| Breast lesion removal (open) (19120) |
$2,474.96 |
$4,342.04 |
0.6× |
| Shoulder arthroscopy with decompression (29826) |
$2,378.10 |
$4,172.11 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,898.25 |
$3,330.26 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,528.97 |
$2,682.40 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,103.74 |
$1,936.38 |
1.1× |
| Diagnostic colonoscopy (45378) |
$1,593.15 |
$2,795 |
1.6× |
| Colonoscopy with biopsy (45380) |
$1,170.62 |
$2,053.73 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,642.96 |
$2,882.38 |
1.3× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$2,982.35 |
$5,232.19 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$3,589.44 |
$6,297.26 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$622.72 |
$1,092.48 |
0.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$976.41 |
$1,713 |
1.7× |
| Cataract removal with lens insertion (66984) |
$2,573.14 |
$4,514.28 |
1.0× |
| CT head/brain without contrast (70450) |
$656.83 |
$1,152.34 |
5.9× |
| MRI brain without contrast (70551) |
$1,066.88 |
$1,871.73 |
4.2× |
| MRI brain with contrast (70552) |
$1,222.94 |
$2,145.52 |
3.3× |
| MRI brain without and with contrast (70553) |
$1,264.27 |
$2,218.02 |
3.4× |
| X-ray lower spine, 4+ views (72110) |
$235.18 |
$412.60 |
2.1× |
| MRI lumbar spine without contrast (72148) |
$1,055.63 |
$1,851.98 |
4.1× |
| CT pelvis with contrast (72193) |
$882.67 |
$1,548.54 |
4.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,762.98 |
$3,092.95 |
6.9× |
| CT abdomen and pelvis with contrast (74177) |
$1,513.01 |
$2,654.40 |
4.1× |
| Ultrasound, abdomen complete (76700) |
$408.44 |
$716.57 |
3.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$300.48 |
$527.17 |
2.7× |
| Ultrasound, transvaginal (76830) |
$258.74 |
$453.93 |
2.3× |
| Basic metabolic panel (80048) |
$88.36 |
$155.02 |
10.4× |
| Comprehensive metabolic panel (80053) |
$117.07 |
$205.39 |
11.1× |
| Lipid panel (80061) |
$84.52 |
$148.28 |
6.3× |
| Renal function panel (80069) |
$86.07 |
$151 |
9.9× |
| Hepatic function panel (80076) |
$88.92 |
$156 |
10.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$19.43 |
$34.09 |
4.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$9.29 |
$16.30 |
2.7× |
| PSA, total (84153) |
$96.90 |
$170 |
5.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$93.99 |
$164.89 |
5.6× |
| CBC with automated differential (85025) |
$50.58 |
$88.74 |
6.5× |
| CBC, automated (85027) |
$39.58 |
$69.44 |
6.1× |
| Prothrombin time (PT) (85610) |
$37.65 |
$66.05 |
8.8× |
| Partial thromboplastin time (PTT) (85730) |
$52.97 |
$92.93 |
8.8× |
| Psychotherapy, 30 minutes (90832) |
$131.16 |
$230.10 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$173.14 |
$303.75 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$254.35 |
$446.22 |
1.3× |
| Electrocardiogram (ECG), complete (93000) |
$67.71 |
$118.79 |
1.1× |
| Sleep study (attended polysomnography) (95810) |
$1,829.46 |
$3,209.57 |
2.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$71.28 |
$125.05 |
2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$188.85 |
$331.32 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$281.96 |
$494.67 |
2.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$373.04 |
$654.45 |
2.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$149.96 |
$263.08 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$168.37 |
$295.38 |
1.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$108.93 |
$191.11 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$128.74 |
$225.86 |
— |