| Breast lesion removal (open) (19120) |
$4,410.70 |
$5,513.38 |
1.1× |
| Shoulder arthroscopy with decompression (29826) |
$3,350.65 |
$4,188.31 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,165.25 |
$5,206.56 |
1.3× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$6,434.20 |
$8,042.75 |
1.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,374.30 |
$2,967.88 |
2.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,504.20 |
$1,880.25 |
1.7× |
| Diagnostic colonoscopy (45378) |
$1,640.60 |
$2,050.75 |
1.8× |
| Colonoscopy with biopsy (45380) |
$1,574.25 |
$1,967.81 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,722.80 |
$2,153.50 |
1.4× |
| Laparoscopic gallbladder removal (47562) |
$6,296.40 |
$7,870.50 |
1.0× |
| Inguinal hernia repair (age 5+) (49505) |
$6,846.60 |
$8,558.25 |
1.9× |
| Laparoscopic radical prostatectomy (55866) |
$12,573 |
$15,716.25 |
1.2× |
| Obstetric care, VBAC delivery (global) (59610) |
$3,489.60 |
$4,362 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$564.40 |
$705.50 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,797.60 |
$2,247 |
2.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$452.80 |
$566 |
0.8× |
| Cataract removal with lens insertion (66984) |
$3,539.60 |
$4,424.50 |
1.5× |
| CT head/brain without contrast (70450) |
$2,105.20 |
$2,631.50 |
20.1× |
| MRI brain without contrast (70551) |
$2,708.60 |
$3,385.75 |
11.3× |
| MRI brain with contrast (70552) |
$3,270.20 |
$4,087.75 |
9.4× |
| MRI brain without and with contrast (70553) |
$3,900 |
$4,875 |
11.2× |
| X-ray lower spine, 4+ views (72110) |
$136.80 |
$171 |
1.3× |
| MRI lumbar spine without contrast (72148) |
$2,954.60 |
$3,693.25 |
12.4× |
| CT pelvis with contrast (72193) |
$2,603.20 |
$3,254 |
14.8× |
| MRI lower-extremity joint without contrast (73721) |
$4,178.60 |
$5,223.25 |
17.5× |
| CT abdomen and pelvis with contrast (74177) |
$5,013.20 |
$6,266.50 |
14.3× |
| Ultrasound, abdomen complete (76700) |
$1,377.20 |
$1,721.50 |
13.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$573.30 |
$716.62 |
5.5× |
| Ultrasound, transvaginal (76830) |
$153.60 |
$192 |
1.5× |
| Mammography, one breast (diagnostic) (77065) |
$536.80 |
$671 |
6.2× |
| Mammography, both breasts (diagnostic) (77066) |
$690.40 |
$863 |
6.2× |
| Mammography, screening (bilateral) (77067) |
$270.60 |
$338.25 |
3.0× |
| Basic metabolic panel (80048) |
$163.60 |
$204.50 |
19.3× |
| Comprehensive metabolic panel (80053) |
$121.40 |
$151.75 |
11.5× |
| Obstetric panel (80055) |
$81.60 |
$102 |
1.7× |
| Lipid panel (80061) |
$157.40 |
$196.75 |
11.8× |
| Renal function panel (80069) |
$69.60 |
$87 |
8.0× |
| Hepatic function panel (80076) |
$198.90 |
$248.62 |
24.3× |
| PSA, total (84153) |
$150 |
$187.50 |
8.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$173 |
$216.25 |
10.3× |
| CBC with automated differential (85025) |
$84.40 |
$105.50 |
10.9× |
| CBC, automated (85027) |
$73.80 |
$92.25 |
11.4× |
| Prothrombin time (PT) (85610) |
$38 |
$47.50 |
8.9× |
| Partial thromboplastin time (PTT) (85730) |
$53.60 |
$67 |
8.9× |
| Electrocardiogram (ECG), complete (93000) |
$84 |
$105 |
1.4× |
| Sleep study (attended polysomnography) (95810) |
$4,287.80 |
$5,359.75 |
5.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$187.60 |
$234.50 |
6.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$104.80 |
$131 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$126.40 |
$158 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$188 |
$235 |
1.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$412.80 |
$516 |
3.1× |