| Breast lesion removal (open) (19120) |
$2,753.84 |
$13,769.20 |
0.8× |
| Shoulder arthroscopy with decompression (29826) |
$12,083.28 |
$60,416.40 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,739.81 |
$18,699.07 |
1.2× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$4,726.51 |
$23,632.55 |
0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,150.49 |
$5,752.47 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,106.32 |
$10,531.61 |
2.5× |
| Diagnostic colonoscopy (45378) |
$1,572.16 |
$7,860.78 |
1.8× |
| Colonoscopy with biopsy (45380) |
$2,157.29 |
$10,786.47 |
1.9× |
| Colonoscopy with lesion removal (45385) |
$1,973.35 |
$9,866.76 |
1.8× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,027.07 |
$5,135.36 |
0.9× |
| Inguinal hernia repair (age 5+) (49505) |
$4,478.40 |
$22,392 |
1.3× |
| Laparoscopic radical prostatectomy (55866) |
$16,240.42 |
$81,202.11 |
1.6× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$15,375.68 |
$76,878.39 |
18.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$972.07 |
$4,860.36 |
1.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,586.54 |
$7,932.71 |
3.1× |
| Cataract removal with lens insertion (66984) |
$2,281.65 |
$11,408.25 |
1.1× |
| CT head/brain without contrast (70450) |
$911.60 |
$4,558 |
9.3× |
| MRI brain without contrast (70551) |
$1,017.40 |
$5,087 |
4.6× |
| MRI brain with contrast (70552) |
$1,017.40 |
$5,087 |
3.1× |
| MRI brain without and with contrast (70553) |
$1,220.80 |
$6,104 |
3.7× |
| X-ray lower spine, 4+ views (72110) |
$394.20 |
$1,971 |
4.0× |
| MRI lumbar spine without contrast (72148) |
$1,097.70 |
$5,488.50 |
4.9× |
| CT pelvis with contrast (72193) |
$797 |
$3,985 |
4.9× |
| MRI lower-extremity joint without contrast (73721) |
$1,011 |
$5,055 |
4.5× |
| CT abdomen and pelvis with contrast (74177) |
$1,742.20 |
$8,711 |
5.3× |
| Ultrasound, abdomen complete (76700) |
$633.20 |
$3,166 |
6.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$256.60 |
$1,283 |
2.6× |
| Ultrasound, transvaginal (76830) |
$271.20 |
$1,356 |
2.8× |
| Mammography, one breast (diagnostic) (77065) |
$113.80 |
$569 |
1.3× |
| Mammography, both breasts (diagnostic) (77066) |
$227.60 |
$1,138 |
2.1× |
| Mammography, screening (bilateral) (77067) |
$93.30 |
$466.50 |
1.0× |
| Basic metabolic panel (80048) |
$8 |
$40 |
0.9× |
| Comprehensive metabolic panel (80053) |
$9.60 |
$48 |
0.9× |
| Lipid panel (80061) |
$12.20 |
$61 |
0.9× |
| Renal function panel (80069) |
$8 |
$40 |
0.9× |
| Hepatic function panel (80076) |
$7.40 |
$37 |
0.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$4 |
$20 |
1.1× |
| PSA, total (84153) |
$16.80 |
$84 |
0.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$15.40 |
$77 |
0.9× |
| CBC with automated differential (85025) |
$7.20 |
$36 |
0.9× |
| CBC, automated (85027) |
$6 |
$30 |
0.9× |
| Prothrombin time (PT) (85610) |
$3.60 |
$18 |
0.8× |
| Partial thromboplastin time (PTT) (85730) |
$11 |
$55 |
1.8× |
| Psychotherapy, 30 minutes (90832) |
$78 |
$390 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$78 |
$390 |
0.5× |
| Psychotherapy, 60 minutes (90837) |
$78 |
$390 |
0.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$78 |
$390 |
0.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$78 |
$390 |
0.5× |
| Group psychotherapy (90853) |
$40.60 |
$203 |
0.4× |
| Left heart catheterization (93452) |
$1,856.60 |
$9,283 |
0.6× |
| Sleep study (attended polysomnography) (95810) |
$1,189.60 |
$5,948 |
1.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$54.40 |
$272 |
1.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$329.20 |
$1,646 |
2.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$12 |
$60 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$11.80 |
$59 |
— |