| Breast lesion removal (open) (19120) |
$5,441.26 |
$1,556.13 |
1.3× |
| Shoulder arthroscopy with decompression (29826) |
$9,049.70 |
$504.53 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$6,859.98 |
$1,632.30 |
2.0× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$6,260.63 |
$875.50 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,479.20 |
$853.74 |
2.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,957.98 |
$1,115.90 |
3.2× |
| Diagnostic colonoscopy (45378) |
$2,881.55 |
$1,008.06 |
3.0× |
| Colonoscopy with biopsy (45380) |
$3,718.44 |
$1,285.07 |
3.0× |
| Colonoscopy with lesion removal (45385) |
$3,811.99 |
$1,345.42 |
3.1× |
| Laparoscopic gallbladder removal (47562) |
$8,747.48 |
$1,970.64 |
1.4× |
| Inguinal hernia repair (age 5+) (49505) |
$7,157.92 |
$1,565.03 |
1.9× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,214.07 |
$7,221.70 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,797.62 |
$8,029.94 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$5,466.20 |
$7,570.92 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,266.36 |
$3,139 |
2.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,645.59 |
$2,279.21 |
2.9× |
| Cataract removal with lens insertion (66984) |
$7,523.04 |
$10,419.72 |
3.2× |
| CT head/brain without contrast (70450) |
$805.92 |
$1,116.24 |
7.5× |
| MRI brain without contrast (70551) |
$1,969.42 |
$2,727.73 |
8.0× |
| MRI brain with contrast (70552) |
$1,453.03 |
$2,012.51 |
4.0× |
| MRI brain without and with contrast (70553) |
$1,694.82 |
$2,347.38 |
4.7× |
| X-ray lower spine, 4+ views (72110) |
$280.87 |
$389.02 |
2.6× |
| MRI lumbar spine without contrast (72148) |
$1,060.74 |
$1,469.18 |
4.3× |
| CT pelvis with contrast (72193) |
$1,188.07 |
$1,645.52 |
6.6× |
| MRI lower-extremity joint without contrast (73721) |
$2,027.85 |
$2,808.65 |
8.2× |
| CT abdomen and pelvis with contrast (74177) |
$1,738.95 |
$2,408.52 |
4.8× |
| Ultrasound, abdomen complete (76700) |
$432.60 |
$599.17 |
4.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$566.61 |
$784.78 |
5.3× |
| Ultrasound, transvaginal (76830) |
$297.66 |
$336.55 |
2.8× |
| Mammography, one breast (diagnostic) (77065) |
$232.32 |
$321.78 |
2.7× |
| Mammography, both breasts (diagnostic) (77066) |
$211.23 |
$292.56 |
1.9× |
| Mammography, screening (bilateral) (77067) |
$268.63 |
$372.06 |
2.9× |
| Basic metabolic panel (80048) |
$90.31 |
$125.08 |
10.7× |
| Comprehensive metabolic panel (80053) |
$122.35 |
$169.46 |
11.6× |
| Lipid panel (80061) |
$85.97 |
$119.07 |
6.4× |
| Renal function panel (80069) |
$108.29 |
$149.99 |
12.5× |
| Hepatic function panel (80076) |
$96.43 |
$133.56 |
11.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$16.84 |
$23.32 |
4.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$10.83 |
$15 |
3.1× |
| PSA, total (84153) |
$93.88 |
$130.03 |
5.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$122.26 |
$169.34 |
7.3× |
| CBC with automated differential (85025) |
$87.25 |
$120.84 |
11.2× |
| CBC, automated (85027) |
$73.28 |
$101.50 |
11.3× |
| Prothrombin time (PT) (85610) |
$42.48 |
$58.83 |
9.9× |
| Partial thromboplastin time (PTT) (85730) |
$77.30 |
$107.06 |
12.9× |
| Psychotherapy, 30 minutes (90832) |
$173.28 |
$240 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$237.54 |
$329 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$297.24 |
$367.39 |
1.6× |
| Sleep study (attended polysomnography) (95810) |
$1,536.52 |
$288.65 |
1.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$124.68 |
$172.69 |
4.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$318.45 |
$264.64 |
2.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$453.34 |
$376.73 |
3.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$568.22 |
$472.21 |
4.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$346.78 |
$480.32 |
2.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$494.96 |
$685.55 |
3.6× |