| Breast lesion removal (open) (19120) |
$3,407.22 |
$4,140 |
0.8× |
| Shoulder arthroscopy with decompression (29826) |
$3,314.22 |
$4,027 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,513.12 |
$5,483.75 |
1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,783.03 |
$2,166.50 |
1.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,002.36 |
$2,433 |
2.1× |
| Diagnostic colonoscopy (45378) |
$2,360.36 |
$2,868 |
2.5× |
| Colonoscopy with biopsy (45380) |
$2,690.39 |
$3,269 |
2.2× |
| Colonoscopy with lesion removal (45385) |
$3,138.51 |
$3,813.50 |
2.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$3,167.73 |
$3,849 |
2.6× |
| Laparoscopic gallbladder removal (47562) |
$8,422.58 |
$10,234 |
1.3× |
| Inguinal hernia repair (age 5+) (49505) |
$7,034.38 |
$8,547.25 |
1.9× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,044.39 |
$1,269 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,322.56 |
$1,607 |
1.4× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,963.26 |
$2,385.50 |
3.5× |
| Cataract removal with lens insertion (66984) |
$5,854 |
$7,113 |
2.5× |
| CT head/brain without contrast (70450) |
$988.84 |
$1,201.50 |
9.2× |
| MRI brain without contrast (70551) |
$2,271.89 |
$2,760.50 |
9.2× |
| MRI brain with contrast (70552) |
$3,560.71 |
$4,326.50 |
9.9× |
| MRI brain without and with contrast (70553) |
$3,524.50 |
$4,282.50 |
9.8× |
| X-ray lower spine, 4+ views (72110) |
$276.53 |
$336 |
2.6× |
| MRI lumbar spine without contrast (72148) |
$2,264.90 |
$2,752 |
9.2× |
| CT pelvis with contrast (72193) |
$1,790.02 |
$2,175 |
9.9× |
| MRI lower-extremity joint without contrast (73721) |
$2,225.18 |
$2,703.75 |
9.0× |
| CT abdomen and pelvis with contrast (74177) |
$2,400.69 |
$2,917 |
6.7× |
| Ultrasound, abdomen complete (76700) |
$599.14 |
$728 |
5.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$488.04 |
$593 |
4.5× |
| Ultrasound, transvaginal (76830) |
$432.49 |
$525.50 |
4.0× |
| Mammography, one breast (diagnostic) (77065) |
$390.10 |
$474 |
4.5× |
| Mammography, both breasts (diagnostic) (77066) |
$567.25 |
$689.25 |
5.1× |
| Mammography, screening (bilateral) (77067) |
$296.28 |
$360 |
3.2× |
| Basic metabolic panel (80048) |
$116.87 |
$142 |
13.8× |
| Comprehensive metabolic panel (80053) |
$144.02 |
$175 |
13.6× |
| Obstetric panel (80055) |
$400.80 |
$487 |
8.4× |
| Lipid panel (80061) |
$135.80 |
$165 |
10.1× |
| Renal function panel (80069) |
$130.03 |
$158 |
15.0× |
| Hepatic function panel (80076) |
$129.21 |
$157 |
15.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$38.68 |
$47 |
11.1× |
| PSA, total (84153) |
$149.79 |
$182 |
8.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$142.38 |
$173 |
8.5× |
| CBC with automated differential (85025) |
$101.23 |
$123 |
13.0× |
| CBC, automated (85027) |
$77.36 |
$94 |
12.0× |
| Prothrombin time (PT) (85610) |
$58.43 |
$71 |
13.6× |
| Partial thromboplastin time (PTT) (85730) |
$82.30 |
$100 |
13.7× |
| Psychotherapy, 30 minutes (90832) |
$165.02 |
$200.50 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$218.92 |
$266 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$328.38 |
$399 |
1.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$302.04 |
$367 |
1.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$313.98 |
$381.50 |
1.7× |
| Group psychotherapy (90853) |
$39.50 |
$48 |
0.4× |
| Left heart catheterization (93452) |
$8,640.68 |
$10,499 |
2.6× |
| Sleep study (attended polysomnography) (95810) |
$4,842.53 |
$5,884 |
5.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$122.63 |
$149 |
4.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$292.58 |
$355.50 |
2.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$444.83 |
$540.50 |
3.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$599.14 |
$728 |
4.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$330.84 |
$402 |
2.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$530.01 |
$644 |
3.9× |
| Preventive visit, new patient (age 40–64) (99386) |
$425.49 |
$517 |
— |