| Breast lesion removal (open) (19120) |
$5,753 |
$5,753 |
1.2× |
| Knee arthroscopy with meniscectomy (29881) |
$10,075 |
$10,075 |
2.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,610 |
$1,610 |
1.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,658 |
$1,658 |
1.5× |
| Diagnostic colonoscopy (45378) |
$2,147 |
$2,147 |
1.9× |
| Colonoscopy with biopsy (45380) |
$2,294 |
$2,294 |
1.6× |
| Colonoscopy with lesion removal (45385) |
$2,147 |
$2,147 |
1.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,101 |
$2,101 |
1.5× |
| Obstetric care, vaginal delivery (global) (59400) |
$6,257 |
$6,257 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,467 |
$1,467 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,167 |
$1,167 |
1.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$2,217 |
$2,217 |
3.4× |
| CT head/brain without contrast (70450) |
$1,533 |
$1,533 |
12.2× |
| MRI brain without contrast (70551) |
$2,645 |
$2,645 |
9.2× |
| MRI brain with contrast (70552) |
$2,645 |
$2,645 |
6.3× |
| MRI brain without and with contrast (70553) |
$2,645 |
$2,645 |
6.3× |
| X-ray lower spine, 4+ views (72110) |
$567 |
$567 |
4.5× |
| MRI lumbar spine without contrast (72148) |
$1,058 |
$1,058 |
3.7× |
| CT pelvis with contrast (72193) |
$2,458 |
$2,458 |
11.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,058 |
$1,058 |
3.7× |
| CT abdomen and pelvis with contrast (74177) |
$2,458 |
$2,458 |
5.9× |
| Ultrasound, abdomen complete (76700) |
$1,214 |
$1,214 |
9.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$987 |
$987 |
7.9× |
| Ultrasound, transvaginal (76830) |
$759 |
$759 |
6.1× |
| Mammography, one breast (diagnostic) (77065) |
$416 |
$416 |
4.8× |
| Mammography, both breasts (diagnostic) (77066) |
$748 |
$748 |
6.8× |
| Mammography, screening (bilateral) (77067) |
$598 |
$598 |
6.6× |
| Basic metabolic panel (80048) |
$102 |
$102 |
12.1× |
| Comprehensive metabolic panel (80053) |
$102 |
$102 |
9.7× |
| Obstetric panel (80055) |
$159 |
$159 |
3.3× |
| Lipid panel (80061) |
$102 |
$102 |
7.6× |
| Renal function panel (80069) |
$102 |
$102 |
11.8× |
| Hepatic function panel (80076) |
$102 |
$102 |
12.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$12 |
$12 |
3.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$35 |
$35 |
10.1× |
| PSA, total (84153) |
$102 |
$102 |
5.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$102 |
$102 |
6.1× |
| CBC with automated differential (85025) |
$102 |
$102 |
13.1× |
| CBC, automated (85027) |
$102 |
$102 |
15.8× |
| Prothrombin time (PT) (85610) |
$102 |
$102 |
23.8× |
| Partial thromboplastin time (PTT) (85730) |
$102 |
$102 |
17.0× |
| Psychotherapy, 30 minutes (90832) |
$762 |
$762 |
3.6× |
| Psychotherapy, 45 minutes (90834) |
$762 |
$762 |
3.6× |
| Psychotherapy, 60 minutes (90837) |
$762 |
$762 |
3.6× |
| Group psychotherapy (90853) |
$288 |
$288 |
2.4× |
| Electrocardiogram (ECG), complete (93000) |
$160 |
$160 |
2.3× |
| Left heart catheterization (93452) |
$9,987 |
$9,987 |
2.6× |
| Sleep study (attended polysomnography) (95810) |
$2,919 |
$2,919 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$169 |
$169 |
5.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$258 |
$258 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$369 |
$369 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$722 |
$722 |
4.5× |