| Breast lesion removal (open) (19120) |
$5,569.90 |
$7,957 |
1.5× |
| Knee arthroscopy with meniscectomy (29881) |
$7,246.05 |
$10,351.50 |
2.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$5,840.10 |
$8,343 |
1.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,506.49 |
$2,152.13 |
1.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$949.89 |
$1,356.98 |
1.1× |
| Diagnostic colonoscopy (45378) |
$1,157.64 |
$1,653.76 |
1.3× |
| Colonoscopy with biopsy (45380) |
$1,986.43 |
$2,837.75 |
1.8× |
| Colonoscopy with lesion removal (45385) |
$1,139.86 |
$1,628.37 |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$9,717.44 |
$13,882.05 |
1.7× |
| Inguinal hernia repair (age 5+) (49505) |
$13,479.16 |
$19,255.94 |
4.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,166.03 |
$1,665.75 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,640.24 |
$2,343.20 |
2.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,389.15 |
$1,984.50 |
2.7× |
| Cataract removal with lens insertion (66984) |
$2,487.45 |
$3,553.50 |
1.1× |
| CT head/brain without contrast (70450) |
$1,090.42 |
$1,557.75 |
11.1× |
| MRI brain without contrast (70551) |
$645.46 |
$922.09 |
2.9× |
| MRI brain with contrast (70552) |
$973.88 |
$1,391.25 |
3.0× |
| MRI brain without and with contrast (70553) |
$988.77 |
$1,412.53 |
3.0× |
| X-ray lower spine, 4+ views (72110) |
$547.75 |
$782.50 |
5.6× |
| MRI lumbar spine without contrast (72148) |
$645.46 |
$922.09 |
2.9× |
| CT pelvis with contrast (72193) |
$1,351.96 |
$1,931.36 |
8.2× |
| MRI lower-extremity joint without contrast (73721) |
$648.68 |
$926.68 |
2.9× |
| CT abdomen and pelvis with contrast (74177) |
$2,731.52 |
$3,902.16 |
8.3× |
| Ultrasound, abdomen complete (76700) |
$664.85 |
$949.78 |
6.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$403.73 |
$576.75 |
4.1× |
| Ultrasound, transvaginal (76830) |
$650.28 |
$928.97 |
6.6× |
| Mammography, one breast (diagnostic) (77065) |
$136.24 |
$194.62 |
1.6× |
| Mammography, both breasts (diagnostic) (77066) |
$167.94 |
$239.90 |
1.5× |
| Mammography, screening (bilateral) (77067) |
$88.36 |
$126.22 |
1.0× |
| Basic metabolic panel (80048) |
$126.12 |
$180.16 |
14.9× |
| Comprehensive metabolic panel (80053) |
$207.20 |
$296 |
19.6× |
| Lipid panel (80061) |
$130.52 |
$186.46 |
9.7× |
| Renal function panel (80069) |
$139.30 |
$199 |
16.0× |
| Hepatic function panel (80076) |
$152.95 |
$218.50 |
18.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$7 |
$10 |
1.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$19.95 |
$28.50 |
5.7× |
| PSA, total (84153) |
$126.28 |
$180.40 |
6.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$42.16 |
$60.22 |
2.5× |
| CBC with automated differential (85025) |
$47.60 |
$68 |
6.1× |
| CBC, automated (85027) |
$9.33 |
$13.33 |
1.4× |
| Prothrombin time (PT) (85610) |
$54.78 |
$78.25 |
12.8× |
| Partial thromboplastin time (PTT) (85730) |
$99.40 |
$142 |
16.5× |
| Left heart catheterization (93452) |
$6,989.19 |
$9,984.56 |
2.3× |
| Sleep study (attended polysomnography) (95810) |
$3,061.45 |
$4,373.50 |
3.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$164.08 |
$234.40 |
5.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$178.24 |
$254.62 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$203.70 |
$291 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$243.25 |
$347.50 |
1.9× |