| Breast lesion removal (open) (19120) |
$4,867.50 |
$6,490 |
1.1× |
| Shoulder arthroscopy with decompression (29826) |
$372 |
$496 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,983.75 |
$2,645 |
1.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,476 |
$1,968 |
1.4× |
| Diagnostic colonoscopy (45378) |
$1,482 |
$1,976 |
1.3× |
| Colonoscopy with biopsy (45380) |
$2,466 |
$3,288 |
1.7× |
| Colonoscopy with lesion removal (45385) |
$1,944.75 |
$2,593 |
1.4× |
| Laparoscopic gallbladder removal (47562) |
$3,831.75 |
$5,109 |
0.5× |
| Obstetric care, vaginal delivery (global) (59400) |
$6,060 |
$8,080 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,082.25 |
$1,443 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,341 |
$1,788 |
1.3× |
| Cataract removal with lens insertion (66984) |
$2,753.25 |
$3,671 |
1.0× |
| CT head/brain without contrast (70450) |
$1,380 |
$1,840 |
11.2× |
| MRI brain without contrast (70551) |
$1,672.50 |
$2,230 |
5.9× |
| MRI brain with contrast (70552) |
$1,965 |
$2,620 |
4.8× |
| MRI brain without and with contrast (70553) |
$2,272.50 |
$3,030 |
5.5× |
| X-ray lower spine, 4+ views (72110) |
$436.50 |
$582 |
3.5× |
| MRI lumbar spine without contrast (72148) |
$1,747.50 |
$2,330 |
6.2× |
| CT pelvis with contrast (72193) |
$1,597.50 |
$2,130 |
7.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,747.50 |
$2,330 |
6.2× |
| CT abdomen and pelvis with contrast (74177) |
$2,692.50 |
$3,590 |
6.5× |
| Ultrasound, abdomen complete (76700) |
$637.50 |
$850 |
5.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$528 |
$704 |
4.3× |
| Ultrasound, transvaginal (76830) |
$559.50 |
$746 |
4.5× |
| Mammography, one breast (diagnostic) (77065) |
$393 |
$524 |
4.6× |
| Mammography, both breasts (diagnostic) (77066) |
$540.75 |
$721 |
4.9× |
| Mammography, screening (bilateral) (77067) |
$317.25 |
$423 |
3.5× |
| Basic metabolic panel (80048) |
$83.25 |
$111 |
9.8× |
| Comprehensive metabolic panel (80053) |
$90 |
$120 |
8.5× |
| Obstetric panel (80055) |
$148.50 |
$198 |
3.1× |
| Lipid panel (80061) |
$120.75 |
$161 |
9.0× |
| Renal function panel (80069) |
$73.50 |
$98 |
8.5× |
| Hepatic function panel (80076) |
$72.75 |
$97 |
8.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$12.75 |
$17 |
3.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$15.75 |
$21 |
4.5× |
| PSA, total (84153) |
$85.50 |
$114 |
4.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$111.75 |
$149 |
6.7× |
| CBC with automated differential (85025) |
$63.75 |
$85 |
8.2× |
| CBC, automated (85027) |
$52.50 |
$70 |
8.1× |
| Prothrombin time (PT) (85610) |
$41.25 |
$55 |
9.6× |
| Partial thromboplastin time (PTT) (85730) |
$51 |
$68 |
8.5× |
| Left heart catheterization (93452) |
$5,250 |
$7,000 |
1.4× |
| Sleep study (attended polysomnography) (95810) |
$2,749.50 |
$3,666 |
2.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$114.75 |
$153 |
3.9× |