| Breast lesion removal (open) (19120) |
$5,322.75 |
$7,097 |
1.4× |
| Shoulder arthroscopy with decompression (29826) |
$6,248.25 |
$8,331 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,164.75 |
$5,553 |
1.3× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$8,376 |
$11,168 |
1.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,369.88 |
$1,826.50 |
1.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,342.50 |
$1,790 |
1.5× |
| Diagnostic colonoscopy (45378) |
$1,347.75 |
$1,797 |
1.5× |
| Colonoscopy with biopsy (45380) |
$1,499.62 |
$1,999.50 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,755 |
$2,340 |
1.5× |
| Laparoscopic gallbladder removal (47562) |
$8,235.38 |
$10,980.50 |
1.4× |
| Inguinal hernia repair (age 5+) (49505) |
$4,713.75 |
$6,285 |
1.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$1,410 |
$1,880 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,101.75 |
$1,469 |
1.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,460.62 |
$1,947.50 |
1.7× |
| Cataract removal with lens insertion (66984) |
$3,225.75 |
$4,301 |
1.4× |
| CT head/brain without contrast (70450) |
$675 |
$900 |
6.5× |
| MRI brain without contrast (70551) |
$1,644.75 |
$2,193 |
7.0× |
| MRI brain with contrast (70552) |
$2,136.75 |
$2,849 |
6.2× |
| MRI brain without and with contrast (70553) |
$2,136.75 |
$2,849 |
6.2× |
| X-ray lower spine, 4+ views (72110) |
$194.25 |
$259 |
1.9× |
| MRI lumbar spine without contrast (72148) |
$1,154.62 |
$1,539.50 |
4.9× |
| CT pelvis with contrast (72193) |
$1,204.50 |
$1,606 |
7.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,569 |
$2,092 |
6.7× |
| CT abdomen and pelvis with contrast (74177) |
$1,965.38 |
$2,620.50 |
5.7× |
| Ultrasound, abdomen complete (76700) |
$235.50 |
$314 |
2.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$357.38 |
$476.50 |
3.5× |
| Ultrasound, transvaginal (76830) |
$248.62 |
$331.50 |
2.4× |
| Basic metabolic panel (80048) |
$41.25 |
$55 |
4.9× |
| Comprehensive metabolic panel (80053) |
$97.50 |
$130 |
9.2× |
| Obstetric panel (80055) |
$204.75 |
$273 |
4.3× |
| Lipid panel (80061) |
$66.38 |
$88.50 |
5.0× |
| Renal function panel (80069) |
$42 |
$56 |
4.8× |
| Hepatic function panel (80076) |
$39 |
$52 |
4.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$17.62 |
$23.50 |
5.1× |
| PSA, total (84153) |
$82.88 |
$110.50 |
4.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$83.62 |
$111.50 |
5.0× |
| CBC with automated differential (85025) |
$51.75 |
$69 |
6.7× |
| CBC, automated (85027) |
$45.38 |
$60.50 |
7.0× |
| Prothrombin time (PT) (85610) |
$24.88 |
$33.16 |
5.8× |
| Partial thromboplastin time (PTT) (85730) |
$39.75 |
$53 |
6.6× |
| Sleep study (attended polysomnography) (95810) |
$3,112.50 |
$4,150 |
3.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$64.50 |
$86 |
2.2× |