| Breast lesion removal (open) (19120) |
$20,766 |
$31,947 |
5.3× |
| Shoulder arthroscopy with decompression (29826) |
$42,404 |
$65,237 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$14,191.50 |
$21,833 |
4.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$9,353 |
$14,389 |
10.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$7,909.50 |
$12,168.50 |
8.7× |
| Diagnostic colonoscopy (45378) |
$7,163.50 |
$11,020 |
7.7× |
| Colonoscopy with biopsy (45380) |
$5,132 |
$7,896 |
4.3× |
| Colonoscopy with lesion removal (45385) |
$7,905 |
$12,161.50 |
6.6× |
| Laparoscopic gallbladder removal (47562) |
$16,123 |
$24,805 |
2.7× |
| Inguinal hernia repair (age 5+) (49505) |
$26,785 |
$41,208 |
7.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$14,362 |
$22,096 |
16.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$7,253 |
$11,158.50 |
8.2× |
| CT head/brain without contrast (70450) |
$865 |
$1,330 |
8.2× |
| MRI brain without contrast (70551) |
$755 |
$1,162 |
3.1× |
| MRI brain with contrast (70552) |
$822 |
$1,264 |
2.3× |
| MRI brain without and with contrast (70553) |
$1,483 |
$2,282 |
4.2× |
| X-ray lower spine, 4+ views (72110) |
$372 |
$572 |
3.5× |
| MRI lumbar spine without contrast (72148) |
$755 |
$1,162 |
3.1× |
| CT pelvis with contrast (72193) |
$1,565 |
$2,408 |
8.9× |
| MRI lower-extremity joint without contrast (73721) |
$1,308 |
$2,012.50 |
5.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,440 |
$3,754 |
7.0× |
| Ultrasound, abdomen complete (76700) |
$372 |
$572 |
3.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$372 |
$572 |
3.5× |
| Ultrasound, transvaginal (76830) |
$372 |
$572 |
3.5× |
| Basic metabolic panel (80048) |
$28 |
$43 |
3.3× |
| Comprehensive metabolic panel (80053) |
$66 |
$102 |
6.3× |
| Lipid panel (80061) |
$84 |
$129 |
6.3× |
| Renal function panel (80069) |
$29 |
$44.50 |
3.3× |
| Hepatic function panel (80076) |
$51 |
$79 |
6.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$16 |
$25 |
4.6× |
| PSA, total (84153) |
$90.50 |
$139.50 |
4.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$82.50 |
$127.50 |
4.9× |
| CBC with automated differential (85025) |
$49 |
$75 |
6.3× |
| CBC, automated (85027) |
$40 |
$62 |
6.2× |
| Prothrombin time (PT) (85610) |
$16.50 |
$25 |
3.8× |
| Partial thromboplastin time (PTT) (85730) |
$25 |
$38 |
4.2× |
| Psychotherapy, 30 minutes (90832) |
$403 |
$620 |
2.3× |
| Psychotherapy, 45 minutes (90834) |
$403 |
$620 |
2.3× |
| Psychotherapy, 60 minutes (90837) |
$403 |
$620 |
2.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$403 |
$620 |
2.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$403 |
$620 |
2.3× |
| Group psychotherapy (90853) |
$234 |
$360 |
2.3× |
| Sleep study (attended polysomnography) (95810) |
$2,935 |
$4,515 |
3.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$213 |
$328 |
7.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$895 |
$1,376.50 |
6.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$709 |
$1,090 |
5.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$984 |
$1,513.50 |
7.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$826 |
$1,270 |
6.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$826 |
$1,270 |
6.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$1,081 |
$1,663 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$1,081 |
$1,663 |
— |