| Breast lesion removal (open) (19120) |
$6,779.71 |
$13,559.43 |
1.7× |
| Shoulder arthroscopy with decompression (29826) |
$23,005.06 |
$46,010.12 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$8,625.34 |
$17,250.70 |
2.5× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,658.50 |
$5,317 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,736.48 |
$7,472.96 |
4.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,939.34 |
$7,878.68 |
4.2× |
| Diagnostic colonoscopy (45378) |
$3,440.19 |
$6,880.38 |
3.6× |
| Colonoscopy with biopsy (45380) |
$3,503.96 |
$7,007.92 |
2.8× |
| Colonoscopy with lesion removal (45385) |
$3,757.42 |
$7,514.86 |
3.0× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,158 |
$2,316 |
0.9× |
| Laparoscopic gallbladder removal (47562) |
$12,425.15 |
$24,850.31 |
2.0× |
| Inguinal hernia repair (age 5+) (49505) |
$10,553.85 |
$21,107.70 |
2.8× |
Laparoscopic radical prostatectomy (55866)
unusually low: confirm this is the full procedure |
$5,339.50 |
$10,679 |
0.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$710.25 |
$1,420.50 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,952.76 |
$3,905.53 |
2.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$387 |
$774 |
0.7× |
| Cataract removal with lens insertion (66984) |
$6,709.14 |
$13,418.28 |
2.8× |
| CT head/brain without contrast (70450) |
$1,030.50 |
$2,061 |
9.5× |
| MRI brain without contrast (70551) |
$1,373.50 |
$2,747 |
5.6× |
| MRI brain with contrast (70552) |
$1,648 |
$3,296 |
4.6× |
| MRI brain without and with contrast (70553) |
$2,582 |
$5,164 |
7.2× |
| X-ray lower spine, 4+ views (72110) |
$552 |
$1,104 |
5.1× |
| MRI lumbar spine without contrast (72148) |
$1,131.50 |
$2,263 |
4.6× |
| CT pelvis with contrast (72193) |
$2,310.35 |
$4,620.70 |
12.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,060.50 |
$2,121 |
4.3× |
| CT abdomen and pelvis with contrast (74177) |
$2,339.50 |
$4,679 |
6.5× |
| Ultrasound, abdomen complete (76700) |
$765.50 |
$1,531 |
7.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$651.50 |
$1,303 |
6.0× |
| Ultrasound, transvaginal (76830) |
$1,463 |
$2,926 |
13.5× |
| Mammography, one breast (diagnostic) (77065) |
$319.50 |
$639 |
3.7× |
| Mammography, both breasts (diagnostic) (77066) |
$541.50 |
$1,083 |
4.9× |
| Mammography, screening (bilateral) (77067) |
$366 |
$732 |
4.0× |
| Basic metabolic panel (80048) |
$91 |
$182 |
10.8× |
| Comprehensive metabolic panel (80053) |
$116.50 |
$233 |
11.0× |
| Lipid panel (80061) |
$500 |
$1,000 |
37.3× |
| Renal function panel (80069) |
$73.50 |
$147 |
8.5× |
| Hepatic function panel (80076) |
$77 |
$154 |
9.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$20 |
$40 |
5.7× |
| PSA, total (84153) |
$132.50 |
$265 |
7.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$100.50 |
$201 |
6.0× |
| CBC with automated differential (85025) |
$66.50 |
$133 |
8.6× |
| CBC, automated (85027) |
$61 |
$122 |
9.4× |
| Prothrombin time (PT) (85610) |
$611.10 |
$1,222.21 |
142.4× |
| Partial thromboplastin time (PTT) (85730) |
$642 |
$1,284 |
106.8× |
| Psychotherapy, 30 minutes (90832) |
$88 |
$176 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$100 |
$200 |
0.5× |
| Psychotherapy, 60 minutes (90837) |
$151.50 |
$303 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$270.50 |
$541 |
1.5× |
| Group psychotherapy (90853) |
$138.75 |
$277.50 |
1.3× |
| Left heart catheterization (93452) |
$5,449.50 |
$10,899 |
1.6× |
| Sleep study (attended polysomnography) (95810) |
$2,777.50 |
$5,555 |
3.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$68.50 |
$137 |
2.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$129 |
$258 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$138 |
$276 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$146.50 |
$293 |
1.1× |