30 |
$12,551 |
1.1× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$6,864.90 |
$22,883 |
1.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,088.10 |
$3,627 |
1.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,814.40 |
$6,048 |
1.8× |
| Diagnostic colonoscopy (45378) |
$1,058.10 |
$3,527 |
1.0× |
| Colonoscopy with biopsy (45380) |
$1,368.30 |
$4,561 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,368.30 |
$4,561 |
1.0× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,368.30 |
$4,561 |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$6,770.40 |
$22,568 |
1.0× |
| Inguinal hernia repair (age 5+) (49505) |
$4,095.30 |
$13,651 |
1.0× |
| Laparoscopic radical prostatectomy (55866) |
$12,081.60 |
$40,272 |
1.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,033.20 |
$3,444 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,033.20 |
$3,444 |
1.1× |
| CT head/brain without contrast (70450) |
$1,672.20 |
$5,574 |
14.6× |
| MRI brain without contrast (70551) |
$1,953.60 |
$6,512 |
7.5× |
| MRI brain with contrast (70552) |
$2,196 |
$7,320 |
5.8× |
| MRI brain without and with contrast (70553) |
$2,437.80 |
$8,126 |
6.4× |
| X-ray lower spine, 4+ views (72110) |
$706.50 |
$2,355 |
6.2× |
| MRI lumbar spine without contrast (72148) |
$1,409.40 |
$4,698 |
5.4× |
| CT pelvis with contrast (72193) |
$1,794.90 |
$5,983 |
9.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,409.40 |
$4,698 |
5.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,260.20 |
$7,534 |
5.9× |
| Ultrasound, abdomen complete (76700) |
$807 |
$2,690 |
7.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$596.10 |
$1,987 |
5.2× |
| Ultrasound, transvaginal (76830) |
$572.70 |
$1,909 |
5.0× |
| Basic metabolic panel (80048) |
$166.50 |
$555 |
19.7× |
| Comprehensive metabolic panel (80053) |
$312.30 |
$1,041 |
29.6× |
| Obstetric panel (80055) |
$95.10 |
$317 |
2.0× |
| Lipid panel (80061) |
$218.10 |
$727 |
16.3× |
| Renal function panel (80069) |
$172.50 |
$575 |
19.9× |
| Hepatic function panel (80076) |
$166.50 |
$555 |
20.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$71.70 |
$239 |
20.6× |
| PSA, total (84153) |
$124.20 |
$414 |
6.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$199.80 |
$666 |
11.9× |
| CBC with automated differential (85025) |
$90 |
$300 |
11.6× |
| CBC, automated (85027) |
$66.60 |
$222 |
10.3× |
| Prothrombin time (PT) (85610) |
$71.70 |
$239 |
16.7× |
| Partial thromboplastin time (PTT) (85730) |
$123.60 |
$412 |
20.6× |
| Psychotherapy, 30 minutes (90832) |
$186.60 |
$622 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$209.10 |
$697 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$239.10 |
$797 |
1.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$186.30 |
$621 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$186.30 |
$621 |
1.0× |
| Electrocardiogram (ECG), complete (93000) |
$206.40 |
$688 |
3.2× |
| Left heart catheterization (93452) |
$4,434.30 |
$14,781 |
1.3× |
| Sleep study (attended polysomnography) (95810) |
$1,237.50 |
$4,125 |
1.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$119.40 |
$398 |
4.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$189.90 |
$633 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$213.60 |
$712 |
1.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$264.30 |
$881 |
1.8× |