| Breast lesion removal (open) (19120) |
$5,386.04 |
$5,984.48 |
1.5× |
| Knee arthroscopy with meniscectomy (29881) |
$5,308.44 |
$5,898.27 |
1.7× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$2,870.20 |
$3,189.11 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,481.03 |
$3,867.81 |
4.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,730.47 |
$3,033.86 |
3.2× |
| Diagnostic colonoscopy (45378) |
$1,620.21 |
$1,800.23 |
1.9× |
| Colonoscopy with biopsy (45380) |
$1,614.08 |
$1,793.42 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$4,236.20 |
$4,706.89 |
3.8× |
| Laparoscopic gallbladder removal (47562) |
$5,485.03 |
$6,094.48 |
1.0× |
| Inguinal hernia repair (age 5+) (49505) |
$4,389.01 |
$4,876.68 |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,226.98 |
$1,363.31 |
1.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$928.49 |
$1,031.65 |
1.1× |
| CT head/brain without contrast (70450) |
$2,019.60 |
$2,244 |
20.7× |
| MRI brain without contrast (70551) |
$3,253.25 |
$3,614.72 |
14.6× |
| MRI brain with contrast (70552) |
$3,511.01 |
$3,901.12 |
10.8× |
| MRI brain without and with contrast (70553) |
$4,421.22 |
$4,912.47 |
13.6× |
| X-ray lower spine, 4+ views (72110) |
$302.68 |
$336.30 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$3,216.43 |
$3,573.81 |
14.4× |
| CT pelvis with contrast (72193) |
$2,168.38 |
$2,409.30 |
13.2× |
| MRI lower-extremity joint without contrast (73721) |
$3,178.66 |
$3,531.84 |
14.3× |
| CT abdomen and pelvis with contrast (74177) |
$4,126.64 |
$4,585.15 |
12.7× |
| Ultrasound, abdomen complete (76700) |
$577.03 |
$641.14 |
5.9× |
| Ultrasound, transvaginal (76830) |
$328.64 |
$365.15 |
3.4× |
| Basic metabolic panel (80048) |
$432.04 |
$480.04 |
51.1× |
| Comprehensive metabolic panel (80053) |
$367.44 |
$408.26 |
34.8× |
| Lipid panel (80061) |
$33.80 |
$35.99 |
2.5× |
| Renal function panel (80069) |
$314.60 |
$349.55 |
36.2× |
| Hepatic function panel (80076) |
$205.16 |
$227.96 |
25.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$37.87 |
$42.08 |
10.9× |
| PSA, total (84153) |
$47.14 |
$52.38 |
2.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$103.12 |
$114.58 |
6.1× |
| CBC with automated differential (85025) |
$86.12 |
$95.69 |
11.1× |
| CBC, automated (85027) |
$64.76 |
$71.96 |
10.0× |
| Prothrombin time (PT) (85610) |
$8.36 |
$9.29 |
1.9× |
| Partial thromboplastin time (PTT) (85730) |
$12.19 |
$13.54 |
2.0× |
| Left heart catheterization (93452) |
$4,509.18 |
$5,010.20 |
1.5× |
| Sleep study (attended polysomnography) (95810) |
$4,429.19 |
$4,921.32 |
5.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$303.05 |
$336.72 |
10.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$38.70 |
$43 |
0.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$38.70 |
$43 |
0.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$39.15 |
$43.50 |
0.3× |
| Office consultation (low complexity, ~30 min) (99243) |
$38.70 |
$43 |
0.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$38.70 |
$43 |
0.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$38.70 |
$43 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$38.70 |
$43 |
— |