| Breast lesion removal (open) (19120) |
$3,737.08 |
$6,228.47 |
1.0× |
| Shoulder arthroscopy with decompression (29826) |
$13,481.37 |
$22,468.95 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$7,939.89 |
$13,233.15 |
2.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$4,848.79 |
$8,081.32 |
5.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$5,075.83 |
$8,459.71 |
6.1× |
| Diagnostic colonoscopy (45378) |
$136.71 |
$227.85 |
0.2× |
| Colonoscopy with biopsy (45380) |
$5,027.43 |
$8,379.05 |
4.6× |
| Colonoscopy with lesion removal (45385) |
$4,990.23 |
$8,317.05 |
4.6× |
| Laparoscopic gallbladder removal (47562) |
$8,111.25 |
$13,518.75 |
1.5× |
| Inguinal hernia repair (age 5+) (49505) |
$6,704.72 |
$11,174.53 |
2.1× |
| Obstetric care, cesarean delivery (global) (59510) |
$1,723.20 |
$2,872 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$596.10 |
$993.50 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,888.74 |
$3,147.90 |
2.3× |
| Cataract removal with lens insertion (66984) |
$6,247.08 |
$10,411.80 |
3.0× |
| CT head/brain without contrast (70450) |
$318 |
$530 |
3.3× |
| MRI brain without contrast (70551) |
$730.80 |
$1,218 |
3.4× |
| MRI brain with contrast (70552) |
$795 |
$1,325 |
2.5× |
| MRI brain without and with contrast (70553) |
$1,071.90 |
$1,786.50 |
3.4× |
| X-ray lower spine, 4+ views (72110) |
$140.10 |
$233.50 |
1.5× |
| MRI lumbar spine without contrast (72148) |
$730.80 |
$1,218 |
3.4× |
| CT pelvis with contrast (72193) |
$565.20 |
$942 |
3.5× |
| MRI lower-extremity joint without contrast (73721) |
$678.90 |
$1,131.50 |
3.1× |
| CT abdomen and pelvis with contrast (74177) |
$498 |
$830 |
1.6× |
| Ultrasound, abdomen complete (76700) |
$91.20 |
$152 |
1.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$78 |
$130 |
0.8× |
| Ultrasound, transvaginal (76830) |
$71.40 |
$119 |
0.8× |
| Mammography, one breast (diagnostic) (77065) |
$103.20 |
$172 |
1.2× |
| Mammography, both breasts (diagnostic) (77066) |
$98.40 |
$164 |
0.9× |
| Mammography, screening (bilateral) (77067) |
$103.20 |
$172 |
1.1× |
| Basic metabolic panel (80048) |
$98.40 |
$164 |
11.6× |
| Comprehensive metabolic panel (80053) |
$113.40 |
$189 |
10.7× |
| Obstetric panel (80055) |
$88.20 |
$147 |
1.8× |
| Lipid panel (80061) |
$92.10 |
$153.50 |
6.9× |
| Renal function panel (80069) |
$80.70 |
$134.50 |
9.3× |
| Hepatic function panel (80076) |
$53.70 |
$89.50 |
6.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$78 |
$130 |
22.4× |
| PSA, total (84153) |
$61.80 |
$103 |
3.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$102 |
$170 |
6.1× |
| CBC with automated differential (85025) |
$46.20 |
$77 |
5.9× |
| CBC, automated (85027) |
$55.20 |
$92 |
8.5× |
| Prothrombin time (PT) (85610) |
$35.40 |
$59 |
8.3× |
| Partial thromboplastin time (PTT) (85730) |
$66.60 |
$111 |
11.1× |
| Sleep study (attended polysomnography) (95810) |
$1,622.40 |
$2,704 |
2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$48.60 |
$81 |
1.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$94.20 |
$157 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$133.20 |
$222 |
1.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$211.20 |
$352 |
1.7× |