| Breast lesion removal (open) (19120) |
$2,421.46 |
$3,410.50 |
0.6× |
| Shoulder arthroscopy with decompression (29826) |
$3,075.62 |
$4,331.85 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,280.84 |
$4,620.90 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,311.26 |
$1,846.85 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,468.24 |
$2,067.95 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,343.10 |
$1,891.70 |
1.4× |
| Colonoscopy with biopsy (45380) |
$1,677.77 |
$2,363.05 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$1,883.63 |
$2,653 |
1.5× |
| Laparoscopic gallbladder removal (47562) |
$4,517.80 |
$6,363.10 |
0.7× |
| Inguinal hernia repair (age 5+) (49505) |
$2,994.32 |
$4,217.35 |
0.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$567.89 |
$799.85 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,174.62 |
$1,654.40 |
1.3× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,556.60 |
$2,192.40 |
2.7× |
| Cataract removal with lens insertion (66984) |
$2,910.08 |
$4,098.70 |
1.2× |
| CT head/brain without contrast (70450) |
$1,425.11 |
$2,007.20 |
13.2× |
| MRI brain without contrast (70551) |
$2,237.64 |
$3,151.60 |
9.1× |
| MRI brain with contrast (70552) |
$2,653.13 |
$3,736.80 |
7.4× |
| MRI brain without and with contrast (70553) |
$3,163.83 |
$4,456.10 |
8.8× |
| X-ray lower spine, 4+ views (72110) |
$419.97 |
$591.50 |
3.9× |
| MRI lumbar spine without contrast (72148) |
$2,529.23 |
$3,562.30 |
10.3× |
| CT pelvis with contrast (72193) |
$1,624.13 |
$2,287.50 |
9.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,431.32 |
$3,424.40 |
9.9× |
| CT abdomen and pelvis with contrast (74177) |
$3,217.65 |
$4,531.90 |
8.9× |
| Ultrasound, abdomen complete (76700) |
$877.63 |
$1,236.10 |
8.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$567.22 |
$798.90 |
5.3× |
| Ultrasound, transvaginal (76830) |
$511.56 |
$720.50 |
4.7× |
| Mammography, one breast (diagnostic) (77065) |
$240.19 |
$338.30 |
2.8× |
| Mammography, both breasts (diagnostic) (77066) |
$299.48 |
$421.80 |
2.7× |
| Mammography, screening (bilateral) (77067) |
$255.96 |
$360.50 |
2.8× |
| Basic metabolic panel (80048) |
$166.85 |
$235 |
19.7× |
| Comprehensive metabolic panel (80053) |
$209.45 |
$295 |
19.8× |
| Obstetric panel (80055) |
$288.26 |
$406 |
6.0× |
| Lipid panel (80061) |
$104.37 |
$147 |
7.8× |
| Renal function panel (80069) |
$211.58 |
$298 |
24.4× |
| Hepatic function panel (80076) |
$123.54 |
$174 |
15.1× |
| PSA, total (84153) |
$115.02 |
$162 |
6.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$105.79 |
$149 |
6.3× |
| CBC with automated differential (85025) |
$117.15 |
$165 |
15.1× |
| Prothrombin time (PT) (85610) |
$46.15 |
$65 |
10.8× |
| Partial thromboplastin time (PTT) (85730) |
$73.13 |
$103 |
12.2× |
| Psychotherapy, 30 minutes (90832) |
$433.10 |
$610 |
2.4× |
| Psychotherapy, 45 minutes (90834) |
$536.05 |
$755 |
2.9× |
| Psychotherapy, 60 minutes (90837) |
$546.70 |
$770 |
3.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$571.55 |
$805 |
3.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$599.95 |
$845 |
3.3× |
| Group psychotherapy (90853) |
$521.85 |
$735 |
5.0× |
| Sleep study (attended polysomnography) (95810) |
$3,180.52 |
$4,479.60 |
3.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$105.01 |
$147.90 |
3.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$77.60 |
$109.30 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$176.42 |
$248.48 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$227.78 |
$320.82 |
1.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$265.26 |
$373.60 |
1.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$336.82 |
$474.40 |
2.5× |