| Breast lesion removal (open) (19120) |
$5,448.80 |
$6,811 |
1.4× |
| Knee arthroscopy with meniscectomy (29881) |
$10,752.80 |
$13,441 |
3.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$5,150.40 |
$6,438 |
0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,092 |
$2,615 |
2.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,316 |
$2,895 |
2.7× |
| Diagnostic colonoscopy (45378) |
$1,736 |
$2,170 |
1.9× |
| Colonoscopy with biopsy (45380) |
$2,573.60 |
$3,217 |
2.2× |
| Colonoscopy with lesion removal (45385) |
$1,736 |
$2,170 |
1.5× |
| Laparoscopic gallbladder removal (47562) |
$11,258.40 |
$14,073 |
1.9× |
| Inguinal hernia repair (age 5+) (49505) |
$3,438.40 |
$4,298 |
1.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$786 |
$982.50 |
0.9× |
| CT head/brain without contrast (70450) |
$539.20 |
$674 |
5.4× |
| MRI brain without contrast (70551) |
$1,916 |
$2,395 |
8.3× |
| MRI brain with contrast (70552) |
$2,224.80 |
$2,781 |
6.6× |
| MRI brain without and with contrast (70553) |
$2,827.20 |
$3,534 |
8.4× |
| X-ray lower spine, 4+ views (72110) |
$430.40 |
$538 |
4.3× |
| MRI lumbar spine without contrast (72148) |
$1,756.80 |
$2,196 |
7.7× |
| CT pelvis with contrast (72193) |
$891.20 |
$1,114 |
5.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,173.60 |
$1,467 |
5.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,629.60 |
$2,037 |
4.9× |
| Ultrasound, abdomen complete (76700) |
$618.80 |
$773.50 |
6.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$741.60 |
$927 |
7.4× |
| Ultrasound, transvaginal (76830) |
$369.60 |
$462 |
3.7× |
| Mammography, one breast (diagnostic) (77065) |
$352 |
$440 |
4.1× |
| Mammography, both breasts (diagnostic) (77066) |
$445.60 |
$557 |
4.0× |
| Mammography, screening (bilateral) (77067) |
$244.80 |
$306 |
2.7× |
| Basic metabolic panel (80048) |
$113.60 |
$142 |
13.4× |
| Comprehensive metabolic panel (80053) |
$216 |
$270 |
20.5× |
| Obstetric panel (80055) |
$195.20 |
$244 |
4.1× |
| Lipid panel (80061) |
$66.80 |
$83.50 |
5.0× |
| Renal function panel (80069) |
$241.60 |
$302 |
27.8× |
| Hepatic function panel (80076) |
$170.40 |
$213 |
20.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$26 |
$32.50 |
7.5× |
| PSA, total (84153) |
$88 |
$110 |
4.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$95.20 |
$119 |
5.7× |
| CBC with automated differential (85025) |
$68.80 |
$86 |
8.9× |
| Prothrombin time (PT) (85610) |
$63.60 |
$79.50 |
14.8× |
| Partial thromboplastin time (PTT) (85730) |
$70.40 |
$88 |
11.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$92 |
$115 |
3.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$256 |
$320 |
2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$345.60 |
$432 |
2.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$467.20 |
$584 |
3.6× |