| Breast lesion removal (open) (19120) |
$9,557 |
$15,929 |
2.5× |
| Shoulder arthroscopy with decompression (29826) |
$25,013 |
$41,689 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$9,926 |
$16,544 |
3.1× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$7,116 |
$11,860 |
1.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$5,076 |
$8,460 |
5.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$5,918 |
$9,863 |
6.7× |
| Diagnostic colonoscopy (45378) |
$4,247 |
$7,079 |
4.7× |
| Colonoscopy with biopsy (45380) |
$4,844 |
$8,073 |
4.2× |
| Colonoscopy with lesion removal (45385) |
$5,244 |
$8,740 |
4.5× |
| Laparoscopic gallbladder removal (47562) |
$12,247 |
$20,412 |
2.1× |
| Inguinal hernia repair (age 5+) (49505) |
$11,501 |
$19,169 |
3.3× |
| Laparoscopic radical prostatectomy (55866) |
$54,124 |
$90,206 |
5.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$2,662.50 |
$4,437.50 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$2,843.50 |
$4,739 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$2,700 |
$4,500 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,322 |
$3,870 |
2.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,194 |
$3,657 |
2.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$9,887 |
$16,479 |
18.5× |
| Cataract removal with lens insertion (66984) |
$8,087 |
$13,479 |
3.6× |
| CT head/brain without contrast (70450) |
$1,440 |
$2,400 |
14.2× |
| MRI brain without contrast (70551) |
$1,890 |
$3,150 |
8.2× |
| MRI brain with contrast (70552) |
$2,633 |
$4,389 |
7.8× |
| MRI brain without and with contrast (70553) |
$3,098 |
$5,163 |
9.2× |
| X-ray lower spine, 4+ views (72110) |
$593 |
$989 |
5.8× |
| MRI lumbar spine without contrast (72148) |
$2,297 |
$3,828 |
9.9× |
| CT pelvis with contrast (72193) |
$2,185 |
$3,641 |
12.8× |
| MRI lower-extremity joint without contrast (73721) |
$2,231 |
$3,718.50 |
9.6× |
| CT abdomen and pelvis with contrast (74177) |
$3,769 |
$6,281 |
11.1× |
| Ultrasound, abdomen complete (76700) |
$907 |
$1,512 |
8.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$394 |
$656 |
3.9× |
| Ultrasound, transvaginal (76830) |
$638 |
$1,063.50 |
6.3× |
| Mammography, one breast (diagnostic) (77065) |
$323 |
$539 |
3.7× |
| Mammography, both breasts (diagnostic) (77066) |
$490 |
$816 |
4.4× |
| Mammography, screening (bilateral) (77067) |
$188.50 |
$314 |
2.1× |
| Basic metabolic panel (80048) |
$180 |
$300 |
21.3× |
| Comprehensive metabolic panel (80053) |
$268 |
$447 |
25.4× |
| Lipid panel (80061) |
$49 |
$81 |
3.7× |
| Renal function panel (80069) |
$88 |
$146 |
10.1× |
| Hepatic function panel (80076) |
$244 |
$407 |
29.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$27 |
$44.50 |
6.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$13 |
$22 |
3.7× |
| PSA, total (84153) |
$48 |
$80 |
2.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$134 |
$223 |
8.0× |
| CBC with automated differential (85025) |
$200 |
$333 |
25.7× |
| CBC, automated (85027) |
$99 |
$165 |
15.3× |
| Prothrombin time (PT) (85610) |
$27 |
$45 |
6.3× |
| Partial thromboplastin time (PTT) (85730) |
$70 |
$117 |
11.6× |
| Psychotherapy, 30 minutes (90832) |
$84 |
$140 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$95 |
$158 |
0.6× |
| Left heart catheterization (93452) |
$30,889.50 |
$51,482 |
9.8× |
| Sleep study (attended polysomnography) (95810) |
$3,806.50 |
$6,344.50 |
4.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$136 |
$226 |
4.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$274 |
$456 |
2.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$329 |
$549 |
2.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$439 |
$731 |
3.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$98 |
$163 |
0.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$120 |
$200 |
0.9× |