| Breast lesion removal (open) (19120) |
$3,926.16 |
$7,852.33 |
1.0× |
| Shoulder arthroscopy with decompression (29826) |
$11,892.38 |
$23,784.75 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,010.18 |
$10,020.35 |
1.5× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$4,710.11 |
$9,420.22 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,300.70 |
$4,601.39 |
2.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,467.25 |
$2,934.50 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,465 |
$2,930 |
1.6× |
| Colonoscopy with biopsy (45380) |
$2,261.24 |
$4,522.47 |
1.9× |
| Colonoscopy with lesion removal (45385) |
$2,172.94 |
$4,345.88 |
1.8× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,345 |
$2,690 |
1.1× |
| Laparoscopic gallbladder removal (47562) |
$7,439.38 |
$14,878.75 |
1.2× |
| Inguinal hernia repair (age 5+) (49505) |
$6,049.04 |
$12,098.07 |
1.7× |
| Laparoscopic radical prostatectomy (55866) |
$11,363 |
$22,726 |
1.1× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,600 |
$9,200 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$8,850 |
$17,700 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$4,600 |
$9,200 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,116 |
$2,232 |
1.3× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$732 |
$1,464 |
1.3× |
| Cataract removal with lens insertion (66984) |
$4,378.50 |
$8,757 |
1.9× |
| CT head/brain without contrast (70450) |
$510 |
$1,020 |
4.9× |
| MRI brain without contrast (70551) |
$823 |
$1,646 |
3.4× |
| MRI brain with contrast (70552) |
$955.50 |
$1,911 |
2.7× |
| MRI brain without and with contrast (70553) |
$1,264 |
$2,528 |
3.6× |
| X-ray lower spine, 4+ views (72110) |
$155 |
$310 |
1.5× |
| MRI lumbar spine without contrast (72148) |
$832.75 |
$1,665.50 |
3.5× |
| CT pelvis with contrast (72193) |
$689.75 |
$1,379.50 |
3.9× |
| MRI lower-extremity joint without contrast (73721) |
$828.75 |
$1,657.50 |
3.5× |
| CT abdomen and pelvis with contrast (74177) |
$956 |
$1,912 |
2.7× |
| Ultrasound, abdomen complete (76700) |
$255.75 |
$511.50 |
2.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$417 |
$834 |
4.0× |
| Ultrasound, transvaginal (76830) |
$222 |
$444 |
2.1× |
| Mammography, one breast (diagnostic) (77065) |
$139.25 |
$278.50 |
1.6× |
| Mammography, both breasts (diagnostic) (77066) |
$148.25 |
$296.50 |
1.3× |
| Mammography, screening (bilateral) (77067) |
$83.75 |
$167.50 |
0.9× |
| Basic metabolic panel (80048) |
$123 |
$246 |
14.5× |
| Comprehensive metabolic panel (80053) |
$140.50 |
$281 |
13.3× |
| Obstetric panel (80055) |
$124 |
$248 |
2.6× |
| Lipid panel (80061) |
$31 |
$62 |
2.3× |
| Renal function panel (80069) |
$131 |
$262 |
15.1× |
| Hepatic function panel (80076) |
$81.25 |
$162.50 |
9.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$46 |
$92 |
11.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$19.50 |
$39 |
5.6× |
| PSA, total (84153) |
$64.25 |
$128.50 |
3.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$27.50 |
$55 |
1.6× |
| CBC with automated differential (85025) |
$49 |
$98 |
6.3× |
| CBC, automated (85027) |
$49 |
$98 |
7.6× |
| Prothrombin time (PT) (85610) |
$46 |
$92 |
10.7× |
| Partial thromboplastin time (PTT) (85730) |
$40.70 |
$81.40 |
6.8× |
| Psychotherapy, 30 minutes (90832) |
$33.50 |
$67 |
0.2× |
| Psychotherapy, 45 minutes (90834) |
$61 |
$122 |
0.3× |
| Psychotherapy, 60 minutes (90837) |
$64 |
$128 |
0.4× |
| Group psychotherapy (90853) |
$129 |
$258 |
1.3× |
| Electrocardiogram (ECG), complete (93000) |
$194.50 |
$389 |
3.3× |
| Left heart catheterization (93452) |
$6,497.50 |
$12,995 |
2.0× |
| Sleep study (attended polysomnography) (95810) |
$875.25 |
$1,750.50 |
1.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$90.50 |
$181 |
3.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$156.50 |
$313 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$194.50 |
$389 |
1.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$202 |
$404 |
1.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$199 |
$398 |
1.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$288.75 |
$577.50 |
2.2× |