| Breast lesion removal (open) (19120) |
$20,591 |
$34,318 |
5.1× |
| Shoulder arthroscopy with decompression (29826) |
$21,208 |
$35,346 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$14,650 |
$24,416 |
4.3× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$11,428 |
$19,047 |
1.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,663 |
$4,439 |
2.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$4,614 |
$7,690 |
4.9× |
| Diagnostic colonoscopy (45378) |
$3,650 |
$6,084 |
3.8× |
| Colonoscopy with biopsy (45380) |
$4,374 |
$7,290 |
3.5× |
| Colonoscopy with lesion removal (45385) |
$4,284 |
$7,140 |
3.4× |
| Laparoscopic gallbladder removal (47562) |
$19,603 |
$32,671 |
3.1× |
| Inguinal hernia repair (age 5+) (49505) |
$15,566 |
$25,944 |
4.2× |
| Laparoscopic radical prostatectomy (55866) |
$33,288 |
$55,480 |
3.0× |
| Obstetric care, vaginal delivery (global) (59400) |
$16,733 |
$27,888 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,785 |
$4,641 |
3.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$6,414 |
$10,689.50 |
7.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$2,020 |
$3,367 |
3.5× |
| Cataract removal with lens insertion (66984) |
$3,789 |
$6,315.50 |
1.6× |
| CT head/brain without contrast (70450) |
$650.50 |
$1,159 |
6.0× |
| MRI brain without contrast (70551) |
$1,180.50 |
$2,097.50 |
4.8× |
| MRI brain with contrast (70552) |
$1,416.50 |
$2,517.50 |
3.9× |
| MRI brain without and with contrast (70553) |
$1,443.50 |
$2,607.50 |
4.0× |
| X-ray lower spine, 4+ views (72110) |
$246 |
$507 |
2.3× |
| MRI lumbar spine without contrast (72148) |
$1,163.50 |
$2,069 |
4.7× |
| CT pelvis with contrast (72193) |
$870 |
$1,551 |
4.8× |
| MRI lower-extremity joint without contrast (73721) |
$889.50 |
$2,060.50 |
3.6× |
| CT abdomen and pelvis with contrast (74177) |
$1,772 |
$3,113.50 |
4.9× |
| Ultrasound, abdomen complete (76700) |
$317.50 |
$600.50 |
2.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$329.50 |
$637 |
3.0× |
| Ultrasound, transvaginal (76830) |
$291.50 |
$547 |
2.7× |
| Mammography, one breast (diagnostic) (77065) |
$200.50 |
$405.50 |
2.3× |
| Mammography, both breasts (diagnostic) (77066) |
$254 |
$511 |
2.3× |
| Mammography, screening (bilateral) (77067) |
$206.50 |
$411.50 |
2.3× |
| Basic metabolic panel (80048) |
$103 |
$171 |
12.2× |
| Comprehensive metabolic panel (80053) |
$127 |
$211 |
12.0× |
| Lipid panel (80061) |
$73 |
$121 |
5.5× |
| Renal function panel (80069) |
$47 |
$78 |
5.4× |
| Hepatic function panel (80076) |
$44 |
$74 |
5.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$22 |
$36 |
5.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$5 |
$8 |
1.4× |
| PSA, total (84153) |
$95 |
$159 |
5.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$86 |
$143 |
5.1× |
| CBC with automated differential (85025) |
$64 |
$107 |
8.2× |
| CBC, automated (85027) |
$49 |
$81 |
7.6× |
| Prothrombin time (PT) (85610) |
$43 |
$72 |
10.0× |
| Partial thromboplastin time (PTT) (85730) |
$62 |
$103 |
10.3× |
| Psychotherapy, 30 minutes (90832) |
$107 |
$178 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$141 |
$235 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$197.50 |
$329 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$151.50 |
$252 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$157 |
$261.50 |
0.9× |
| Group psychotherapy (90853) |
$37 |
$62 |
0.4× |
| Electrocardiogram (ECG), complete (93000) |
$24 |
$40 |
0.4× |
| Left heart catheterization (93452) |
$44,077 |
$73,461 |
13.1× |
| Sleep study (attended polysomnography) (95810) |
$1,616.50 |
$2,845.50 |
1.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$100 |
$166 |
3.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$128 |
$338 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$200.50 |
$520.50 |
1.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$270.50 |
$696 |
2.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$131 |
$218 |
0.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$210 |
$350 |
1.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$156 |
$260 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$184.50 |
$307.50 |
— |