| Breast lesion removal (open) (19120) |
$6,354.65 |
$7,476.06 |
1.7× |
| Knee arthroscopy with meniscectomy (29881) |
$38,078.74 |
$44,798.52 |
12.3× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$9,789.17 |
$11,516.67 |
1.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,515.60 |
$4,136 |
4.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,515.60 |
$4,136 |
4.1× |
| Diagnostic colonoscopy (45378) |
$3,353.25 |
$3,945 |
3.8× |
| Colonoscopy with biopsy (45380) |
$4,409.80 |
$5,188 |
3.9× |
| Colonoscopy with lesion removal (45385) |
$4,409.80 |
$5,188 |
3.9× |
| Colonoscopy with endoscopic ultrasound (45391) |
$4,409.80 |
$5,188 |
3.9× |
| Laparoscopic gallbladder removal (47562) |
$36,778.16 |
$43,268.42 |
6.4× |
| Inguinal hernia repair (age 5+) (49505) |
$31,643.05 |
$37,227.12 |
9.3× |
| Laparoscopic radical prostatectomy (55866) |
$53,167.09 |
$62,549.52 |
5.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,963.50 |
$2,310 |
2.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,927 |
$4,620 |
4.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$862.75 |
$1,015 |
1.7× |
| Cataract removal with lens insertion (66984) |
$7,484.08 |
$8,804.80 |
3.4× |
| CT head/brain without contrast (70450) |
$1,681.30 |
$1,978 |
17.0× |
| MRI brain without contrast (70551) |
$3,313.30 |
$3,898 |
14.7× |
| MRI brain with contrast (70552) |
$3,898.10 |
$4,586 |
11.8× |
| MRI brain without and with contrast (70553) |
$4,017.10 |
$4,726 |
12.2× |
| X-ray lower spine, 4+ views (72110) |
$659.60 |
$776 |
6.7× |
| MRI lumbar spine without contrast (72148) |
$4,006.05 |
$4,713 |
17.7× |
| CT pelvis with contrast (72193) |
$3,208.75 |
$3,775 |
19.3× |
| MRI lower-extremity joint without contrast (73721) |
$3,643.10 |
$4,286 |
16.1× |
| CT abdomen and pelvis with contrast (74177) |
$3,979.70 |
$4,682 |
12.1× |
| Ultrasound, abdomen complete (76700) |
$1,085.45 |
$1,277 |
11.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,481.55 |
$1,743 |
15.0× |
| Ultrasound, transvaginal (76830) |
$731.85 |
$861 |
7.4× |
| Mammography, one breast (diagnostic) (77065) |
$510.85 |
$601 |
5.9× |
| Mammography, both breasts (diagnostic) (77066) |
$663 |
$780 |
6.0× |
| Mammography, screening (bilateral) (77067) |
$181.90 |
$214 |
2.0× |
| Basic metabolic panel (80048) |
$198.90 |
$234 |
23.5× |
| Comprehensive metabolic panel (80053) |
$375.70 |
$442 |
35.6× |
| Obstetric panel (80055) |
$476.85 |
$561 |
10.0× |
| Renal function panel (80069) |
$239.70 |
$282 |
27.6× |
| Hepatic function panel (80076) |
$267.75 |
$315 |
32.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$38.25 |
$45 |
9.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$48.45 |
$57 |
13.9× |
| PSA, total (84153) |
$165.75 |
$195 |
9.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$208.25 |
$245 |
12.4× |
| CBC with automated differential (85025) |
$105.40 |
$124 |
13.6× |
| CBC, automated (85027) |
$73.10 |
$86 |
11.3× |
| Prothrombin time (PT) (85610) |
$50.15 |
$59 |
11.7× |
| Partial thromboplastin time (PTT) (85730) |
$66.30 |
$78 |
11.0× |
| Left heart catheterization (93452) |
$9,387.40 |
$11,044 |
3.1× |
| Sleep study (attended polysomnography) (95810) |
$4,436.15 |
$5,219 |
5.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$125.80 |
$148 |
4.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$107.95 |
$127 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$119 |
$140 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$130.90 |
$154 |
1.0× |