| Breast lesion removal (open) (19120) |
$4,196.40 |
$8,070 |
0.8× |
| Shoulder arthroscopy with decompression (29826) |
$4,035.20 |
$7,760 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,148 |
$9,900 |
1.2× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$4,321.20 |
$8,310 |
0.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,872 |
$3,600 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,768 |
$3,400 |
1.5× |
| Diagnostic colonoscopy (45378) |
$2,080 |
$4,000 |
1.7× |
| Colonoscopy with biopsy (45380) |
$2,080 |
$4,000 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$2,288 |
$4,400 |
1.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,288 |
$4,400 |
1.5× |
| Laparoscopic gallbladder removal (47562) |
$13,208 |
$25,400 |
1.7× |
| Inguinal hernia repair (age 5+) (49505) |
$7,389.20 |
$14,210 |
1.6× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,648.40 |
$3,170 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,939.60 |
$3,730 |
1.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,570.40 |
$3,020 |
2.2× |
| Cataract removal with lens insertion (66984) |
$5,044 |
$9,700 |
1.7× |
| CT head/brain without contrast (70450) |
$2,288 |
$4,400 |
17.0× |
| MRI brain without contrast (70551) |
$2,600 |
$5,000 |
8.5× |
| MRI brain with contrast (70552) |
$2,912 |
$5,600 |
6.5× |
| MRI brain without and with contrast (70553) |
$3,068 |
$5,900 |
6.8× |
| X-ray lower spine, 4+ views (72110) |
$681.20 |
$1,310 |
5.1× |
| MRI lumbar spine without contrast (72148) |
$2,496 |
$4,800 |
8.1× |
| CT pelvis with contrast (72193) |
$2,548 |
$4,900 |
11.3× |
| MRI lower-extremity joint without contrast (73721) |
$2,392 |
$4,600 |
7.8× |
| CT abdomen and pelvis with contrast (74177) |
$4,004 |
$7,700 |
8.9× |
| Ultrasound, abdomen complete (76700) |
$1,190.80 |
$2,290 |
8.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$728 |
$1,400 |
5.4× |
| Ultrasound, transvaginal (76830) |
$514.80 |
$990 |
3.8× |
| Mammography, one breast (diagnostic) (77065) |
$353.08 |
$679 |
4.1× |
| Mammography, both breasts (diagnostic) (77066) |
$421.72 |
$811 |
3.8× |
| Mammography, screening (bilateral) (77067) |
$380.12 |
$731 |
4.2× |
| Basic metabolic panel (80048) |
$248.04 |
$477 |
29.3× |
| Comprehensive metabolic panel (80053) |
$268.84 |
$517 |
25.5× |
| Obstetric panel (80055) |
$248.04 |
$477 |
5.2× |
| Lipid panel (80061) |
$101.40 |
$195 |
7.6× |
| Renal function panel (80069) |
$48.36 |
$93 |
5.6× |
| Hepatic function panel (80076) |
$151.32 |
$291 |
18.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$31.72 |
$61 |
7.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$50.44 |
$97 |
14.5× |
| PSA, total (84153) |
$46.80 |
$90 |
2.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$108.68 |
$209 |
6.5× |
| CBC with automated differential (85025) |
$110.76 |
$213 |
14.3× |
| CBC, automated (85027) |
$75.92 |
$146 |
11.7× |
| Prothrombin time (PT) (85610) |
$95.16 |
$183 |
22.2× |
| Partial thromboplastin time (PTT) (85730) |
$111.28 |
$214 |
18.5× |
| Psychotherapy, 30 minutes (90832) |
$318.24 |
$612 |
1.4× |
| Psychotherapy, 45 minutes (90834) |
$318.24 |
$612 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$342.16 |
$658 |
1.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$342.16 |
$658 |
1.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$342.16 |
$658 |
1.5× |
| Group psychotherapy (90853) |
$271.96 |
$523 |
2.1× |
| Left heart catheterization (93452) |
$9,900.80 |
$19,040 |
2.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$137.28 |
$264 |
4.7× |