| Breast lesion removal (open) (19120) |
$8,251 |
$7,003.50 |
2.1× |
| Shoulder arthroscopy with decompression (29826) |
$293 |
$488 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$937 |
$1,562 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$456 |
$760 |
0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,876.50 |
$4,794.50 |
3.2× |
| Diagnostic colonoscopy (45378) |
$1,736.50 |
$2,894.50 |
1.9× |
| Colonoscopy with biopsy (45380) |
$955 |
$1,592 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$464 |
$774 |
0.4× |
| Inguinal hernia repair (age 5+) (49505) |
$5,509 |
$9,182 |
1.5× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,492 |
$9,153 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$182 |
$303 |
0.2× |
| CT head/brain without contrast (70450) |
$1,264 |
$2,107 |
12.0× |
| MRI brain without contrast (70551) |
$617 |
$1,029 |
2.6× |
| MRI brain without and with contrast (70553) |
$1,125 |
$1,875 |
3.2× |
| X-ray lower spine, 4+ views (72110) |
$524 |
$874 |
5.0× |
| MRI lumbar spine without contrast (72148) |
$617 |
$1,029 |
2.6× |
| CT pelvis with contrast (72193) |
$1,957 |
$3,261 |
11.1× |
| MRI lower-extremity joint without contrast (73721) |
$617 |
$1,029 |
2.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,415 |
$4,025 |
6.9× |
| Ultrasound, abdomen complete (76700) |
$534 |
$890 |
5.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$432 |
$720 |
4.1× |
| Ultrasound, transvaginal (76830) |
$534 |
$890 |
5.1× |
| Mammography, one breast (diagnostic) (77065) |
$299 |
$499 |
3.5× |
| Mammography, both breasts (diagnostic) (77066) |
$379 |
$631 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$306 |
$510 |
3.4× |
| Basic metabolic panel (80048) |
$55 |
$92 |
6.5× |
| Comprehensive metabolic panel (80053) |
$135 |
$225 |
12.8× |
| Lipid panel (80061) |
$58.50 |
$98 |
4.4× |
| Renal function panel (80069) |
$62 |
$104 |
7.1× |
| Hepatic function panel (80076) |
$32.50 |
$54 |
4.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$24 |
$40 |
6.9× |
| PSA, total (84153) |
$78.50 |
$130.50 |
4.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$67.50 |
$113 |
4.0× |
| CBC with automated differential (85025) |
$51 |
$85 |
6.6× |
| CBC, automated (85027) |
$6 |
$10 |
0.9× |
| Prothrombin time (PT) (85610) |
$34 |
$57 |
7.9× |
| Partial thromboplastin time (PTT) (85730) |
$34 |
$56 |
5.7× |
| Electrocardiogram (ECG), complete (93000) |
$30 |
$50 |
0.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$66.50 |
$111 |
2.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$235 |
$392 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$279 |
$465 |
2.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$423 |
$705 |
3.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$105 |
$175 |
0.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$135 |
$225 |
1.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$165 |
$275 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$180 |
$300 |
— |