| Breast lesion removal (open) (19120) |
$5,214.61 |
$7,783 |
1.3× |
| Knee arthroscopy with meniscectomy (29881) |
$4,626.68 |
$6,905.50 |
1.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$5,668.20 |
$8,460 |
0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,407 |
$2,100 |
1.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,726.30 |
$2,576.57 |
1.8× |
| Diagnostic colonoscopy (45378) |
$1,546.58 |
$2,308.34 |
1.6× |
| Colonoscopy with biopsy (45380) |
$1,768.80 |
$2,640 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$1,675 |
$2,500 |
1.4× |
| Laparoscopic gallbladder removal (47562) |
$8,819.94 |
$13,164.09 |
1.4× |
| Inguinal hernia repair (age 5+) (49505) |
$5,221.98 |
$7,794 |
1.4× |
| Laparoscopic radical prostatectomy (55866) |
$7,839 |
$11,700 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,729.60 |
$2,581.50 |
1.9× |
| CT head/brain without contrast (70450) |
$881.38 |
$1,315.50 |
8.2× |
| MRI brain without contrast (70551) |
$1,479.36 |
$2,208 |
6.0× |
| MRI brain without and with contrast (70553) |
$1,923.57 |
$2,871 |
5.3× |
| X-ray lower spine, 4+ views (72110) |
$235.17 |
$351 |
2.2× |
| MRI lumbar spine without contrast (72148) |
$1,654.90 |
$2,470 |
6.7× |
| CT pelvis with contrast (72193) |
$944.03 |
$1,409 |
5.2× |
| MRI lower-extremity joint without contrast (73721) |
$2,311.50 |
$3,450 |
9.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,732.62 |
$2,586 |
4.8× |
| Ultrasound, abdomen complete (76700) |
$458.95 |
$685 |
4.3× |
| Ultrasound, transvaginal (76830) |
$324.62 |
$484.50 |
3.0× |
| Basic metabolic panel (80048) |
$54.27 |
$81 |
6.4× |
| Comprehensive metabolic panel (80053) |
$81.40 |
$121.50 |
7.7× |
| Lipid panel (80061) |
$54.86 |
$81.88 |
4.1× |
| Renal function panel (80069) |
$32.13 |
$47.95 |
3.7× |
| Hepatic function panel (80076) |
$34.74 |
$51.85 |
4.3× |
| PSA, total (84153) |
$44.92 |
$67.05 |
2.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$57.77 |
$86.22 |
3.4× |
| CBC with automated differential (85025) |
$58.12 |
$86.75 |
7.5× |
| CBC, automated (85027) |
$51.07 |
$76.22 |
7.9× |
| Prothrombin time (PT) (85610) |
$36.75 |
$54.85 |
8.6× |
| Partial thromboplastin time (PTT) (85730) |
$34.02 |
$50.78 |
5.7× |
| Psychotherapy, 30 minutes (90832) |
$170.18 |
$254 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$170.18 |
$254 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$170.18 |
$254 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$180.90 |
$270 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$159.46 |
$238 |
0.9× |
| Sleep study (attended polysomnography) (95810) |
$2,738.96 |
$4,088 |
3.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$140.70 |
$210 |
4.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$404.01 |
$603 |
2.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$525.28 |
$784 |
3.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$663.30 |
$990 |
4.8× |