| Breast lesion removal (open) (19120) |
$3,644.72 |
$6,284 |
0.9× |
| Shoulder arthroscopy with decompression (29826) |
$8,120 |
$14,000 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,940.94 |
$10,243 |
1.8× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$6,534.42 |
$11,266.25 |
1.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,972 |
$3,400 |
2.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,252.72 |
$3,884 |
2.4× |
| Diagnostic colonoscopy (45378) |
$1,624 |
$2,800 |
1.7× |
| Colonoscopy with biopsy (45380) |
$1,464.50 |
$2,525 |
1.2× |
| Colonoscopy with lesion removal (45385) |
$1,464.50 |
$2,525 |
1.2× |
| Laparoscopic gallbladder removal (47562) |
$15,961.60 |
$27,520 |
2.6× |
| Inguinal hernia repair (age 5+) (49505) |
$9,280 |
$16,000 |
2.5× |
| Laparoscopic radical prostatectomy (55866) |
$22,733.10 |
$39,195 |
2.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,534.10 |
$2,645 |
1.7× |
| Cataract removal with lens insertion (66984) |
$5,713 |
$9,850 |
2.4× |
| CT head/brain without contrast (70450) |
$774.30 |
$1,335 |
7.2× |
| MRI brain without contrast (70551) |
$1,280.64 |
$2,208 |
5.2× |
| MRI brain with contrast (70552) |
$1,473.20 |
$2,540 |
4.1× |
| MRI brain without and with contrast (70553) |
$1,665.18 |
$2,871 |
4.6× |
| X-ray lower spine, 4+ views (72110) |
$203.58 |
$351 |
1.9× |
| MRI lumbar spine without contrast (72148) |
$1,362.42 |
$2,349 |
5.5× |
| CT pelvis with contrast (72193) |
$841.58 |
$1,451 |
4.6× |
| MRI lower-extremity joint without contrast (73721) |
$2,001 |
$3,450 |
8.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,466.24 |
$2,528 |
4.1× |
| Ultrasound, abdomen complete (76700) |
$399.91 |
$689.50 |
3.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$367.72 |
$634 |
3.4× |
| Ultrasound, transvaginal (76830) |
$285.36 |
$492 |
2.6× |
| Mammography, one breast (diagnostic) (77065) |
$328.86 |
$567 |
3.8× |
| Mammography, both breasts (diagnostic) (77066) |
$400.20 |
$690 |
3.6× |
| Mammography, screening (bilateral) (77067) |
$343.94 |
$593 |
3.8× |
| Basic metabolic panel (80048) |
$66.41 |
$114.50 |
7.8× |
| Comprehensive metabolic panel (80053) |
$78.30 |
$135 |
7.4× |
| Lipid panel (80061) |
$62.86 |
$108.38 |
4.7× |
| Renal function panel (80069) |
$27.81 |
$47.95 |
3.2× |
| Hepatic function panel (80076) |
$30.07 |
$51.85 |
3.7× |
| PSA, total (84153) |
$50.17 |
$86.50 |
2.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$49.59 |
$85.50 |
3.0× |
| CBC with automated differential (85025) |
$66.41 |
$114.50 |
8.5× |
| CBC, automated (85027) |
$64.51 |
$111.22 |
10.0× |
| Prothrombin time (PT) (85610) |
$52.49 |
$90.50 |
12.2× |
| Partial thromboplastin time (PTT) (85730) |
$62.98 |
$108.60 |
10.5× |
| Psychotherapy, 30 minutes (90832) |
$156.60 |
$270 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$222.28 |
$383.25 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$156.60 |
$270 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$234.90 |
$405 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$156.60 |
$270 |
0.9× |
| Group psychotherapy (90853) |
$246.21 |
$424.50 |
2.3× |
| Left heart catheterization (93452) |
$5,357.46 |
$9,237 |
1.6× |
| Sleep study (attended polysomnography) (95810) |
$2,403.52 |
$4,144 |
2.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$220.98 |
$381 |
7.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$348.87 |
$601.50 |
2.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$459.36 |
$792 |
3.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$870 |
$1,500 |
6.3× |