| Breast lesion removal (open) (19120) |
$3,741.10 |
$6,802 |
1.1× |
| Shoulder arthroscopy with decompression (29826) |
$2,372.70 |
$4,314 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,170.20 |
$5,764 |
1.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,045.55 |
$1,901 |
1.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,045.55 |
$1,901 |
1.3× |
| Diagnostic colonoscopy (45378) |
$1,061.50 |
$1,930 |
1.3× |
| Colonoscopy with biopsy (45380) |
$1,186.90 |
$2,158 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,186.90 |
$2,158 |
1.1× |
| Inguinal hernia repair (age 5+) (49505) |
$3,717.45 |
$6,759 |
1.2× |
| Laparoscopic radical prostatectomy (55866) |
$10,476.95 |
$19,049 |
1.1× |
| CT head/brain without contrast (70450) |
$345.40 |
$628 |
3.8× |
| MRI brain without contrast (70551) |
$328.35 |
$597 |
1.6× |
| MRI brain with contrast (70552) |
$480.70 |
$874 |
1.6× |
| MRI brain without and with contrast (70553) |
$480.70 |
$874 |
1.6× |
| X-ray lower spine, 4+ views (72110) |
$124.58 |
$226.50 |
1.4× |
| MRI lumbar spine without contrast (72148) |
$274.72 |
$499.50 |
1.3× |
| CT pelvis with contrast (72193) |
$345.40 |
$628 |
2.3× |
| MRI lower-extremity joint without contrast (73721) |
$274.72 |
$499.50 |
1.3× |
| CT abdomen and pelvis with contrast (74177) |
$433.95 |
$789 |
1.4× |
| Ultrasound, abdomen complete (76700) |
$183.70 |
$334 |
2.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$122.65 |
$223 |
1.3× |
| Ultrasound, transvaginal (76830) |
$139.70 |
$254 |
1.5× |
| Mammography, one breast (diagnostic) (77065) |
$83.05 |
$151 |
1.0× |
| Mammography, both breasts (diagnostic) (77066) |
$112.75 |
$205 |
1.0× |
| Mammography, screening (bilateral) (77067) |
$92.12 |
$167.50 |
1.0× |
| Basic metabolic panel (80048) |
$63.25 |
$115 |
7.5× |
| Comprehensive metabolic panel (80053) |
$71.50 |
$130 |
6.8× |
| Obstetric panel (80055) |
$245.85 |
$447 |
5.1× |
| Lipid panel (80061) |
$52.25 |
$95 |
3.9× |
| Renal function panel (80069) |
$63.25 |
$115 |
7.3× |
| Hepatic function panel (80076) |
$63.25 |
$115 |
7.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$18.42 |
$33.50 |
5.3× |
| PSA, total (84153) |
$48.40 |
$88 |
2.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$45.65 |
$83 |
2.7× |
| CBC with automated differential (85025) |
$38.50 |
$70 |
5.0× |
| CBC, automated (85027) |
$25.30 |
$46 |
3.9× |
| Prothrombin time (PT) (85610) |
$44 |
$80 |
10.3× |
| Partial thromboplastin time (PTT) (85730) |
$40.70 |
$74 |
6.8× |
| Psychotherapy, 30 minutes (90832) |
$157.30 |
$286 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$157.30 |
$286 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$157.30 |
$286 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$157.30 |
$286 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$157.30 |
$286 |
1.0× |
| Group psychotherapy (90853) |
$200.75 |
$365 |
2.3× |
| Left heart catheterization (93452) |
$3,236.75 |
$5,885 |
1.1× |
| Sleep study (attended polysomnography) (95810) |
$2,246.75 |
$4,085 |
3.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$46.20 |
$84 |
1.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$73.15 |
$133 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$72.05 |
$131 |
0.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$72.05 |
$131 |
0.6× |