| Breast lesion removal (open) (19120) |
$6,344.80 |
$7,931 |
1.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,138.40 |
$2,673 |
2.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,138.40 |
$2,673 |
2.3× |
| Diagnostic colonoscopy (45378) |
$2,356.80 |
$2,946 |
2.5× |
| Colonoscopy with biopsy (45380) |
$2,356.80 |
$2,946 |
2.0× |
| Colonoscopy with lesion removal (45385) |
$2,356.80 |
$2,946 |
2.0× |
| Laparoscopic gallbladder removal (47562) |
$11,872 |
$14,840 |
2.0× |
| Inguinal hernia repair (age 5+) (49505) |
$8,046.40 |
$10,058 |
2.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$838.40 |
$1,048 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,139.20 |
$2,674 |
2.4× |
| CT head/brain without contrast (70450) |
$213.20 |
$266.50 |
2.0× |
| MRI brain without contrast (70551) |
$2,579.20 |
$3,224 |
10.8× |
| MRI brain with contrast (70552) |
$2,352.80 |
$2,941 |
6.7× |
| MRI brain without and with contrast (70553) |
$3,298.40 |
$4,123 |
9.4× |
| X-ray lower spine, 4+ views (72110) |
$94.80 |
$118.50 |
0.9× |
| MRI lumbar spine without contrast (72148) |
$1,451.20 |
$1,814 |
6.1× |
| CT pelvis with contrast (72193) |
$1,195.60 |
$1,494.50 |
6.8× |
| MRI lower-extremity joint without contrast (73721) |
$2,212.80 |
$2,766 |
9.2× |
| CT abdomen and pelvis with contrast (74177) |
$3,029.20 |
$3,786.50 |
8.6× |
| Ultrasound, abdomen complete (76700) |
$751.20 |
$939 |
7.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$163.20 |
$204 |
1.6× |
| Ultrasound, transvaginal (76830) |
$107.20 |
$134 |
1.0× |
| Mammography, one breast (diagnostic) (77065) |
$348.80 |
$436 |
4.0× |
| Mammography, both breasts (diagnostic) (77066) |
$427.20 |
$534 |
3.9× |
| Mammography, screening (bilateral) (77067) |
$276.80 |
$346 |
3.0× |
| Basic metabolic panel (80048) |
$180.80 |
$226 |
21.4× |
| Comprehensive metabolic panel (80053) |
$269.60 |
$337 |
25.5× |
| Obstetric panel (80055) |
$304.80 |
$381 |
6.4× |
| Lipid panel (80061) |
$95.60 |
$119.50 |
7.1× |
| Renal function panel (80069) |
$215.20 |
$269 |
24.8× |
| Hepatic function panel (80076) |
$180.80 |
$226 |
22.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$19.20 |
$24 |
5.5× |
| PSA, total (84153) |
$184.80 |
$231 |
10.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$127.20 |
$159 |
7.6× |
| CBC with automated differential (85025) |
$108 |
$135 |
13.9× |
| CBC, automated (85027) |
$97.60 |
$122 |
15.1× |
| Prothrombin time (PT) (85610) |
$91.20 |
$114 |
21.3× |
| Partial thromboplastin time (PTT) (85730) |
$91.20 |
$114 |
15.2× |
| Electrocardiogram (ECG), complete (93000) |
$47.20 |
$59 |
0.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$135.20 |
$169 |
4.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$197.60 |
$247 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$260.80 |
$326 |
2.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$335.20 |
$419 |
2.5× |