| Breast lesion removal (open) (19120) |
$1,195.42 |
$2,490.45 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$6,343.20 |
$13,215 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$6,899.30 |
$14,373.54 |
2.2× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$5,339.04 |
$11,123 |
0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,141.25 |
$4,460.94 |
2.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$685.44 |
$1,428 |
0.8× |
| Diagnostic colonoscopy (45378) |
$2,044.74 |
$4,259.88 |
2.3× |
| Colonoscopy with lesion removal (45385) |
$2,167.95 |
$4,516.56 |
1.9× |
| Laparoscopic gallbladder removal (47562) |
$11,523.31 |
$24,006.90 |
2.0× |
| Inguinal hernia repair (age 5+) (49505) |
$7,524.20 |
$15,675.42 |
2.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,573 |
$3,277.08 |
1.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,728.96 |
$3,602 |
2.0× |
| Cataract removal with lens insertion (66984) |
$4,435.96 |
$9,241.59 |
2.0× |
| CT head/brain without contrast (70450) |
$1,045.44 |
$2,178 |
10.4× |
| X-ray lower spine, 4+ views (72110) |
$303.84 |
$633 |
3.0× |
| CT pelvis with contrast (72193) |
$1,023.36 |
$2,132 |
6.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,522.56 |
$3,172 |
6.6× |
| CT abdomen and pelvis with contrast (74177) |
$1,626.24 |
$3,388 |
4.8× |
| Ultrasound, abdomen complete (76700) |
$490.56 |
$1,022 |
4.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$442.31 |
$921.48 |
4.4× |
| Ultrasound, transvaginal (76830) |
$442.31 |
$921.48 |
4.4× |
| Basic metabolic panel (80048) |
$120 |
$250 |
14.2× |
| Comprehensive metabolic panel (80053) |
$135.36 |
$282 |
12.8× |
| Lipid panel (80061) |
$86.16 |
$179.50 |
6.4× |
| Renal function panel (80069) |
$80.64 |
$168 |
9.3× |
| Hepatic function panel (80076) |
$95.52 |
$199 |
11.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$23.04 |
$48 |
5.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$42.02 |
$87.55 |
12.1× |
| PSA, total (84153) |
$88.80 |
$185 |
4.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$95.52 |
$199 |
5.7× |
| CBC with automated differential (85025) |
$81.12 |
$169 |
10.4× |
| CBC, automated (85027) |
$33.56 |
$69.92 |
5.2× |
| Prothrombin time (PT) (85610) |
$50.88 |
$106 |
11.9× |
| Partial thromboplastin time (PTT) (85730) |
$52.80 |
$110 |
8.8× |
| Psychotherapy, 30 minutes (90832) |
$241.78 |
$503.71 |
1.4× |
| Psychotherapy, 45 minutes (90834) |
$243.86 |
$508.04 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$246.54 |
$513.63 |
1.4× |
| Group psychotherapy (90853) |
$203.83 |
$424.65 |
2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$73.94 |
$154.05 |
2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$260.62 |
$542.95 |
2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$132.36 |
$275.75 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$335.53 |
$727.25 |
2.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$96 |
$200 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
— |
$460.80 |
— |