| Breast lesion removal (open) (19120) |
$10,759.26 |
$21,518.52 |
2.7× |
| Shoulder arthroscopy with decompression (29826) |
$18,607.86 |
$37,215.72 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$8,001.18 |
$16,002.37 |
2.4× |
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) |
$2,279.68 |
$4,559.36 |
2.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,592.97 |
$7,185.94 |
3.8× |
| Diagnostic colonoscopy (45378) |
$2,772.04 |
$5,544.08 |
2.9× |
| Colonoscopy with biopsy (45380) |
$3,348.92 |
$6,697.86 |
2.7× |
| Colonoscopy with lesion removal (45385) |
$4,444.19 |
$8,888.38 |
3.6× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,158 |
$2,316 |
0.9× |
| Laparoscopic gallbladder removal (47562) |
$11,082.33 |
$22,164.66 |
1.8× |
| Inguinal hernia repair (age 5+) (49505) |
$9,229.54 |
$18,459.10 |
2.5× |
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) |
$974.75 |
$1,949.50 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$851.93 |
$1,703.87 |
0.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$387 |
$774 |
0.7× |
| Cataract removal with lens insertion (66984) |
$2,607.25 |
$5,214.50 |
1.1× |
| CT head/brain without contrast (70450) |
$1,016.50 |
$2,033 |
9.4× |
| MRI brain without contrast (70551) |
$1,194 |
$2,388 |
4.8× |
| MRI brain with contrast (70552) |
$1,432.50 |
$2,865 |
4.0× |
| MRI brain without and with contrast (70553) |
$2,244.50 |
$4,489 |
6.2× |
| X-ray lower spine, 4+ views (72110) |
$472.50 |
$945 |
4.4× |
| MRI lumbar spine without contrast (72148) |
$1,118.50 |
$2,237 |
4.5× |
| CT pelvis with contrast (72193) |
$1,287.02 |
$2,574.04 |
7.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,047 |
$2,094 |
4.2× |
| CT abdomen and pelvis with contrast (74177) |
$1,680 |
$3,360 |
4.7× |
| Ultrasound, abdomen complete (76700) |
$885.50 |
$1,771 |
8.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$510 |
$1,020 |
4.7× |
| Ultrasound, transvaginal (76830) |
$1,483 |
$2,966 |
13.7× |
| Mammography, one breast (diagnostic) (77065) |
$448.50 |
$897 |
5.2× |
| Mammography, both breasts (diagnostic) (77066) |
$487 |
$974 |
4.4× |
| Mammography, screening (bilateral) (77067) |
$460 |
$920 |
5.0× |
| Basic metabolic panel (80048) |
$44.50 |
$89 |
5.3× |
| Comprehensive metabolic panel (80053) |
$139 |
$278 |
13.2× |
| Lipid panel (80061) |
$606 |
$1,212 |
45.3× |
| Renal function panel (80069) |
$69 |
$138 |
7.9× |
| Hepatic function panel (80076) |
$121.50 |
$243 |
14.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$20 |
$40 |
5.7× |
| PSA, total (84153) |
$167.50 |
$335 |
9.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$152.50 |
$305 |
9.1× |
| CBC with automated differential (85025) |
$82 |
$164 |
10.6× |
| CBC, automated (85027) |
$67 |
$134 |
10.4× |
| Prothrombin time (PT) (85610) |
$889.25 |
$1,778.50 |
207.3× |
| Partial thromboplastin time (PTT) (85730) |
$726 |
$1,452 |
120.8× |
| Psychotherapy, 30 minutes (90832) |
$88 |
$176 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$123.50 |
$247 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$151.50 |
$303 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$134.50 |
$269 |
0.7× |
| Group psychotherapy (90853) |
$252.75 |
$505.50 |
2.4× |
| Left heart catheterization (93452) |
$2,758.50 |
$5,517 |
0.8× |
| Sleep study (attended polysomnography) (95810) |
$2,917 |
$5,834 |
3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$92 |
$184 |
3.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$244 |
$488 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$321.50 |
$643 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$50 |
$100 |
0.4× |