| Knee arthroscopy with meniscectomy (29881) |
$8,176.50 |
$16,353 |
2.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,443 |
$2,886 |
1.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,729 |
$3,458 |
1.8× |
| Diagnostic colonoscopy (45378) |
$1,900.75 |
$3,801.50 |
1.9× |
| Colonoscopy with biopsy (45380) |
$1,305.17 |
$2,610.33 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$2,186.50 |
$4,373 |
1.7× |
| Laparoscopic gallbladder removal (47562) |
$7,144 |
$14,288 |
1.1× |
| Inguinal hernia repair (age 5+) (49505) |
$11,306.50 |
$22,613 |
3.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$649.50 |
$1,299 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,222.50 |
$2,445 |
1.3× |
| CT head/brain without contrast (70450) |
$1,398 |
$2,796 |
12.5× |
| MRI brain without contrast (70551) |
$1,095.75 |
$2,191.50 |
4.3× |
| MRI brain with contrast (70552) |
$1,400 |
$2,800 |
3.8× |
| MRI brain without and with contrast (70553) |
$1,825.50 |
$3,651 |
4.9× |
| X-ray lower spine, 4+ views (72110) |
$362.75 |
$725.50 |
3.2× |
| MRI lumbar spine without contrast (72148) |
$1,144 |
$2,288 |
4.5× |
| CT pelvis with contrast (72193) |
$1,499 |
$2,998 |
8.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,122.50 |
$2,245 |
4.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,666 |
$5,332 |
7.2× |
| Ultrasound, abdomen complete (76700) |
$407.50 |
$815 |
3.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$453.50 |
$907 |
4.1× |
| Ultrasound, transvaginal (76830) |
$433 |
$866 |
3.9× |
| Mammography, one breast (diagnostic) (77065) |
$467 |
$934 |
5.4× |
| Mammography, both breasts (diagnostic) (77066) |
$595 |
$1,190 |
5.4× |
| Mammography, screening (bilateral) (77067) |
$492.50 |
$985 |
5.4× |
| Basic metabolic panel (80048) |
$71 |
$142 |
8.4× |
| Comprehensive metabolic panel (80053) |
$62.25 |
$124.50 |
5.9× |
| Lipid panel (80061) |
$73.25 |
$146.50 |
5.5× |
| Renal function panel (80069) |
$155.75 |
$311.50 |
17.9× |
| Hepatic function panel (80076) |
$55.75 |
$111.50 |
6.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$4.50 |
$9 |
1.3× |
| PSA, total (84153) |
$112 |
$224 |
6.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$95 |
$190 |
5.7× |
| CBC with automated differential (85025) |
$42.50 |
$85 |
5.5× |
| CBC, automated (85027) |
$35.50 |
$71 |
5.5× |
| Prothrombin time (PT) (85610) |
$25.50 |
$51 |
5.9× |
| Partial thromboplastin time (PTT) (85730) |
$73 |
$146 |
12.1× |
| Electrocardiogram (ECG), complete (93000) |
$24 |
$48 |
0.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$207.50 |
$415 |
7.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$58 |
$116 |
0.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$83.50 |
$167 |
0.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$103 |
$206 |
0.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$60.50 |
$121 |
0.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$89.50 |
$179 |
0.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$68.50 |
$137 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$76.50 |
$153 |
— |