| Breast lesion removal (open) (19120) |
$2,252.16 |
$4,140 |
0.6× |
| Shoulder arthroscopy with decompression (29826) |
$2,190.69 |
$4,027 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$2,983.16 |
$5,483.75 |
0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,178.58 |
$2,166.50 |
1.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,323.56 |
$2,433 |
1.4× |
| Diagnostic colonoscopy (45378) |
$1,560.19 |
$2,868 |
1.6× |
| Colonoscopy with biopsy (45380) |
$1,778.34 |
$3,269 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$2,074.54 |
$3,813.50 |
1.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,093.86 |
$3,849 |
1.7× |
| Laparoscopic gallbladder removal (47562) |
$5,567.30 |
$10,234 |
0.9× |
| Inguinal hernia repair (age 5+) (49505) |
$4,649.70 |
$8,547.25 |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$690.34 |
$1,269 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$874.21 |
$1,607 |
1.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,297.71 |
$2,385.50 |
2.3× |
| Cataract removal with lens insertion (66984) |
$3,869.47 |
$7,113 |
1.6× |
| CT head/brain without contrast (70450) |
$653.62 |
$1,201.50 |
6.0× |
| MRI brain without contrast (70551) |
$1,501.71 |
$2,760.50 |
6.1× |
| MRI brain with contrast (70552) |
$2,353.62 |
$4,326.50 |
6.5× |
| MRI brain without and with contrast (70553) |
$2,329.68 |
$4,282.50 |
6.4× |
| X-ray lower spine, 4+ views (72110) |
$182.78 |
$336 |
1.7× |
| MRI lumbar spine without contrast (72148) |
$1,497.08 |
$2,752 |
6.1× |
| CT pelvis with contrast (72193) |
$1,183.20 |
$2,175 |
6.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,470.84 |
$2,703.75 |
6.0× |
| CT abdomen and pelvis with contrast (74177) |
$1,586.84 |
$2,917 |
4.4× |
| Ultrasound, abdomen complete (76700) |
$396.03 |
$728 |
3.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$322.59 |
$593 |
3.0× |
| Ultrasound, transvaginal (76830) |
$285.87 |
$525.50 |
2.6× |
| Mammography, one breast (diagnostic) (77065) |
$257.86 |
$474 |
3.0× |
| Mammography, both breasts (diagnostic) (77066) |
$374.96 |
$689.25 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$195.84 |
$360 |
2.1× |
| Basic metabolic panel (80048) |
$77.25 |
$142 |
9.1× |
| Comprehensive metabolic panel (80053) |
$95.20 |
$175 |
9.0× |
| Obstetric panel (80055) |
$264.93 |
$487 |
5.5× |
| Lipid panel (80061) |
$89.76 |
$165 |
6.7× |
| Renal function panel (80069) |
$85.95 |
$158 |
9.9× |
| Hepatic function panel (80076) |
$85.41 |
$157 |
10.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$25.57 |
$47 |
7.3× |
| PSA, total (84153) |
$99.01 |
$182 |
5.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$94.11 |
$173 |
5.6× |
| CBC with automated differential (85025) |
$66.91 |
$123 |
8.6× |
| CBC, automated (85027) |
$51.14 |
$94 |
7.9× |
| Prothrombin time (PT) (85610) |
$38.62 |
$71 |
9.0× |
| Partial thromboplastin time (PTT) (85730) |
$54.40 |
$100 |
9.1× |
| Psychotherapy, 30 minutes (90832) |
$109.08 |
$200.50 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$144.70 |
$266 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$217.06 |
$399 |
1.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$199.64 |
$367 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$207.54 |
$381.50 |
1.1× |
| Group psychotherapy (90853) |
$26.11 |
$48 |
0.2× |
| Left heart catheterization (93452) |
$5,711.46 |
$10,499 |
1.7× |
| Sleep study (attended polysomnography) (95810) |
$3,200.90 |
$5,884 |
3.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$81.06 |
$149 |
2.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$193.39 |
$355.50 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$294.03 |
$540.50 |
2.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$396.03 |
$728 |
2.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$218.68 |
$402 |
1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$350.34 |
$644 |
2.5× |
| Preventive visit, new patient (age 40–64) (99386) |
$281.25 |
$517 |
— |