| Breast lesion removal (open) (19120) |
$3,231.40 |
$5,385.66 |
0.8× |
| Shoulder arthroscopy with decompression (29826) |
$2,044.23 |
$3,407.05 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$2,380.71 |
$3,967.85 |
0.7× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$3,904.91 |
$6,508.19 |
0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,413.99 |
$2,356.65 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,589.92 |
$2,649.86 |
1.8× |
| Diagnostic colonoscopy (45378) |
$1,404.90 |
$2,341.50 |
1.5× |
| Colonoscopy with biopsy (45380) |
$1,570.32 |
$2,617.20 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,393.41 |
$2,322.35 |
1.2× |
| Laparoscopic gallbladder removal (47562) |
$3,568.84 |
$5,948.08 |
0.6× |
| Inguinal hernia repair (age 5+) (49505) |
$4,241.98 |
$7,069.97 |
1.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,351.59 |
$5,585.98 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$3,786.18 |
$6,310.30 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$624.20 |
$1,040.34 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,151.87 |
$1,919.78 |
1.3× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$609 |
$1,015 |
1.1× |
| Cataract removal with lens insertion (66984) |
$2,946.98 |
$4,911.64 |
1.3× |
| CT head/brain without contrast (70450) |
$1,435.50 |
$2,392.50 |
13.7× |
| MRI brain without contrast (70551) |
$1,739.23 |
$2,898.72 |
7.3× |
| MRI brain with contrast (70552) |
$1,860 |
$3,100 |
5.3× |
| MRI brain without and with contrast (70553) |
$2,040 |
$3,400 |
5.8× |
| X-ray lower spine, 4+ views (72110) |
$385.24 |
$642.06 |
3.7× |
| MRI lumbar spine without contrast (72148) |
$1,860 |
$3,100 |
7.8× |
| CT pelvis with contrast (72193) |
$1,680 |
$2,800 |
9.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,860 |
$3,100 |
7.8× |
| CT abdomen and pelvis with contrast (74177) |
$3,240 |
$5,400 |
9.3× |
| Ultrasound, abdomen complete (76700) |
$900 |
$1,500 |
8.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$567 |
$945 |
5.4× |
| Ultrasound, transvaginal (76830) |
$490.50 |
$817.50 |
4.7× |
| Mammography, one breast (diagnostic) (77065) |
$210 |
$350 |
2.4× |
| Mammography, both breasts (diagnostic) (77066) |
$216 |
$360 |
2.0× |
| Mammography, screening (bilateral) (77067) |
$195 |
$325 |
2.1× |
| Basic metabolic panel (80048) |
$111.73 |
$186.22 |
13.2× |
| Comprehensive metabolic panel (80053) |
$144 |
$240 |
13.6× |
| Lipid panel (80061) |
$134.90 |
$224.84 |
10.1× |
| Renal function panel (80069) |
$123.60 |
$206 |
14.2× |
| Hepatic function panel (80076) |
$126.69 |
$211.15 |
15.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$4.87 |
$8.11 |
1.2× |
| PSA, total (84153) |
$78 |
$130 |
4.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$75.58 |
$125.96 |
4.5× |
| CBC with automated differential (85025) |
$84 |
$140 |
10.8× |
| CBC, automated (85027) |
$58.51 |
$97.51 |
9.0× |
| Prothrombin time (PT) (85610) |
$42.02 |
$70.04 |
9.8× |
| Partial thromboplastin time (PTT) (85730) |
$67.98 |
$113.30 |
11.3× |
| Sleep study (attended polysomnography) (95810) |
$2,994.54 |
$4,990.90 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$190.20 |
$317 |
6.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$146.94 |
$244.90 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$205.22 |
$342.02 |
1.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$254.74 |
$424.58 |
1.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$151.80 |
$253 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$197.78 |
$329.64 |
1.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$162.23 |
$270.39 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$191.32 |
$318.86 |
— |