| Breast lesion removal (open) (19120) |
$4,868.50 |
$7,490 |
1.2× |
| Shoulder arthroscopy with decompression (29826) |
$11,330.80 |
$17,432 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,004.35 |
$7,699 |
1.5× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$9,884.55 |
$15,207 |
1.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,503.12 |
$2,312.50 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,063.72 |
$1,636.50 |
1.2× |
| Diagnostic colonoscopy (45378) |
$1,300.32 |
$2,000.50 |
1.4× |
| Colonoscopy with biopsy (45380) |
$1,390.35 |
$2,139 |
1.2× |
| Colonoscopy with lesion removal (45385) |
$1,895.72 |
$2,916.50 |
1.6× |
| Laparoscopic gallbladder removal (47562) |
$9,105.85 |
$14,009 |
1.5× |
| Inguinal hernia repair (age 5+) (49505) |
$7,722 |
$11,880 |
2.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,009.45 |
$1,553 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,371.85 |
$3,649 |
2.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$845 |
$1,300 |
1.5× |
| Cataract removal with lens insertion (66984) |
$3,952.65 |
$6,081 |
1.7× |
| CT head/brain without contrast (70450) |
$324.76 |
$499.64 |
3.1× |
| MRI brain without contrast (70551) |
$374.18 |
$575.66 |
1.6× |
| MRI brain with contrast (70552) |
$549.80 |
$845.86 |
1.6× |
| MRI brain without and with contrast (70553) |
$697.81 |
$1,073.56 |
2.0× |
| X-ray lower spine, 4+ views (72110) |
$167.33 |
$257.43 |
1.6× |
| MRI lumbar spine without contrast (72148) |
$430.42 |
$662.18 |
1.8× |
| CT pelvis with contrast (72193) |
$410.06 |
$630.86 |
2.3× |
| MRI lower-extremity joint without contrast (73721) |
$357.02 |
$549.26 |
1.5× |
| CT abdomen and pelvis with contrast (74177) |
$444.06 |
$683.17 |
1.3× |
| Ultrasound, abdomen complete (76700) |
$200.42 |
$308.34 |
1.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$169.46 |
$260.70 |
1.6× |
| Ultrasound, transvaginal (76830) |
$194.68 |
$299.50 |
1.9× |
| Mammography, one breast (diagnostic) (77065) |
$204 |
$313.84 |
2.4× |
| Mammography, both breasts (diagnostic) (77066) |
$254.60 |
$391.70 |
2.3× |
| Mammography, screening (bilateral) (77067) |
$200.22 |
$308.02 |
2.2× |
| Basic metabolic panel (80048) |
$48.10 |
$74 |
5.7× |
| Comprehensive metabolic panel (80053) |
$61.10 |
$94 |
5.8× |
| Lipid panel (80061) |
$58.50 |
$90 |
4.4× |
| Renal function panel (80069) |
$140.40 |
$216 |
16.2× |
| Hepatic function panel (80076) |
$138.45 |
$213 |
16.9× |
| PSA, total (84153) |
$73.45 |
$113 |
4.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$69.55 |
$107 |
4.1× |
| CBC with automated differential (85025) |
$81.25 |
$125 |
10.5× |
| CBC, automated (85027) |
$72.15 |
$111 |
11.2× |
| Prothrombin time (PT) (85610) |
$70.20 |
$108 |
16.4× |
| Partial thromboplastin time (PTT) (85730) |
$56.22 |
$86.50 |
9.4× |
| Electrocardiogram (ECG), complete (93000) |
$42.90 |
$66 |
0.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$73.45 |
$113 |
2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$87.75 |
$135 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$173.88 |
$267.50 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$223.28 |
$343.50 |
1.7× |