| Breast lesion removal (open) (19120) |
$2,111.04 |
$7,036.81 |
0.5× |
| Shoulder arthroscopy with decompression (29826) |
$8,570.18 |
$28,567.26 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,202.41 |
$10,674.71 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,847 |
$6,156.67 |
2.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,110.56 |
$7,035.20 |
2.3× |
| Diagnostic colonoscopy (45378) |
$1,422.40 |
$4,741.32 |
1.5× |
| Colonoscopy with biopsy (45380) |
$2,427.84 |
$8,092.80 |
2.0× |
| Colonoscopy with lesion removal (45385) |
$1,972.52 |
$6,575.08 |
1.6× |
| Colonoscopy with endoscopic ultrasound (45391) |
$11,375.33 |
$37,917.75 |
9.5× |
| Laparoscopic gallbladder removal (47562) |
$6,880.82 |
$22,936.05 |
1.1× |
| Inguinal hernia repair (age 5+) (49505) |
$3,563.36 |
$11,877.86 |
1.0× |
| Laparoscopic radical prostatectomy (55866) |
$11,912.22 |
$39,707.40 |
1.1× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,090.27 |
$13,634.23 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,507.05 |
$18,356.83 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$4,090.27 |
$13,634.23 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$398.10 |
$1,327 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$765 |
$2,550 |
0.9× |
| Cataract removal with lens insertion (66984) |
$1,834.21 |
$6,114.02 |
0.8× |
| CT head/brain without contrast (70450) |
$708.90 |
$2,363 |
6.8× |
| MRI brain without contrast (70551) |
$912.30 |
$3,041 |
3.8× |
| MRI brain with contrast (70552) |
$1,062.60 |
$3,542 |
3.0× |
| MRI brain without and with contrast (70553) |
$1,282.50 |
$4,275 |
3.7× |
| X-ray lower spine, 4+ views (72110) |
$208.20 |
$694 |
2.0× |
| MRI lumbar spine without contrast (72148) |
$897 |
$2,990 |
3.8× |
| CT pelvis with contrast (72193) |
$773.70 |
$2,579 |
4.4× |
| MRI lower-extremity joint without contrast (73721) |
$915.60 |
$3,052 |
3.8× |
| CT abdomen and pelvis with contrast (74177) |
$1,656.90 |
$5,523 |
4.7× |
| Ultrasound, abdomen complete (76700) |
$435.30 |
$1,451 |
4.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$300 |
$1,000 |
2.9× |
| Ultrasound, transvaginal (76830) |
$272.10 |
$907 |
2.6× |
| Mammography, one breast (diagnostic) (77065) |
$121.20 |
$404 |
1.4× |
| Mammography, both breasts (diagnostic) (77066) |
$215.40 |
$718 |
1.9× |
| Mammography, screening (bilateral) (77067) |
$150 |
$500 |
1.6× |
| Basic metabolic panel (80048) |
$17.70 |
$59 |
2.1× |
| Comprehensive metabolic panel (80053) |
$22.50 |
$75 |
2.1× |
| Lipid panel (80061) |
$25.50 |
$85 |
1.9× |
| Renal function panel (80069) |
$19.50 |
$65 |
2.2× |
| Hepatic function panel (80076) |
$73.50 |
$245 |
9.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$17.70 |
$59 |
4.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$13.50 |
$45 |
3.9× |
| PSA, total (84153) |
$39.90 |
$133 |
2.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$29.10 |
$97 |
1.7× |
| CBC with automated differential (85025) |
$15.30 |
$51 |
2.0× |
| CBC, automated (85027) |
$14.40 |
$48 |
2.2× |
| Prothrombin time (PT) (85610) |
$9.90 |
$33 |
2.3× |
| Partial thromboplastin time (PTT) (85730) |
$45.90 |
$153 |
7.6× |
| Left heart catheterization (93452) |
$13,568.03 |
$45,226.77 |
4.2× |
| Sleep study (attended polysomnography) (95810) |
$1,041.60 |
$3,472 |
1.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$48 |
$160 |
1.7× |