| Breast lesion removal (open) (19120) |
$13,428.39 |
$16,785.49 |
3.4× |
| Shoulder arthroscopy with decompression (29826) |
$4,514.35 |
$5,642.94 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$23,936.85 |
$29,921.06 |
7.3× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$15,480.84 |
$19,351.05 |
2.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$8,593.76 |
$10,742.20 |
9.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$8,632.60 |
$10,790.76 |
9.6× |
| Diagnostic colonoscopy (45378) |
$8,341.11 |
$10,426.39 |
9.0× |
| Colonoscopy with biopsy (45380) |
$8,408.68 |
$10,510.85 |
7.1× |
| Colonoscopy with lesion removal (45385) |
$8,617.47 |
$10,771.84 |
7.2× |
| Laparoscopic gallbladder removal (47562) |
$23,553.20 |
$29,441.50 |
3.9× |
| Inguinal hernia repair (age 5+) (49505) |
$24,646.54 |
$30,808.17 |
6.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$6,831.95 |
$8,539.94 |
7.8× |
| Cataract removal with lens insertion (66984) |
$7,941.38 |
$9,926.73 |
3.5× |
| CT head/brain without contrast (70450) |
$3,075.20 |
$3,844 |
29.5× |
| MRI brain without contrast (70551) |
$3,672 |
$4,590 |
15.5× |
| MRI brain with contrast (70552) |
$2,236.80 |
$2,796 |
6.4× |
| MRI brain without and with contrast (70553) |
$4,651.20 |
$5,814 |
13.4× |
| X-ray lower spine, 4+ views (72110) |
$240 |
$300 |
2.3× |
| MRI lumbar spine without contrast (72148) |
$3,672 |
$4,590 |
15.5× |
| CT pelvis with contrast (72193) |
$2,276.80 |
$2,846 |
13.0× |
| MRI lower-extremity joint without contrast (73721) |
$3,672 |
$4,590 |
15.5× |
| CT abdomen and pelvis with contrast (74177) |
$6,528 |
$8,160 |
18.8× |
| Ultrasound, abdomen complete (76700) |
$740 |
$925 |
7.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$971.20 |
$1,214 |
9.3× |
| Ultrasound, transvaginal (76830) |
$764.80 |
$956 |
7.3× |
| Mammography, one breast (diagnostic) (77065) |
$320 |
$400 |
3.7× |
| Mammography, both breasts (diagnostic) (77066) |
$480 |
$600 |
4.3× |
| Mammography, screening (bilateral) (77067) |
$400 |
$500 |
4.4× |
| Basic metabolic panel (80048) |
$284.80 |
$356 |
33.7× |
| Comprehensive metabolic panel (80053) |
$380 |
$475 |
36.0× |
| Obstetric panel (80055) |
$200 |
$250 |
4.2× |
| Lipid panel (80061) |
$280 |
$350 |
20.9× |
| Renal function panel (80069) |
$280 |
$350 |
32.3× |
| Hepatic function panel (80076) |
$320 |
$400 |
39.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$32 |
$40 |
8.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$15.20 |
$19 |
4.4× |
| PSA, total (84153) |
$240 |
$300 |
13.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$320 |
$400 |
19.0× |
| CBC with automated differential (85025) |
$229.60 |
$287 |
29.5× |
| CBC, automated (85027) |
$219.20 |
$274 |
33.9× |
| Prothrombin time (PT) (85610) |
$41.60 |
$52 |
9.7× |
| Partial thromboplastin time (PTT) (85730) |
$72 |
$90 |
12.0× |
| Psychotherapy, 30 minutes (90832) |
$128.80 |
$161 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$174.40 |
$218 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$183.20 |
$229 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$270.40 |
$338 |
1.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$270.40 |
$338 |
1.5× |
| Group psychotherapy (90853) |
$312 |
$390 |
3.1× |
| Sleep study (attended polysomnography) (95810) |
$1,443.20 |
$1,804 |
1.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$180 |
$225 |
6.2× |