| Shoulder arthroscopy with decompression (29826) |
$2,045.53 |
$2,406.50 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,468.80 |
$1,728 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$778.60 |
$916 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$763.30 |
$898 |
0.9× |
| Diagnostic colonoscopy (45378) |
$913.75 |
$1,075 |
1.0× |
| Colonoscopy with biopsy (45380) |
$937.98 |
$1,103.50 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$1,654.53 |
$1,946.50 |
1.4× |
| Laparoscopic gallbladder removal (47562) |
$3,230.43 |
$3,800.50 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$1,794.35 |
$2,111 |
0.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$553.14 |
$650.75 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$726.54 |
$854.75 |
0.8× |
| CT head/brain without contrast (70450) |
$691.12 |
$813.08 |
6.7× |
| MRI brain without contrast (70551) |
$1,372.68 |
$1,614.92 |
5.8× |
| MRI brain with contrast (70552) |
$1,428.77 |
$1,680.90 |
4.1× |
| MRI brain without and with contrast (70553) |
$1,608.30 |
$1,892.12 |
4.7× |
| X-ray lower spine, 4+ views (72110) |
$364.76 |
$429.12 |
3.5× |
| MRI lumbar spine without contrast (72148) |
$1,198.34 |
$1,409.80 |
5.1× |
| CT pelvis with contrast (72193) |
$920.44 |
$1,082.88 |
5.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,003.13 |
$1,180.15 |
4.3× |
| CT abdomen and pelvis with contrast (74177) |
$1,531.10 |
$1,801.30 |
4.4× |
| Ultrasound, abdomen complete (76700) |
$495.94 |
$583.46 |
4.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$480.20 |
$564.94 |
4.6× |
| Ultrasound, transvaginal (76830) |
$332.79 |
$391.52 |
3.2× |
| Mammography, one breast (diagnostic) (77065) |
$383.36 |
$451 |
4.4× |
| Mammography, both breasts (diagnostic) (77066) |
$460.28 |
$541.50 |
4.2× |
| Mammography, screening (bilateral) (77067) |
$424.58 |
$499.50 |
4.7× |
| Basic metabolic panel (80048) |
$102.43 |
$120.50 |
12.1× |
| Comprehensive metabolic panel (80053) |
$137.70 |
$162 |
13.0× |
| Obstetric panel (80055) |
$363.80 |
$428 |
7.6× |
| Lipid panel (80061) |
$56.95 |
$67 |
4.3× |
| Renal function panel (80069) |
$126.23 |
$148.50 |
14.5× |
| Hepatic function panel (80076) |
$122.40 |
$144 |
15.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$67.15 |
$79 |
16.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$52.70 |
$62 |
15.1× |
| PSA, total (84153) |
$129.42 |
$152.25 |
7.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$91.38 |
$107.50 |
5.4× |
| CBC with automated differential (85025) |
$55.25 |
$65 |
7.1× |
| Prothrombin time (PT) (85610) |
$67.58 |
$79.50 |
15.8× |
| Partial thromboplastin time (PTT) (85730) |
$65.88 |
$77.50 |
11.0× |
| Electrocardiogram (ECG), complete (93000) |
$221 |
$260 |
3.8× |
| Sleep study (attended polysomnography) (95810) |
$2,901.48 |
$3,413.50 |
3.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$110.08 |
$129.50 |
3.8× |