| Breast lesion removal (open) (19120) |
$2,476.80 |
$2,752 |
0.6× |
| Shoulder arthroscopy with decompression (29826) |
$4,088.70 |
$4,543 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,508.10 |
$5,009 |
1.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$999.90 |
$1,111 |
1.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,126.80 |
$1,252 |
1.3× |
| Diagnostic colonoscopy (45378) |
$2,110.50 |
$2,345 |
2.3× |
| Colonoscopy with biopsy (45380) |
$1,430.10 |
$1,589 |
1.2× |
| Colonoscopy with lesion removal (45385) |
$1,980 |
$2,200 |
1.7× |
| Laparoscopic gallbladder removal (47562) |
$3,583.80 |
$3,982 |
0.6× |
| Inguinal hernia repair (age 5+) (49505) |
$2,067.30 |
$2,297 |
0.6× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,752.80 |
$6,392 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$6,412.50 |
$7,125 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,160.10 |
$1,289 |
1.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,059.30 |
$1,177 |
1.2× |
| CT head/brain without contrast (70450) |
$377.10 |
$419 |
3.7× |
| MRI brain without contrast (70551) |
$860.85 |
$956.50 |
3.7× |
| MRI brain with contrast (70552) |
$925.65 |
$1,028.50 |
2.7× |
| MRI brain without and with contrast (70553) |
$1,367.55 |
$1,519.50 |
4.0× |
| X-ray lower spine, 4+ views (72110) |
$134.10 |
$149 |
1.3× |
| MRI lumbar spine without contrast (72148) |
$1,085.40 |
$1,206 |
4.6× |
| CT pelvis with contrast (72193) |
$811.35 |
$901.50 |
4.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,056.15 |
$1,173.50 |
4.5× |
| CT abdomen and pelvis with contrast (74177) |
$1,039.95 |
$1,155.50 |
3.0× |
| Ultrasound, abdomen complete (76700) |
$345.60 |
$384 |
3.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$369.45 |
$410.50 |
3.6× |
| Ultrasound, transvaginal (76830) |
$208.80 |
$232 |
2.0× |
| Mammography, one breast (diagnostic) (77065) |
$252.90 |
$281 |
2.9× |
| Mammography, both breasts (diagnostic) (77066) |
$264.60 |
$294 |
2.4× |
| Mammography, screening (bilateral) (77067) |
$246.15 |
$273.50 |
2.7× |
| Basic metabolic panel (80048) |
$54.90 |
$61 |
6.5× |
| Comprehensive metabolic panel (80053) |
$74.70 |
$83 |
7.1× |
| Lipid panel (80061) |
$85.05 |
$94.50 |
6.4× |
| Renal function panel (80069) |
$58.50 |
$65 |
6.7× |
| Hepatic function panel (80076) |
$59.40 |
$66 |
7.3× |
| PSA, total (84153) |
$127.80 |
$142 |
6.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$125.10 |
$139 |
7.4× |
| CBC with automated differential (85025) |
$49.50 |
$55 |
6.4× |
| CBC, automated (85027) |
$45.45 |
$50.50 |
7.0× |
| Prothrombin time (PT) (85610) |
$29.25 |
$32.50 |
6.8× |
| Partial thromboplastin time (PTT) (85730) |
$126.90 |
$141 |
21.1× |
| Sleep study (attended polysomnography) (95810) |
$1,863.90 |
$2,071 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$68.40 |
$76 |
2.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$127.80 |
$142 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$194.40 |
$216 |
1.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$250.65 |
$278.50 |
1.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$419.40 |
$466 |
3.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$590.40 |
$656 |
4.5× |