| Shoulder arthroscopy with decompression (29826) |
$15,389 |
$16,199 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$6,358 |
$6,692.50 |
1.9× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$5,943.50 |
$6,256.50 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,625 |
$2,763 |
2.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,443 |
$3,624 |
3.7× |
| Diagnostic colonoscopy (45378) |
$3,728.50 |
$3,924.50 |
3.9× |
| Colonoscopy with biopsy (45380) |
$4,557 |
$4,797 |
3.7× |
| Colonoscopy with lesion removal (45385) |
$6,174 |
$6,498.50 |
5.0× |
| Laparoscopic gallbladder removal (47562) |
$19,858 |
$20,903 |
3.2× |
| Inguinal hernia repair (age 5+) (49505) |
$9,396 |
$9,891 |
2.5× |
| Obstetric care, vaginal delivery (global) (59400) |
$9,232 |
$9,718 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$16,287 |
$17,144 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$741 |
$780 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,753 |
$1,845 |
1.9× |
| Cataract removal with lens insertion (66984) |
$6,841 |
$7,201 |
2.9× |
| CT head/brain without contrast (70450) |
$2,371 |
$2,496 |
21.8× |
| MRI brain without contrast (70551) |
$4,000 |
$4,210 |
16.1× |
| MRI brain with contrast (70552) |
$4,028 |
$4,240 |
11.1× |
| MRI brain without and with contrast (70553) |
$4,477.50 |
$4,713 |
12.4× |
| X-ray lower spine, 4+ views (72110) |
$593 |
$624 |
5.5× |
| MRI lumbar spine without contrast (72148) |
$3,850 |
$4,053 |
15.5× |
| CT pelvis with contrast (72193) |
$2,888 |
$3,040 |
15.9× |
| MRI lower-extremity joint without contrast (73721) |
$2,983 |
$3,140 |
12.0× |
| CT abdomen and pelvis with contrast (74177) |
$4,859.50 |
$5,115 |
13.4× |
| Ultrasound, abdomen complete (76700) |
$1,003 |
$1,056 |
9.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$907 |
$955 |
8.4× |
| Ultrasound, transvaginal (76830) |
$785 |
$826 |
7.2× |
| Mammography, one breast (diagnostic) (77065) |
$382 |
$402 |
4.4× |
| Mammography, both breasts (diagnostic) (77066) |
$453 |
$477 |
4.1× |
| Mammography, screening (bilateral) (77067) |
$376 |
$396 |
4.1× |
| Basic metabolic panel (80048) |
$154 |
$162 |
18.2× |
| Comprehensive metabolic panel (80053) |
$184 |
$194 |
17.4× |
| Lipid panel (80061) |
$150 |
$158 |
11.2× |
| Renal function panel (80069) |
$183 |
$193 |
21.1× |
| Hepatic function panel (80076) |
$162 |
$171 |
19.8× |
| PSA, total (84153) |
$158 |
$166 |
8.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$148 |
$156 |
8.8× |
| CBC with automated differential (85025) |
$108 |
$114 |
13.9× |
| CBC, automated (85027) |
$95 |
$100 |
14.7× |
| Prothrombin time (PT) (85610) |
$50.50 |
$53 |
11.8× |
| Partial thromboplastin time (PTT) (85730) |
$111 |
$117 |
18.5× |
| Psychotherapy, 30 minutes (90832) |
$299 |
$315 |
1.6× |
| Psychotherapy, 45 minutes (90834) |
$325 |
$342 |
1.8× |
| Psychotherapy, 60 minutes (90837) |
$350 |
$368 |
1.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$407 |
$428 |
2.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$355 |
$374 |
1.9× |
| Group psychotherapy (90853) |
$209 |
$220 |
2.0× |
| Electrocardiogram (ECG), complete (93000) |
$75 |
$79 |
1.2× |
| Sleep study (attended polysomnography) (95810) |
$4,183 |
$4,403 |
4.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$107.50 |
$113 |
3.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$237 |
$249.50 |
1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$314.50 |
$331 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$389 |
$409 |
2.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$307 |
$323 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$307 |
$323 |
— |