| Breast lesion removal (open) (19120) |
$1,957 |
$3,914 |
0.5× |
| Shoulder arthroscopy with decompression (29826) |
$2,275.41 |
$4,550.81 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,221.50 |
$8,443 |
1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$728 |
$1,456 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$728 |
$1,456 |
0.8× |
| Diagnostic colonoscopy (45378) |
$1,088.25 |
$2,176.50 |
1.2× |
| Colonoscopy with biopsy (45380) |
$1,046.50 |
$2,093 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,774.50 |
$3,549 |
1.5× |
| Laparoscopic gallbladder removal (47562) |
$5,700.50 |
$11,401 |
1.0× |
| Inguinal hernia repair (age 5+) (49505) |
$4,893 |
$9,786 |
1.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$879.25 |
$1,758.50 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,999.75 |
$3,999.50 |
2.4× |
| Cataract removal with lens insertion (66984) |
$1,553.50 |
$3,107 |
0.7× |
| CT head/brain without contrast (70450) |
$783.25 |
$1,566.50 |
7.8× |
| MRI brain without contrast (70551) |
$1,384.50 |
$2,769 |
6.0× |
| MRI brain with contrast (70552) |
$1,159.50 |
$2,319 |
3.5× |
| MRI brain without and with contrast (70553) |
$2,141.25 |
$4,282.50 |
6.4× |
| X-ray lower spine, 4+ views (72110) |
$264.50 |
$529 |
2.6× |
| MRI lumbar spine without contrast (72148) |
$1,383.25 |
$2,766.50 |
6.0× |
| CT pelvis with contrast (72193) |
$906 |
$1,812 |
5.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,367.25 |
$2,734.50 |
6.0× |
| CT abdomen and pelvis with contrast (74177) |
$1,972 |
$3,944 |
5.9× |
| Ultrasound, abdomen complete (76700) |
$424.50 |
$849 |
4.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$437.50 |
$875 |
4.4× |
| Ultrasound, transvaginal (76830) |
$401.25 |
$802.50 |
4.0× |
| Mammography, one breast (diagnostic) (77065) |
$185.75 |
$371.50 |
2.2× |
| Mammography, both breasts (diagnostic) (77066) |
$388 |
$776 |
3.5× |
| Mammography, screening (bilateral) (77067) |
$259.25 |
$518.50 |
2.8× |
| Basic metabolic panel (80048) |
$39 |
$78 |
4.6× |
| Comprehensive metabolic panel (80053) |
$82 |
$164 |
7.8× |
| Lipid panel (80061) |
$42.28 |
$84.56 |
3.2× |
| Renal function panel (80069) |
$40 |
$80 |
4.6× |
| Hepatic function panel (80076) |
$38 |
$76 |
4.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$4.50 |
$9 |
1.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$20.50 |
$41 |
5.9× |
| PSA, total (84153) |
$78.50 |
$157 |
4.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$56 |
$112 |
3.3× |
| CBC with automated differential (85025) |
$51.50 |
$103 |
6.6× |
| CBC, automated (85027) |
$43.25 |
$86.50 |
6.7× |
| Prothrombin time (PT) (85610) |
$35 |
$70 |
8.2× |
| Partial thromboplastin time (PTT) (85730) |
$38.26 |
$76.53 |
6.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$182 |
$364 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$202 |
$404 |
1.2× |
| Electrocardiogram (ECG), complete (93000) |
$127 |
$254 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$124 |
$248 |
4.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$63 |
$126 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$63 |
$126 |
0.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$63 |
$126 |
0.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$81 |
$162 |
0.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$78 |
$156 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$82 |
$164 |
— |