| Breast lesion removal (open) (19120) |
$6,576.62 |
$8,768.82 |
1.4× |
| Shoulder arthroscopy with decompression (29826) |
$2,281.10 |
$3,041.46 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$7,859.07 |
$10,478.76 |
2.0× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$5,926.07 |
$7,901.43 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,744.50 |
$2,326 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,744.50 |
$2,326 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,744.50 |
$2,326 |
1.6× |
| Colonoscopy with biopsy (45380) |
$1,526.62 |
$2,035.50 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,966.12 |
$2,621.50 |
1.4× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,512.80 |
$2,017.06 |
1.1× |
| Laparoscopic gallbladder removal (47562) |
$10,486.10 |
$13,981.46 |
1.4× |
| Inguinal hernia repair (age 5+) (49505) |
$8,527.01 |
$11,369.34 |
2.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,750.50 |
$2,334 |
1.7× |
| Cataract removal with lens insertion (66984) |
$4,347.18 |
$5,796.24 |
1.6× |
| CT head/brain without contrast (70450) |
$1,429.50 |
$1,906 |
11.4× |
| MRI brain without contrast (70551) |
$1,652.25 |
$2,203 |
5.8× |
| MRI brain with contrast (70552) |
$2,127 |
$2,836 |
5.1× |
| MRI brain without and with contrast (70553) |
$2,678.25 |
$3,571 |
6.4× |
| X-ray lower spine, 4+ views (72110) |
$474 |
$632 |
3.8× |
| MRI lumbar spine without contrast (72148) |
$1,805.25 |
$2,407 |
6.3× |
| CT pelvis with contrast (72193) |
$2,693.25 |
$3,591 |
12.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,553.25 |
$2,071 |
5.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,127 |
$2,836 |
5.1× |
| Ultrasound, abdomen complete (76700) |
$1,443 |
$1,924 |
11.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$888.75 |
$1,185 |
7.1× |
| Ultrasound, transvaginal (76830) |
$566.25 |
$755 |
4.5× |
| Mammography, one breast (diagnostic) (77065) |
$459 |
$612 |
5.3× |
| Mammography, both breasts (diagnostic) (77066) |
$540 |
$720 |
4.9× |
| Mammography, screening (bilateral) (77067) |
$433.88 |
$578.50 |
4.8× |
| Basic metabolic panel (80048) |
$68.25 |
$91 |
8.1× |
| Comprehensive metabolic panel (80053) |
$120 |
$160 |
11.4× |
| Lipid panel (80061) |
$177 |
$236 |
13.2× |
| Hepatic function panel (80076) |
$57 |
$76 |
7.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$25.50 |
$34 |
7.3× |
| PSA, total (84153) |
$81 |
$108 |
4.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$120.75 |
$161 |
7.2× |
| CBC with automated differential (85025) |
$123 |
$164 |
15.8× |
| CBC, automated (85027) |
$24 |
$32 |
3.7× |
| Prothrombin time (PT) (85610) |
$16.50 |
$22 |
3.8× |
| Partial thromboplastin time (PTT) (85730) |
$45 |
$60 |
7.5× |
| Psychotherapy, 30 minutes (90832) |
$231.75 |
$309 |
1.1× |
| Psychotherapy, 45 minutes (90834) |
$308.25 |
$411 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$308.25 |
$411 |
1.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$211.50 |
$282 |
1.0× |
| Group psychotherapy (90853) |
$132.75 |
$177 |
1.1× |
| Electrocardiogram (ECG), complete (93000) |
$186.75 |
$249 |
2.6× |
| Sleep study (attended polysomnography) (95810) |
$2,459.25 |
$3,279 |
2.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$98.25 |
$131 |
3.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$116.25 |
$155 |
0.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$219.75 |
$293 |
1.4× |