| Breast lesion removal (open) (19120) |
$2,440.76 |
$5,742.96 |
0.5× |
| Shoulder arthroscopy with decompression (29826) |
$2,089.60 |
$4,916.71 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,694.32 |
$3,986.64 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,714.37 |
$4,033.80 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,740.08 |
$4,094.30 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,689.40 |
$3,975.05 |
1.5× |
| Colonoscopy with biopsy (45380) |
$1,689.40 |
$3,975.05 |
1.2× |
| Colonoscopy with lesion removal (45385) |
$1,664.43 |
$3,916.30 |
1.2× |
| Laparoscopic gallbladder removal (47562) |
$7,725.19 |
$18,176.91 |
1.1× |
| Inguinal hernia repair (age 5+) (49505) |
$3,334.38 |
$7,845.62 |
0.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,602.36 |
$3,770.27 |
1.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,602.36 |
$3,770.27 |
1.5× |
| CT head/brain without contrast (70450) |
$483.68 |
$1,138.07 |
3.9× |
| MRI brain without contrast (70551) |
$931.77 |
$2,192.40 |
3.3× |
| MRI brain with contrast (70552) |
$1,368.02 |
$3,218.87 |
3.3× |
| MRI brain without and with contrast (70553) |
$1,558.10 |
$3,666.10 |
3.7× |
| X-ray lower spine, 4+ views (72110) |
$247.22 |
$581.68 |
2.0× |
| MRI lumbar spine without contrast (72148) |
$931.77 |
$2,192.40 |
3.3× |
| CT pelvis with contrast (72193) |
$787.06 |
$1,851.90 |
3.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,390.77 |
$3,272.40 |
4.9× |
| CT abdomen and pelvis with contrast (74177) |
$1,233.15 |
$2,901.53 |
2.9× |
| Ultrasound, abdomen complete (76700) |
$366.01 |
$861.20 |
2.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$366.01 |
$861.20 |
2.9× |
| Ultrasound, transvaginal (76830) |
$366.01 |
$861.20 |
2.9× |
| Mammography, one breast (diagnostic) (77065) |
$341.71 |
$804.03 |
4.0× |
| Mammography, both breasts (diagnostic) (77066) |
$427.67 |
$1,006.29 |
3.9× |
| Mammography, screening (bilateral) (77067) |
$345.90 |
$813.89 |
3.8× |
| Basic metabolic panel (80048) |
$29.78 |
$70.08 |
3.5× |
| Comprehensive metabolic panel (80053) |
$36.69 |
$86.32 |
3.5× |
| Obstetric panel (80055) |
$161.99 |
$381.16 |
3.4× |
| Lipid panel (80061) |
$63.30 |
$148.93 |
4.7× |
| Renal function panel (80069) |
$30.28 |
$71.24 |
3.5× |
| Hepatic function panel (80076) |
$28.45 |
$66.95 |
3.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$9.30 |
$21.89 |
2.7× |
| PSA, total (84153) |
$64.22 |
$151.12 |
3.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$58.70 |
$138.13 |
3.5× |
| CBC with automated differential (85025) |
$27.52 |
$64.74 |
3.5× |
| CBC, automated (85027) |
$22.94 |
$53.97 |
3.5× |
| Prothrombin time (PT) (85610) |
$13.76 |
$32.38 |
3.2× |
| Partial thromboplastin time (PTT) (85730) |
$21.10 |
$49.64 |
3.5× |
| Left heart catheterization (93452) |
$7,504.17 |
$17,656.88 |
1.9× |
| Sleep study (attended polysomnography) (95810) |
$2,249.94 |
$5,293.96 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$201.52 |
$474.18 |
6.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$88.18 |
$207.49 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$95.60 |
$224.96 |
0.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$106.70 |
$251.07 |
0.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$88.18 |
$207.49 |
0.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$97.02 |
$228.28 |
0.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$24.74 |
$58.21 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$24.74 |
$58.21 |
— |