| Breast lesion removal (open) (19120) |
$5,834.48 |
$6,520 |
1.5× |
| Shoulder arthroscopy with decompression (29826) |
$13,303.50 |
$8,869 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,954.50 |
$7,391 |
1.5× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$8,963.81 |
$6,299 |
1.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,387.52 |
$2,182 |
1.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,387.52 |
$2,182 |
1.5× |
| Diagnostic colonoscopy (45378) |
$1,398.96 |
$2,420 |
1.5× |
| Colonoscopy with biopsy (45380) |
$1,806.29 |
$2,420 |
1.5× |
| Colonoscopy with lesion removal (45385) |
$1,806.29 |
$2,420 |
1.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,806.29 |
— |
1.5× |
| Laparoscopic gallbladder removal (47562) |
$8,831.88 |
$12,205 |
1.4× |
Inguinal hernia repair (age 5+) (49505)
range across 2 matching MRF lines |
$5,295.57 |
$10,202–$12,325 |
1.4× |
| Laparoscopic radical prostatectomy (55866) |
$15,756.17 |
— |
1.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,395.17 |
$1,621 |
1.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,395.17 |
$2,535 |
1.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$889.73 |
$1,438 |
1.6× |
| Cataract removal with lens insertion (66984) |
$3,566.99 |
$2,500 |
1.5× |
| CT head/brain without contrast (70450) |
$168.29 |
$1,144 |
1.6× |
| MRI brain without contrast (70551) |
$375.08 |
$2,229 |
1.5× |
| MRI brain with contrast (70552) |
$588.66 |
$2,994 |
1.7× |
| MRI brain without and with contrast (70553) |
$588.66 |
$3,618 |
1.7× |
| X-ray lower spine, 4+ views (72110) |
$168.29 |
$350 |
1.6× |
| MRI lumbar spine without contrast (72148) |
$375.08 |
$2,229 |
1.5× |
| CT pelvis with contrast (72193) |
$281.24 |
$1,957 |
1.6× |
| MRI lower-extremity joint without contrast (73721) |
$375.08 |
$2,229 |
1.5× |
| CT abdomen and pelvis with contrast (74177) |
$588.66 |
$3,180 |
1.7× |
| Ultrasound, abdomen complete (76700) |
$168.29 |
— |
1.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$168.29 |
— |
1.6× |
| Ultrasound, transvaginal (76830) |
$168.29 |
— |
1.6× |
| Basic metabolic panel (80048) |
$13.59 |
$76 |
1.6× |
| Comprehensive metabolic panel (80053) |
$16.97 |
$94 |
1.6× |
| Obstetric panel (80055) |
$76.80 |
$660 |
1.6× |
| Lipid panel (80061) |
$21.51 |
$119 |
1.6× |
| Renal function panel (80069) |
$13.95 |
$93 |
1.6× |
| Hepatic function panel (80076) |
$13.13 |
$74 |
1.6× |
| Urinalysis, non-automated, with microscopy (81000) |
$6.47 |
— |
1.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$5.60 |
$26 |
1.6× |
| PSA, total (84153) |
$29.55 |
$165 |
1.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$26.99 |
$152 |
1.6× |
| CBC with automated differential (85025) |
$12.48 |
$71 |
1.6× |
| CBC, automated (85027) |
$10.40 |
$58 |
1.6× |
| Prothrombin time (PT) (85610) |
$6.89 |
$36 |
1.6× |
| Partial thromboplastin time (PTT) (85730) |
$9.66 |
$52 |
1.6× |
| Psychotherapy, 30 minutes (90832) |
$244.05 |
— |
1.3× |
| Psychotherapy, 45 minutes (90834) |
$244.05 |
— |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$244.05 |
— |
1.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$244.05 |
— |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$244.05 |
— |
1.3× |
| Group psychotherapy (90853) |
$136.44 |
— |
1.3× |
| Left heart catheterization (93452) |
$4,987.76 |
— |
1.5× |
| Sleep study (attended polysomnography) (95810) |
$1,600.37 |
— |
1.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$165 |
$110 |
5.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$543 |
$362 |
4.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$826.50 |
$551 |
6.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,216.50 |
$811 |
8.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$394.50 |
$263 |
2.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$495 |
$330 |
3.6× |