| Breast lesion removal (open) (19120) |
$4,762.73 |
$6,803.90 |
1.1× |
| Shoulder arthroscopy with decompression (29826) |
$1,989.43 |
$2,842.04 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,148 |
$7,354.29 |
1.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$5,910.44 |
$8,443.48 |
0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,531.49 |
$3,616.41 |
2.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,409.23 |
$3,441.76 |
2.4× |
| Diagnostic colonoscopy (45378) |
$1,459.16 |
$2,084.51 |
1.4× |
| Colonoscopy with biopsy (45380) |
$2,390.32 |
$3,414.74 |
1.8× |
| Colonoscopy with lesion removal (45385) |
$2,390.32 |
$3,414.74 |
1.8× |
| Laparoscopic gallbladder removal (47562) |
$8,398.19 |
$11,997.41 |
1.3× |
| Inguinal hernia repair (age 5+) (49505) |
$10,797.07 |
$15,424.38 |
2.8× |
| Laparoscopic radical prostatectomy (55866) |
$12,637.46 |
$18,053.51 |
1.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,048.97 |
$2,927.10 |
2.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,257.73 |
$4,653.90 |
3.4× |
| CT head/brain without contrast (70450) |
$629.62 |
$899.46 |
5.5× |
| MRI brain without contrast (70551) |
$1,391.36 |
$1,987.65 |
5.3× |
| MRI brain with contrast (70552) |
$1,861.64 |
$2,659.48 |
4.9× |
| MRI brain without and with contrast (70553) |
$2,100.70 |
$3,001 |
5.5× |
| X-ray lower spine, 4+ views (72110) |
$433.55 |
$619.36 |
3.8× |
| MRI lumbar spine without contrast (72148) |
$1,366.80 |
$1,952.58 |
5.2× |
| CT pelvis with contrast (72193) |
$856.76 |
$1,223.94 |
4.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,370.01 |
$1,957.15 |
5.2× |
| CT abdomen and pelvis with contrast (74177) |
$2,057.84 |
$2,939.77 |
5.4× |
| Ultrasound, abdomen complete (76700) |
$586.60 |
$838 |
5.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$424.88 |
$606.98 |
3.7× |
| Ultrasound, transvaginal (76830) |
$577.58 |
$825.11 |
5.0× |
| Mammography, one breast (diagnostic) (77065) |
$353.35 |
$504.78 |
4.1× |
| Mammography, both breasts (diagnostic) (77066) |
$392.15 |
$560.22 |
3.5× |
| Mammography, screening (bilateral) (77067) |
$377.08 |
$538.68 |
4.1× |
| Basic metabolic panel (80048) |
$71.76 |
$102.52 |
8.5× |
| Comprehensive metabolic panel (80053) |
$93.44 |
$133.48 |
8.8× |
| Lipid panel (80061) |
$94.14 |
$134.48 |
7.0× |
| Renal function panel (80069) |
$69.02 |
$98.59 |
8.0× |
| Hepatic function panel (80076) |
$59.31 |
$84.72 |
7.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$19.22 |
$27.46 |
5.5× |
| PSA, total (84153) |
$79.75 |
$113.93 |
4.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$118.74 |
$169.62 |
7.1× |
| CBC with automated differential (85025) |
$55.96 |
$79.94 |
7.2× |
| CBC, automated (85027) |
$48.96 |
$69.94 |
7.6× |
| Prothrombin time (PT) (85610) |
$22.70 |
$32.42 |
5.3× |
| Partial thromboplastin time (PTT) (85730) |
$67.66 |
$96.66 |
11.3× |
| Electrocardiogram (ECG), complete (93000) |
$10.50 |
$15 |
0.2× |
| Left heart catheterization (93452) |
$14,692.65 |
$20,989.50 |
4.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$106.58 |
$152.25 |
3.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$200.01 |
$285.73 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$363.04 |
$518.62 |
2.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$489.65 |
$699.50 |
3.4× |