| Breast lesion removal (open) (19120) |
$6,802.55 |
$17,006.38 |
1.7× |
| Shoulder arthroscopy with decompression (29826) |
$5,045.39 |
$12,613.48 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$8,663.13 |
$21,657.82 |
2.6× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$6,885.60 |
$17,214.01 |
1.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,379.93 |
$8,449.83 |
3.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$4,094.80 |
$10,237 |
4.4× |
| Diagnostic colonoscopy (45378) |
$3,655.68 |
$9,139.20 |
3.8× |
| Colonoscopy with biopsy (45380) |
$4,301.26 |
$10,753.14 |
3.5× |
| Colonoscopy with lesion removal (45385) |
$4,352.90 |
$10,882.25 |
3.5× |
| Laparoscopic gallbladder removal (47562) |
$13,412.20 |
$33,530.49 |
2.1× |
| Inguinal hernia repair (age 5+) (49505) |
$17,964.18 |
$44,910.44 |
4.8× |
| Laparoscopic radical prostatectomy (55866) |
$7,630.97 |
$19,077.41 |
0.7× |
| CT head/brain without contrast (70450) |
$1,684.60 |
$4,211.50 |
15.6× |
| MRI brain without contrast (70551) |
$2,015.20 |
$5,038 |
8.2× |
| MRI brain with contrast (70552) |
$2,410.20 |
$6,025.50 |
6.7× |
| MRI brain without and with contrast (70553) |
$3,397.60 |
$8,494 |
9.4× |
| X-ray lower spine, 4+ views (72110) |
$573.20 |
$1,433 |
5.3× |
| MRI lumbar spine without contrast (72148) |
$1,761.20 |
$4,403 |
7.1× |
| CT pelvis with contrast (72193) |
$1,680.80 |
$4,202 |
9.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,699.20 |
$4,248 |
6.9× |
| CT abdomen and pelvis with contrast (74177) |
$2,441.20 |
$6,103 |
6.8× |
| Ultrasound, abdomen complete (76700) |
$977.40 |
$2,443.50 |
9.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$528 |
$1,320 |
4.9× |
| Ultrasound, transvaginal (76830) |
$265.60 |
$664 |
2.5× |
| Mammography, one breast (diagnostic) (77065) |
$300.60 |
$751.50 |
3.5× |
| Mammography, both breasts (diagnostic) (77066) |
$360.80 |
$902 |
3.3× |
| Mammography, screening (bilateral) (77067) |
$290.60 |
$726.50 |
3.2× |
| Basic metabolic panel (80048) |
$100.80 |
$252 |
11.9× |
| Comprehensive metabolic panel (80053) |
$121.20 |
$303 |
11.5× |
| Lipid panel (80061) |
$88.40 |
$221 |
6.6× |
| Renal function panel (80069) |
$110.80 |
$277 |
12.8× |
| Hepatic function panel (80076) |
$87.60 |
$219 |
10.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$17.60 |
$44 |
5.1× |
| PSA, total (84153) |
$126.40 |
$316 |
6.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$172.80 |
$432 |
10.3× |
| CBC with automated differential (85025) |
$118.40 |
$296 |
15.2× |
| CBC, automated (85027) |
$85.60 |
$214 |
13.2× |
| Prothrombin time (PT) (85610) |
$54 |
$135 |
12.6× |
| Partial thromboplastin time (PTT) (85730) |
$76 |
$190 |
12.6× |
| Sleep study (attended polysomnography) (95810) |
$3,004.20 |
$7,510.50 |
3.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$109.60 |
$274 |
3.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$233.20 |
$583 |
1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$314 |
$785 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$416.40 |
$1,041 |
3.0× |