| Breast lesion removal (open) (19120) |
$9,427.64 |
$15,712.72 |
2.4× |
| Shoulder arthroscopy with decompression (29826) |
$32,808.72 |
$54,681.20 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$16,379.77 |
$27,299.62 |
5.0× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$11,450.03 |
$19,083.38 |
1.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,815.70 |
$6,359.50 |
4.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$5,553.80 |
$9,256.33 |
6.1× |
| Diagnostic colonoscopy (45378) |
$3,559.20 |
$5,932 |
3.8× |
| Colonoscopy with biopsy (45380) |
$5,223.72 |
$8,706.20 |
4.4× |
| Colonoscopy with lesion removal (45385) |
$4,550.57 |
$7,584.28 |
3.8× |
| Laparoscopic gallbladder removal (47562) |
$18,313.08 |
$30,521.80 |
3.0× |
| Inguinal hernia repair (age 5+) (49505) |
$16,469.94 |
$27,449.90 |
4.6× |
| Laparoscopic radical prostatectomy (55866) |
$20,985.09 |
$34,975.15 |
2.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,723.20 |
$2,872 |
1.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,544.60 |
$4,241 |
2.9× |
| CT head/brain without contrast (70450) |
$1,683 |
$2,805 |
16.0× |
| MRI brain without contrast (70551) |
$2,070 |
$3,450 |
8.6× |
| MRI brain with contrast (70552) |
$3,377.40 |
$5,629 |
9.6× |
| MRI brain without and with contrast (70553) |
$3,297.60 |
$5,496 |
9.4× |
| X-ray lower spine, 4+ views (72110) |
$1,033.80 |
$1,723 |
9.9× |
| MRI lumbar spine without contrast (72148) |
$1,954.80 |
$3,258 |
8.2× |
| CT pelvis with contrast (72193) |
$2,887.80 |
$4,813 |
16.4× |
| MRI lower-extremity joint without contrast (73721) |
$2,225.40 |
$3,709 |
9.3× |
| CT abdomen and pelvis with contrast (74177) |
$4,449.60 |
$7,416 |
12.7× |
| Ultrasound, abdomen complete (76700) |
$1,733.40 |
$2,889 |
16.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,944.60 |
$3,241 |
18.5× |
| Ultrasound, transvaginal (76830) |
$1,605 |
$2,675 |
15.3× |
| 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) |
$54 |
$90 |
6.6× |
| 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× |
| Psychotherapy, 30 minutes (90832) |
$381.60 |
$636 |
2.1× |
| Psychotherapy, 45 minutes (90834) |
$314.70 |
$524.50 |
1.8× |
| Psychotherapy, 60 minutes (90837) |
$454.20 |
$757 |
2.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$271.80 |
$453 |
1.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$353.40 |
$589 |
2.0× |
| Group psychotherapy (90853) |
$168 |
$280 |
1.6× |
| Left heart catheterization (93452) |
$14,047.20 |
$23,412 |
4.3× |
| Sleep study (attended polysomnography) (95810) |
$5,349 |
$8,915 |
6.2× |
| 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 |
1.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$213.60 |
$356 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$224.40 |
$374 |
— |