| Breast lesion removal (open) (19120) |
$10,473.55 |
$17,455.92 |
2.7× |
| Shoulder arthroscopy with decompression (29826) |
$27,798.48 |
$46,330.80 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$14,234.26 |
$23,723.77 |
4.5× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$13,341.61 |
$22,236.02 |
2.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,199.13 |
$5,331.88 |
3.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$5,087.25 |
$8,478.75 |
5.7× |
| Diagnostic colonoscopy (45378) |
$4,175.33 |
$6,958.88 |
4.6× |
| Colonoscopy with biopsy (45380) |
$4,859.63 |
$8,099.38 |
4.2× |
| Colonoscopy with lesion removal (45385) |
$4,785.87 |
$7,976.45 |
4.1× |
| Laparoscopic gallbladder removal (47562) |
$12,679.67 |
$21,132.78 |
2.1× |
| Inguinal hernia repair (age 5+) (49505) |
$10,420.90 |
$17,368.17 |
3.0× |
| Laparoscopic radical prostatectomy (55866) |
$34,029.50 |
$56,715.83 |
3.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,544.60 |
$4,241 |
2.9× |
| CT head/brain without contrast (70450) |
$1,683 |
$2,805 |
16.5× |
| MRI brain without contrast (70551) |
$2,070 |
$3,450 |
8.9× |
| MRI brain with contrast (70552) |
$1,852.20 |
$3,087 |
5.4× |
| MRI brain without and with contrast (70553) |
$3,297.60 |
$5,496 |
9.7× |
| X-ray lower spine, 4+ views (72110) |
$1,033.80 |
$1,723 |
10.1× |
| MRI lumbar spine without contrast (72148) |
$1,954.80 |
$3,258 |
8.4× |
| CT pelvis with contrast (72193) |
$2,887.80 |
$4,813 |
16.9× |
| MRI lower-extremity joint without contrast (73721) |
$2,225.40 |
$3,709 |
9.6× |
| CT abdomen and pelvis with contrast (74177) |
$4,449.60 |
$7,416 |
13.1× |
| Ultrasound, abdomen complete (76700) |
$1,733.40 |
$2,889 |
17.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,944.60 |
$3,241 |
19.1× |
| Ultrasound, transvaginal (76830) |
$1,605 |
$2,675 |
15.7× |
| Mammography, one breast (diagnostic) (77065) |
$340.80 |
$568 |
4.0× |
| Mammography, both breasts (diagnostic) (77066) |
$433.80 |
$723 |
3.9× |
| Mammography, screening (bilateral) (77067) |
$471 |
$785 |
5.2× |
| Basic metabolic panel (80048) |
$58.20 |
$97 |
6.9× |
| Comprehensive metabolic panel (80053) |
$70.80 |
$118 |
6.7× |
| Obstetric panel (80055) |
$180.60 |
$301 |
3.8× |
| Lipid panel (80061) |
$73.80 |
$123 |
5.5× |
| Renal function panel (80069) |
$50.40 |
$84 |
5.8× |
| Hepatic function panel (80076) |
$79.20 |
$132 |
9.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$51 |
$85 |
14.7× |
| PSA, total (84153) |
$111.60 |
$186 |
6.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$97.50 |
$162.50 |
5.8× |
| CBC with automated differential (85025) |
$63.60 |
$106 |
8.2× |
| CBC, automated (85027) |
$108.60 |
$181 |
16.8× |
| Prothrombin time (PT) (85610) |
$27.60 |
$46 |
6.4× |
| Partial thromboplastin time (PTT) (85730) |
$46.20 |
$77 |
7.7× |
| Left heart catheterization (93452) |
$14,047.20 |
$23,412 |
4.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$179.40 |
$299 |
6.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$122.40 |
$204 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$145.80 |
$243 |
1.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$165.60 |
$276 |
1.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$213.60 |
$356 |
— |