| Breast lesion removal (open) (19120) |
$4,641 |
$5,950 |
1.1× |
| Shoulder arthroscopy with decompression (29826) |
$2,063.10 |
$2,645 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$8,252.40 |
$10,580 |
2.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,285.75 |
$4,212.50 |
3.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,187.55 |
$1,522.50 |
1.3× |
| Diagnostic colonoscopy (45378) |
$2,076.75 |
$2,662.50 |
2.1× |
| Colonoscopy with biopsy (45380) |
$1,256.78 |
$1,611.25 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$2,279.55 |
$2,922.50 |
1.8× |
| Laparoscopic gallbladder removal (47562) |
$13,864.50 |
$17,775 |
2.2× |
| Inguinal hernia repair (age 5+) (49505) |
$9,515.22 |
$12,199 |
2.5× |
| Laparoscopic radical prostatectomy (55866) |
$18,665.40 |
$23,930 |
1.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,242.50 |
$2,875 |
2.4× |
| CT head/brain without contrast (70450) |
$1,010.88 |
$1,296 |
9.2× |
| MRI brain without contrast (70551) |
$1,722.24 |
$2,208 |
6.9× |
| MRI brain without and with contrast (70553) |
$2,239.38 |
$2,871 |
6.1× |
| X-ray lower spine, 4+ views (72110) |
$273.78 |
$351 |
2.5× |
| MRI lumbar spine without contrast (72148) |
$1,803.75 |
$2,312.50 |
7.2× |
| CT pelvis with contrast (72193) |
$1,099.02 |
$1,409 |
6.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,691 |
$3,450 |
10.8× |
| CT abdomen and pelvis with contrast (74177) |
$1,899.69 |
$2,435.50 |
5.2× |
| Ultrasound, abdomen complete (76700) |
$534.30 |
$685 |
4.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$494.52 |
$634 |
4.5× |
| Ultrasound, transvaginal (76830) |
$372.06 |
$477 |
3.4× |
| Mammography, one breast (diagnostic) (77065) |
$412.62 |
$529 |
4.8× |
| Mammography, both breasts (diagnostic) (77066) |
$524.16 |
$672 |
4.7× |
| Mammography, screening (bilateral) (77067) |
$397.80 |
$510 |
4.4× |
| Basic metabolic panel (80048) |
$62.40 |
$80 |
7.4× |
| Comprehensive metabolic panel (80053) |
$70.20 |
$90 |
6.6× |
| Lipid panel (80061) |
$56.36 |
$72.25 |
4.2× |
| Renal function panel (80069) |
$37.40 |
$47.95 |
4.3× |
| Hepatic function panel (80076) |
$40.44 |
$51.85 |
4.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$19.50 |
$25 |
5.6× |
| PSA, total (84153) |
$51.64 |
$66.20 |
2.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$70.98 |
$91 |
4.2× |
| CBC with automated differential (85025) |
$66.50 |
$85.25 |
8.6× |
| CBC, automated (85027) |
$64.31 |
$82.45 |
9.9× |
| Prothrombin time (PT) (85610) |
$35.59 |
$45.62 |
8.3× |
| Partial thromboplastin time (PTT) (85730) |
$39.37 |
$50.48 |
6.6× |
| Psychotherapy, 30 minutes (90832) |
$76.21 |
$97.70 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$100.62 |
$129 |
0.5× |
| Psychotherapy, 60 minutes (90837) |
$159.12 |
$204 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$99.53 |
$127.60 |
0.5× |
| Sleep study (attended polysomnography) (95810) |
$3,188.64 |
$4,088 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$99.06 |
$127 |
3.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$114.04 |
$146.20 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$611.52 |
$784 |
4.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$772.20 |
$990 |
5.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$119.26 |
$152.90 |
0.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$178.07 |
$228.30 |
1.3× |