| Breast lesion removal (open) (19120) |
$809.28 |
$5,058 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$2,127.52 |
$13,297 |
— |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$3,143.04 |
$19,644 |
0.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$429.92 |
$2,687 |
0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$619.36 |
$3,871 |
0.7× |
| Diagnostic colonoscopy (45378) |
$705.60 |
$4,410 |
0.8× |
| Colonoscopy with biopsy (45380) |
$779.68 |
$4,873 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$823.20 |
$5,145 |
0.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$698.08 |
$4,363 |
0.6× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$1,873.92 |
$11,712 |
0.3× |
| Laparoscopic radical prostatectomy (55866) |
$5,451.04 |
$34,069 |
0.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$348.48 |
$2,178 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$320.16 |
$2,001 |
0.4× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$459.68 |
$2,873 |
0.9× |
| Cataract removal with lens insertion (66984) |
$1,192.96 |
$7,456 |
0.6× |
| CT head/brain without contrast (70450) |
$589.92 |
$3,687 |
6.0× |
| MRI brain without contrast (70551) |
$785.12 |
$4,907 |
3.5× |
| MRI brain with contrast (70552) |
$1,041.28 |
$6,508 |
3.2× |
| MRI brain without and with contrast (70553) |
$947.20 |
$5,920 |
2.9× |
| X-ray lower spine, 4+ views (72110) |
$165.92 |
$1,037 |
1.7× |
| MRI lumbar spine without contrast (72148) |
$865.60 |
$5,410 |
3.9× |
| CT pelvis with contrast (72193) |
$754.08 |
$4,713 |
4.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,025.12 |
$6,407 |
4.6× |
| CT abdomen and pelvis with contrast (74177) |
$719.52 |
$4,497 |
2.2× |
| Ultrasound, abdomen complete (76700) |
$318.72 |
$1,992 |
3.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$254.56 |
$1,591 |
2.6× |
| Ultrasound, transvaginal (76830) |
$186.24 |
$1,164 |
1.9× |
| Mammography, one breast (diagnostic) (77065) |
$96.48 |
$603 |
1.1× |
| Mammography, both breasts (diagnostic) (77066) |
$132.80 |
$830 |
1.2× |
| Mammography, screening (bilateral) (77067) |
$98.56 |
$616 |
1.1× |
| Basic metabolic panel (80048) |
$57.28 |
$358 |
6.8× |
| Comprehensive metabolic panel (80053) |
$76.88 |
$480.50 |
7.3× |
| Obstetric panel (80055) |
$75.36 |
$471 |
1.6× |
| Lipid panel (80061) |
$45.60 |
$285 |
3.4× |
| Renal function panel (80069) |
$62.08 |
$388 |
7.2× |
| Hepatic function panel (80076) |
$64.80 |
$405 |
7.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$9.20 |
$57.50 |
2.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$15.52 |
$97 |
4.5× |
| PSA, total (84153) |
$47.84 |
$299 |
2.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$37.60 |
$235 |
2.2× |
| CBC with automated differential (85025) |
$41.12 |
$257 |
5.3× |
| CBC, automated (85027) |
$27.68 |
$89.50 |
4.3× |
| Prothrombin time (PT) (85610) |
$16.64 |
$104 |
3.9× |
| Partial thromboplastin time (PTT) (85730) |
$23.52 |
$147 |
3.9× |
| Psychotherapy, 30 minutes (90832) |
$81.92 |
$512 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$108.96 |
$681 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$108.96 |
$681 |
0.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$63.68 |
$398 |
0.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$71.52 |
$447 |
0.4× |
| Group psychotherapy (90853) |
$27.36 |
$171 |
0.3× |
| Electrocardiogram (ECG), complete (93000) |
$108.16 |
$676 |
2.0× |
| Left heart catheterization (93452) |
$3,985.76 |
$24,911 |
1.3× |
| Sleep study (attended polysomnography) (95810) |
$1,089.12 |
$6,807 |
1.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$32.80 |
$205 |
1.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$28.96 |
$181 |
0.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$28.96 |
$181 |
0.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$28.96 |
$181 |
0.2× |