| Breast lesion removal (open) (19120) |
$4,523.50 |
$4,523.50 |
1.3× |
| Shoulder arthroscopy with decompression (29826) |
$2,063 |
$2,063 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,524 |
$1,524 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$782 |
$782 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,005 |
$1,005 |
1.2× |
| Diagnostic colonoscopy (45378) |
$934 |
$934 |
1.1× |
| Colonoscopy with biopsy (45380) |
$1,155 |
$1,155 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,250 |
$1,250 |
1.2× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$1,854 |
$1,854 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$5,267.50 |
$5,267.50 |
1.6× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,781 |
$1,781 |
2.2× |
| Cataract removal with lens insertion (66984) |
$1,439 |
$1,439 |
0.7× |
| CT head/brain without contrast (70450) |
$2,697.50 |
$2,697.50 |
28.6× |
| MRI brain without contrast (70551) |
$3,466 |
$3,466 |
16.1× |
| MRI brain with contrast (70552) |
$4,118 |
$4,118 |
13.1× |
| MRI brain without and with contrast (70553) |
$5,143 |
$5,143 |
16.3× |
| X-ray lower spine, 4+ views (72110) |
$290 |
$290 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$3,821 |
$3,821 |
17.7× |
| CT pelvis with contrast (72193) |
$2,816.50 |
$2,816.50 |
17.8× |
| MRI lower-extremity joint without contrast (73721) |
$3,319 |
$3,319 |
15.4× |
| CT abdomen and pelvis with contrast (74177) |
$6,215 |
$6,215 |
19.7× |
| Ultrasound, abdomen complete (76700) |
$1,178 |
$1,178 |
12.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$676 |
$676 |
7.2× |
| Ultrasound, transvaginal (76830) |
$633 |
$633 |
6.7× |
| Mammography, one breast (diagnostic) (77065) |
$466.50 |
$466.50 |
5.4× |
| Mammography, both breasts (diagnostic) (77066) |
$535 |
$535 |
4.8× |
| Mammography, screening (bilateral) (77067) |
$535.50 |
$535.50 |
5.9× |
| Basic metabolic panel (80048) |
$389.40 |
$389.40 |
46.0× |
| Comprehensive metabolic panel (80053) |
$318.30 |
$318.30 |
30.1× |
| Lipid panel (80061) |
$316.10 |
$316.10 |
23.6× |
| Renal function panel (80069) |
$427.50 |
$427.50 |
49.3× |
| Hepatic function panel (80076) |
$411.60 |
$411.60 |
50.4× |
| PSA, total (84153) |
$342.70 |
$342.70 |
18.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$229.40 |
$229.40 |
13.7× |
| CBC with automated differential (85025) |
$127.30 |
$127.30 |
16.4× |
| CBC, automated (85027) |
$109.30 |
$109.30 |
16.9× |
| Prothrombin time (PT) (85610) |
$106.10 |
$106.10 |
24.7× |
| Partial thromboplastin time (PTT) (85730) |
$106.10 |
$106.10 |
17.7× |
| Left heart catheterization (93452) |
$3,275.50 |
$3,275.50 |
1.1× |
| Sleep study (attended polysomnography) (95810) |
$2,755 |
$2,755 |
3.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$139 |
$139 |
4.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$350 |
$350 |
2.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$528 |
$528 |
4.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$697 |
$697 |
5.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$385 |
$385 |
3.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$534 |
$534 |
4.4× |