| Shoulder arthroscopy with decompression (29826) |
$21,166.23 |
$21,166.23 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$15,179.35 |
$15,179.35 |
4.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$16,995 |
$16,995 |
2.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$6,858.59 |
$6,858.59 |
7.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$7,103.56 |
$7,103.56 |
7.4× |
| Diagnostic colonoscopy (45378) |
$5,380.76 |
$5,380.76 |
5.5× |
| Colonoscopy with biopsy (45380) |
$6,974.61 |
$6,974.61 |
5.5× |
| Colonoscopy with lesion removal (45385) |
$9,572.69 |
$9,572.69 |
7.6× |
| Laparoscopic gallbladder removal (47562) |
$20,591.14 |
$20,591.14 |
3.2× |
| Inguinal hernia repair (age 5+) (49505) |
$14,408.44 |
$14,408.44 |
3.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,152 |
$2,152 |
2.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$6,594.07 |
$6,594.07 |
7.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,746 |
$1,746 |
3.0× |
| Cataract removal with lens insertion (66984) |
$8,396.65 |
$8,396.65 |
3.4× |
| CT head/brain without contrast (70450) |
$2,099 |
$2,099 |
19.0× |
| MRI brain without contrast (70551) |
$3,603 |
$3,603 |
14.3× |
| MRI brain without and with contrast (70553) |
$4,043 |
$4,043 |
11.0× |
| X-ray lower spine, 4+ views (72110) |
$595 |
$595 |
5.4× |
| MRI lumbar spine without contrast (72148) |
$2,812 |
$2,812 |
11.2× |
| CT pelvis with contrast (72193) |
$2,138 |
$2,138 |
11.6× |
| MRI lower-extremity joint without contrast (73721) |
$3,265 |
$3,265 |
13.0× |
| CT abdomen and pelvis with contrast (74177) |
$2,370 |
$2,370 |
6.4× |
| Ultrasound, abdomen complete (76700) |
$785 |
$785 |
7.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$513 |
$513 |
4.7× |
| Ultrasound, transvaginal (76830) |
$477 |
$477 |
4.3× |
| Mammography, screening (bilateral) (77067) |
$468 |
$468 |
5.1× |
| Basic metabolic panel (80048) |
$158 |
$158 |
18.7× |
| Comprehensive metabolic panel (80053) |
$200 |
$200 |
18.9× |
| Lipid panel (80061) |
$184 |
$184 |
13.7× |
| Renal function panel (80069) |
$612 |
$612 |
70.5× |
| Hepatic function panel (80076) |
$308 |
$308 |
37.7× |
| PSA, total (84153) |
$196 |
$196 |
10.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$185 |
$185 |
11.0× |
| CBC with automated differential (85025) |
$119 |
$119 |
15.3× |
| CBC, automated (85027) |
$22 |
$22 |
3.4× |
| Prothrombin time (PT) (85610) |
$64 |
$64 |
14.9× |
| Partial thromboplastin time (PTT) (85730) |
$2,525 |
$2,525 |
420.1× |
| Sleep study (attended polysomnography) (95810) |
$3,129 |
$3,129 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$110 |
$110 |
3.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$169 |
$169 |
1.2× |