| Breast lesion removal (open) (19120) |
$3,543.20 |
$4,429 |
0.9× |
| Shoulder arthroscopy with decompression (29826) |
$3,403.20 |
$4,254 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,974.40 |
$4,968 |
1.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,634.80 |
$2,043.50 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,332 |
$1,665 |
1.4× |
| Diagnostic colonoscopy (45378) |
$1,513.60 |
$1,892 |
1.5× |
| Colonoscopy with biopsy (45380) |
$1,819.60 |
$2,274.50 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$1,924 |
$2,405 |
1.5× |
| Laparoscopic gallbladder removal (47562) |
$5,020.40 |
$6,275.50 |
0.8× |
| Inguinal hernia repair (age 5+) (49505) |
$5,009.60 |
$6,262 |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$866.40 |
$1,083 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,120 |
$1,400 |
1.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,965.60 |
$2,457 |
3.4× |
| Cataract removal with lens insertion (66984) |
$5,804.80 |
$7,256 |
2.4× |
| CT head/brain without contrast (70450) |
$1,633.60 |
$2,042 |
14.8× |
| MRI brain without contrast (70551) |
$2,358.40 |
$2,948 |
9.4× |
| MRI brain with contrast (70552) |
$2,596 |
$3,245 |
7.1× |
| MRI brain without and with contrast (70553) |
$3,239.20 |
$4,049 |
8.8× |
| X-ray lower spine, 4+ views (72110) |
$567.20 |
$709 |
5.1× |
| MRI lumbar spine without contrast (72148) |
$2,509.60 |
$3,137 |
10.0× |
| CT pelvis with contrast (72193) |
$2,063.20 |
$2,579 |
11.2× |
| MRI lower-extremity joint without contrast (73721) |
$2,324.80 |
$2,906 |
9.2× |
| CT abdomen and pelvis with contrast (74177) |
$3,486.40 |
$4,358 |
9.5× |
| Ultrasound, abdomen complete (76700) |
$700 |
$875 |
6.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$619.20 |
$774 |
5.6× |
| Ultrasound, transvaginal (76830) |
$553.60 |
$692 |
5.0× |
| Mammography, one breast (diagnostic) (77065) |
$176 |
$220 |
2.0× |
| Mammography, both breasts (diagnostic) (77066) |
$176 |
$220 |
1.6× |
| Mammography, screening (bilateral) (77067) |
$176 |
$220 |
1.9× |
| Basic metabolic panel (80048) |
$133.60 |
$167 |
15.8× |
| Comprehensive metabolic panel (80053) |
$144 |
$180 |
13.6× |
| Obstetric panel (80055) |
$144 |
$180 |
3.0× |
| Lipid panel (80061) |
$71.20 |
$89 |
5.3× |
| Renal function panel (80069) |
$162.40 |
$203 |
18.7× |
| Hepatic function panel (80076) |
$75.20 |
$94 |
9.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$43.20 |
$54 |
12.4× |
| PSA, total (84153) |
$121.60 |
$152 |
6.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$102.80 |
$128.50 |
6.1× |
| CBC with automated differential (85025) |
$52.40 |
$65.50 |
6.7× |
| CBC, automated (85027) |
$73.60 |
$92 |
11.4× |
| Prothrombin time (PT) (85610) |
$51.20 |
$64 |
11.9× |
| Partial thromboplastin time (PTT) (85730) |
$85.60 |
$107 |
14.2× |
| Psychotherapy, 30 minutes (90832) |
$208.80 |
$261 |
1.1× |
| Sleep study (attended polysomnography) (95810) |
$3,044 |
$3,805 |
3.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$68 |
$85 |
2.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$224.80 |
$281 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$328 |
$410 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$414 |
$517.50 |
2.9× |