| Breast lesion removal (open) (19120) |
$2,161.53 |
$4,599 |
0.6× |
| Shoulder arthroscopy with decompression (29826) |
$8,457.49 |
$17,994.66 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,222.82 |
$6,857.06 |
1.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$764.22 |
$1,626 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$764.22 |
$1,626 |
0.9× |
| Diagnostic colonoscopy (45378) |
$795.71 |
$1,693 |
0.9× |
| Colonoscopy with biopsy (45380) |
$795.71 |
$1,693 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$795.71 |
$1,693 |
0.7× |
| Laparoscopic gallbladder removal (47562) |
$3,143.23 |
$6,687.73 |
0.6× |
| Inguinal hernia repair (age 5+) (49505) |
$2,269.46 |
$4,828.65 |
0.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$626.51 |
$1,333 |
0.8× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$463.42 |
$986 |
0.9× |
| Cataract removal with lens insertion (66984) |
$3,348.97 |
$7,125.48 |
1.6× |
| CT head/brain without contrast (70450) |
$253.33 |
$539 |
2.6× |
| MRI brain without contrast (70551) |
$453.08 |
$964 |
2.0× |
| MRI brain with contrast (70552) |
$549.43 |
$1,169 |
1.7× |
| MRI brain without and with contrast (70553) |
$694.19 |
$1,477 |
2.1× |
| X-ray lower spine, 4+ views (72110) |
$94 |
$200 |
1.0× |
| MRI lumbar spine without contrast (72148) |
$453.08 |
$964 |
2.0× |
| CT pelvis with contrast (72193) |
$384.93 |
$819 |
2.4× |
| MRI lower-extremity joint without contrast (73721) |
$679.62 |
$1,446 |
3.1× |
| CT abdomen and pelvis with contrast (74177) |
$388.69 |
$827 |
1.2× |
| Ultrasound, abdomen complete (76700) |
$126.43 |
$269 |
1.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$126.43 |
$269 |
1.3× |
| Ultrasound, transvaginal (76830) |
$126.43 |
$269 |
1.3× |
| Mammography, one breast (diagnostic) (77065) |
$101.05 |
$215 |
1.2× |
| Mammography, both breasts (diagnostic) (77066) |
$123.14 |
$262 |
1.1× |
| Mammography, screening (bilateral) (77067) |
$123.61 |
$263 |
1.4× |
| Basic metabolic panel (80048) |
$23.03 |
$49 |
2.7× |
| Comprehensive metabolic panel (80053) |
$28.20 |
$60 |
2.7× |
| Lipid panel (80061) |
$23.50 |
$50 |
1.8× |
| Renal function panel (80069) |
$23.50 |
$50 |
2.7× |
| Hepatic function panel (80076) |
$22.09 |
$47 |
2.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$8.46 |
$18 |
2.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$7.05 |
$15 |
2.0× |
| PSA, total (84153) |
$48.88 |
$104 |
2.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$33.14 |
$70.50 |
2.0× |
| CBC with automated differential (85025) |
$21.15 |
$45 |
2.7× |
| CBC, automated (85027) |
$17.39 |
$37 |
2.7× |
| Prothrombin time (PT) (85610) |
$11.04 |
$23.50 |
2.6× |
| Partial thromboplastin time (PTT) (85730) |
$16.92 |
$36 |
2.8× |
| Left heart catheterization (93452) |
$3,639.68 |
$7,744 |
1.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$31.49 |
$67 |
1.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$19.74 |
$42 |
0.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$29.61 |
$63 |
0.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$29.61 |
$63 |
0.2× |