| Breast lesion removal (open) (19120) |
$936 |
$1,200 |
0.2× |
| Knee arthroscopy with meniscectomy (29881) |
$10,108.80 |
$12,960 |
3.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,652 |
$3,400 |
2.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,209.06 |
$4,114.17 |
3.4× |
| Diagnostic colonoscopy (45378) |
$2,652 |
$3,400 |
2.8× |
| Colonoscopy with biopsy (45380) |
$2,716.35 |
$3,482.50 |
2.2× |
| Colonoscopy with lesion removal (45385) |
$3,158.36 |
$4,049.17 |
2.6× |
| Laparoscopic gallbladder removal (47562) |
$16,972.80 |
$21,760 |
2.7× |
| Inguinal hernia repair (age 5+) (49505) |
$20,619.30 |
$26,435 |
5.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,865.33 |
$3,673.50 |
3.1× |
| CT head/brain without contrast (70450) |
$1,561.95 |
$2,002.50 |
14.5× |
| MRI brain without contrast (70551) |
$1,722.24 |
$2,208 |
7.0× |
| MRI brain with contrast (70552) |
$1,981.20 |
$2,540 |
5.5× |
| MRI brain without and with contrast (70553) |
$2,239.38 |
$2,871 |
6.2× |
| X-ray lower spine, 4+ views (72110) |
$273.78 |
$351 |
2.5× |
| MRI lumbar spine without contrast (72148) |
$1,926.60 |
$2,470 |
7.8× |
| CT pelvis with contrast (72193) |
$1,131.78 |
$1,451 |
6.3× |
| MRI lower-extremity joint without contrast (73721) |
$2,691 |
$3,450 |
10.9× |
| CT abdomen and pelvis with contrast (74177) |
$2,062.32 |
$2,644 |
5.7× |
| Ultrasound, abdomen complete (76700) |
$541.32 |
$694 |
5.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$494.52 |
$634 |
4.6× |
| Ultrasound, transvaginal (76830) |
$383.76 |
$492 |
3.6× |
| Mammography, one breast (diagnostic) (77065) |
$442.26 |
$567 |
5.1× |
| Mammography, both breasts (diagnostic) (77066) |
$592.02 |
$759 |
5.4× |
| Mammography, screening (bilateral) (77067) |
$436.41 |
$559.50 |
4.8× |
| Basic metabolic panel (80048) |
$90.87 |
$116.50 |
10.7× |
| Comprehensive metabolic panel (80053) |
$106.47 |
$136.50 |
10.1× |
| Lipid panel (80061) |
$59.68 |
$76.50 |
4.5× |
| Renal function panel (80069) |
$37.40 |
$47.95 |
4.3× |
| Hepatic function panel (80076) |
$40.40 |
$51.80 |
4.9× |
| PSA, total (84153) |
$71.96 |
$92.25 |
3.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$83.15 |
$106.60 |
4.9× |
| CBC with automated differential (85025) |
$72.74 |
$93.25 |
9.4× |
| CBC, automated (85027) |
$59.46 |
$76.22 |
9.2× |
| Prothrombin time (PT) (85610) |
$40.13 |
$51.45 |
9.4× |
| Partial thromboplastin time (PTT) (85730) |
$42.35 |
$54.30 |
7.0× |
| Psychotherapy, 30 minutes (90832) |
$88.61 |
$113.60 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$117.78 |
$151 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$176.51 |
$226.30 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$128.86 |
$165.20 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$133.46 |
$171.10 |
0.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$218.40 |
$280 |
7.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$116.22 |
$149 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$611.52 |
$784 |
4.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$780 |
$1,000 |
5.7× |