| Breast lesion removal (open) (19120) |
$8,492.78 |
$9,991.50 |
2.1× |
| Shoulder arthroscopy with decompression (29826) |
$3,576.80 |
$4,208 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,566.65 |
$6,549 |
1.6× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$6,255.15 |
$7,359 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,171.18 |
$2,554.34 |
2.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,326.45 |
$2,737 |
2.4× |
| Diagnostic colonoscopy (45378) |
$3,362.60 |
$3,956 |
3.4× |
| Colonoscopy with biopsy (45380) |
$2,776.95 |
$3,267 |
2.2× |
| Colonoscopy with lesion removal (45385) |
$4,128.45 |
$4,857 |
3.3× |
| Laparoscopic gallbladder removal (47562) |
$7,976.40 |
$9,384 |
1.3× |
| Inguinal hernia repair (age 5+) (49505) |
$8,263.28 |
$9,721.50 |
2.2× |
| Laparoscopic radical prostatectomy (55866) |
$12,307.57 |
$14,479.49 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,552.95 |
$1,827 |
1.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$2,516 |
$2,960 |
4.3× |
| Cataract removal with lens insertion (66984) |
$3,936.35 |
$4,631 |
1.6× |
| CT head/brain without contrast (70450) |
$1,949.05 |
$2,293 |
17.7× |
| MRI brain without contrast (70551) |
$3,179 |
$3,740 |
12.6× |
| MRI brain with contrast (70552) |
$3,390.22 |
$3,988.50 |
9.2× |
| MRI brain without and with contrast (70553) |
$4,711.55 |
$5,543 |
12.8× |
| X-ray lower spine, 4+ views (72110) |
$464.10 |
$546 |
4.2× |
| MRI lumbar spine without contrast (72148) |
$2,828.80 |
$3,328 |
11.2× |
| CT pelvis with contrast (72193) |
$2,193.85 |
$2,581 |
11.9× |
| MRI lower-extremity joint without contrast (73721) |
$2,778.65 |
$3,269 |
11.1× |
| CT abdomen and pelvis with contrast (74177) |
$4,852.65 |
$5,709 |
13.2× |
| Ultrasound, abdomen complete (76700) |
$1,153.45 |
$1,357 |
10.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$901.85 |
$1,061 |
8.2× |
| Ultrasound, transvaginal (76830) |
$816.42 |
$960.50 |
7.4× |
| Mammography, one breast (diagnostic) (77065) |
$559.30 |
$658 |
6.5× |
| Mammography, both breasts (diagnostic) (77066) |
$644.72 |
$758.50 |
5.8× |
| Mammography, screening (bilateral) (77067) |
$567.80 |
$668 |
6.2× |
| Basic metabolic panel (80048) |
$161.92 |
$190.50 |
19.1× |
| Comprehensive metabolic panel (80053) |
$171.70 |
$202 |
16.3× |
| Obstetric panel (80055) |
$414.80 |
$488 |
8.7× |
| Lipid panel (80061) |
$161.08 |
$189.50 |
12.0× |
| Renal function panel (80069) |
$183.60 |
$216 |
21.2× |
| Hepatic function panel (80076) |
$309.40 |
$364 |
37.9× |
| PSA, total (84153) |
$135.15 |
$159 |
7.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$238.85 |
$281 |
14.2× |
| CBC with automated differential (85025) |
$154.28 |
$181.50 |
19.9× |
| CBC, automated (85027) |
$91.38 |
$107.50 |
14.1× |
| Prothrombin time (PT) (85610) |
$96.90 |
$114 |
22.6× |
| Partial thromboplastin time (PTT) (85730) |
$83.72 |
$98.50 |
13.9× |
| Left heart catheterization (93452) |
$5,870.10 |
$6,906 |
1.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$151.72 |
$178.50 |
5.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$343.19 |
$403.75 |
2.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$602.65 |
$709 |
4.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$603.40 |
$709.88 |
4.3× |