| Shoulder arthroscopy with decompression (29826) |
$7,509.33 |
$7,509.33 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$9,813 |
$9,813 |
2.8× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$11,608 |
$11,608 |
1.9× |
| Laparoscopic gallbladder removal (47562) |
$18,219 |
$18,219 |
2.9× |
| Inguinal hernia repair (age 5+) (49505) |
$15,669.50 |
$15,669.50 |
4.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,838 |
$2,838 |
3.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$5,813.50 |
$5,813.50 |
6.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$4,868.50 |
$4,868.50 |
8.4× |
| Cataract removal with lens insertion (66984) |
$6,854 |
$6,854 |
2.8× |
| CT head/brain without contrast (70450) |
$2,833.50 |
$2,833.50 |
25.7× |
| MRI brain without contrast (70551) |
$3,540.50 |
$3,540.50 |
14.1× |
| MRI brain with contrast (70552) |
$5,077 |
$5,077 |
13.8× |
| MRI brain without and with contrast (70553) |
$4,956 |
$4,956 |
13.5× |
| X-ray lower spine, 4+ views (72110) |
$672.50 |
$672.50 |
6.1× |
| MRI lumbar spine without contrast (72148) |
$3,540.50 |
$3,540.50 |
14.1× |
| CT pelvis with contrast (72193) |
$3,895 |
$3,895 |
21.1× |
| MRI lower-extremity joint without contrast (73721) |
$3,627 |
$3,627 |
14.4× |
| CT abdomen and pelvis with contrast (74177) |
$4,248 |
$4,248 |
11.5× |
| Ultrasound, abdomen complete (76700) |
$764 |
$764 |
6.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$764 |
$764 |
6.9× |
| Ultrasound, transvaginal (76830) |
$745.50 |
$745.50 |
6.8× |
| Basic metabolic panel (80048) |
$138.50 |
$138.50 |
16.4× |
| Comprehensive metabolic panel (80053) |
$165.50 |
$165.50 |
15.7× |
| Lipid panel (80061) |
$169.50 |
$169.50 |
12.7× |
| Hepatic function panel (80076) |
$131.50 |
$131.50 |
16.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$42 |
$42 |
10.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$55.50 |
$55.50 |
15.9× |
| PSA, total (84153) |
$236 |
$236 |
12.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$251.50 |
$251.50 |
15.0× |
| CBC with automated differential (85025) |
$113 |
$113 |
14.5× |
| CBC, automated (85027) |
$83.50 |
$83.50 |
12.9× |
| Prothrombin time (PT) (85610) |
$65 |
$65 |
15.2× |
| Partial thromboplastin time (PTT) (85730) |
$100.50 |
$100.50 |
16.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$349.50 |
$349.50 |
12.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$532 |
$532 |
3.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$167 |
$167 |
1.2× |