| Breast lesion removal (open) (19120) |
$4,219.03 |
$12,544 |
1.1× |
| Shoulder arthroscopy with decompression (29826) |
$13,454.70 |
$19,221 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,574.86 |
$31,498 |
1.1× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$6,517.76 |
$11,536 |
1.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,032.99 |
$5,306 |
1.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,032.99 |
$5,537 |
1.1× |
| Diagnostic colonoscopy (45378) |
$1,004.51 |
$5,289 |
1.1× |
| Colonoscopy with biopsy (45380) |
$1,299.09 |
$5,289 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,299.09 |
$5,289 |
1.1× |
| Laparoscopic gallbladder removal (47562) |
$6,428.19 |
$15,364 |
1.1× |
| Inguinal hernia repair (age 5+) (49505) |
$3,888.26 |
$15,364 |
1.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$980.90 |
$7,907 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$980.90 |
$20,466 |
1.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$604.44 |
$3,125 |
1.1× |
| Cataract removal with lens insertion (66984) |
$2,512.86 |
$7,811 |
1.1× |
| CT head/brain without contrast (70450) |
$117.16 |
$2,977 |
1.1× |
| MRI brain without contrast (70551) |
$266.32 |
$7,121 |
1.1× |
| MRI brain with contrast (70552) |
$393.48 |
$8,270 |
1.1× |
| MRI brain without and with contrast (70553) |
$393.48 |
$10,891 |
1.1× |
| X-ray lower spine, 4+ views (72110) |
$117.16 |
$1,064 |
1.1× |
| MRI lumbar spine without contrast (72148) |
$266.32 |
$8,150 |
1.1× |
| CT pelvis with contrast (72193) |
$196.14 |
$4,283 |
1.1× |
| MRI lower-extremity joint without contrast (73721) |
$266.32 |
$5,083 |
1.1× |
| CT abdomen and pelvis with contrast (74177) |
$393.48 |
$9,450 |
1.1× |
| Ultrasound, abdomen complete (76700) |
$117.16 |
$1,206 |
1.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$117.16 |
$1,018 |
1.1× |
| Ultrasound, transvaginal (76830) |
$117.16 |
$1,169 |
1.1× |
| Basic metabolic panel (80048) |
$319.20 |
$456 |
37.7× |
| Comprehensive metabolic panel (80053) |
$372.40 |
$532 |
35.3× |
| Obstetric panel (80055) |
$1,064.70 |
$1,521 |
22.3× |
| Lipid panel (80061) |
$425.60 |
$608 |
31.8× |
| Renal function panel (80069) |
$399 |
$570 |
46.0× |
| Hepatic function panel (80076) |
$332.50 |
$475 |
40.7× |
| PSA, total (84153) |
$221.20 |
$316 |
12.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$184.80 |
$264 |
11.0× |
| CBC with automated differential (85025) |
$152.60 |
$218 |
19.6× |
| CBC, automated (85027) |
$144.20 |
$206 |
22.3× |
| Prothrombin time (PT) (85610) |
$98.70 |
$141 |
23.0× |
| Partial thromboplastin time (PTT) (85730) |
$140 |
$200 |
23.3× |
| Electrocardiogram (ECG), complete (93000) |
$592.20 |
$846 |
10.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$105.01 |
$150.01 |
3.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$620.90 |
$887 |
4.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$620.90 |
$887 |
4.6× |