| Shoulder arthroscopy with decompression (29826) |
$2,821.58 |
$3,319.50 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,706.45 |
$5,537 |
1.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,886.58 |
$2,219.50 |
2.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,912.92 |
$2,250.50 |
2.0× |
| Diagnostic colonoscopy (45378) |
$3,255.50 |
$3,830 |
3.3× |
| Colonoscopy with biopsy (45380) |
$2,455.65 |
$2,889 |
1.9× |
| Colonoscopy with lesion removal (45385) |
$2,541.92 |
$2,990.50 |
2.0× |
| Laparoscopic gallbladder removal (47562) |
$4,217.70 |
$4,962 |
0.7× |
| Inguinal hernia repair (age 5+) (49505) |
$3,186.65 |
$3,749 |
0.8× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,217.70 |
$4,962 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$6,976.80 |
$8,208 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$6,576.45 |
$7,737 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$970.70 |
$1,142 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,687.68 |
$1,985.50 |
1.8× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,421.62 |
$1,672.50 |
2.5× |
| Cataract removal with lens insertion (66984) |
$2,454.80 |
$2,888 |
1.0× |
| CT head/brain without contrast (70450) |
$1,050.18 |
$1,235.50 |
9.5× |
| MRI brain without contrast (70551) |
$1,316.22 |
$1,548.50 |
5.2× |
| MRI brain with contrast (70552) |
$1,782.88 |
$2,097.50 |
4.8× |
| MRI brain without and with contrast (70553) |
$2,114.38 |
$2,487.50 |
5.7× |
| X-ray lower spine, 4+ views (72110) |
$335.75 |
$395 |
3.0× |
| MRI lumbar spine without contrast (72148) |
$1,320.48 |
$1,553.50 |
5.2× |
| CT pelvis with contrast (72193) |
$1,234.20 |
$1,452 |
6.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,388.05 |
$1,633 |
5.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,214.25 |
$2,605 |
6.0× |
| Ultrasound, abdomen complete (76700) |
$586.08 |
$689.50 |
5.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$367.20 |
$432 |
3.3× |
| Ultrasound, transvaginal (76830) |
$329.80 |
$388 |
3.0× |
| Mammography, one breast (diagnostic) (77065) |
$279.65 |
$329 |
3.2× |
| Mammography, both breasts (diagnostic) (77066) |
$294.52 |
$346.50 |
2.7× |
| Mammography, screening (bilateral) (77067) |
$229.50 |
$270 |
2.5× |
| Basic metabolic panel (80048) |
$103.70 |
$122 |
12.3× |
| Comprehensive metabolic panel (80053) |
$140.25 |
$165 |
13.3× |
| Lipid panel (80061) |
$121.55 |
$143 |
9.1× |
| Renal function panel (80069) |
$132.60 |
$156 |
15.3× |
| Hepatic function panel (80076) |
$124.10 |
$146 |
15.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$28.05 |
$33 |
8.1× |
| PSA, total (84153) |
$153 |
$180 |
8.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$119.85 |
$141 |
7.1× |
| CBC with automated differential (85025) |
$68 |
$80 |
8.8× |
| CBC, automated (85027) |
$61.20 |
$72 |
9.5× |
| Prothrombin time (PT) (85610) |
$25.50 |
$30 |
5.9× |
| Partial thromboplastin time (PTT) (85730) |
$78.62 |
$92.50 |
13.1× |
| Psychotherapy, 30 minutes (90832) |
$64.60 |
$76 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$110.08 |
$129.50 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$141.52 |
$166.50 |
0.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$110.08 |
$129.50 |
0.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$110.08 |
$129.50 |
0.6× |
| Group psychotherapy (90853) |
$173.40 |
$204 |
1.6× |
| Electrocardiogram (ECG), complete (93000) |
$294.52 |
$346.50 |
4.7× |
| Sleep study (attended polysomnography) (95810) |
$2,351.52 |
$2,766.50 |
2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$112.20 |
$132 |
3.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$277.52 |
$326.50 |
2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$407.15 |
$479 |
2.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$521.05 |
$613 |
3.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$291.55 |
$343 |
2.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$431.80 |
$508 |
3.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$254.15 |
$299 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$364.65 |
$429 |
— |