| Breast lesion removal (open) (19120) |
$10,880.38 |
$18,133.97 |
2.8× |
| Shoulder arthroscopy with decompression (29826) |
$34,388.68 |
$57,314.46 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$11,441.34 |
$19,068.90 |
3.5× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$7,924.20 |
$13,207 |
1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$5,444.88 |
$9,074.81 |
6.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$7,023.42 |
$11,705.70 |
7.8× |
| Diagnostic colonoscopy (45378) |
$5,109.66 |
$8,516.10 |
5.5× |
| Colonoscopy with biopsy (45380) |
$4,210.68 |
$7,017.80 |
3.5× |
| Colonoscopy with lesion removal (45385) |
$4,009.83 |
$6,683.05 |
3.4× |
| Laparoscopic gallbladder removal (47562) |
$19,969.87 |
$33,283.12 |
3.3× |
| Inguinal hernia repair (age 5+) (49505) |
$18,860.74 |
$31,434.58 |
5.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,436.40 |
$2,394 |
1.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,866.60 |
$3,111 |
2.1× |
| CT head/brain without contrast (70450) |
$1,083 |
$1,805 |
10.4× |
| MRI brain without contrast (70551) |
$1,398.60 |
$2,331 |
5.9× |
| MRI brain with contrast (70552) |
$1,606.80 |
$2,678 |
4.6× |
| MRI brain without and with contrast (70553) |
$1,872.60 |
$3,121 |
5.4× |
| X-ray lower spine, 4+ views (72110) |
$1,077.60 |
$1,796 |
10.4× |
| MRI lumbar spine without contrast (72148) |
$1,318.80 |
$2,198 |
5.6× |
| CT pelvis with contrast (72193) |
$1,376.40 |
$2,294 |
7.9× |
| MRI lower-extremity joint without contrast (73721) |
$1,110.60 |
$1,851 |
4.7× |
| CT abdomen and pelvis with contrast (74177) |
$689.40 |
$1,149 |
2.0× |
| Ultrasound, abdomen complete (76700) |
$688.80 |
$1,148 |
6.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,518.60 |
$2,531 |
14.6× |
| Ultrasound, transvaginal (76830) |
$676.20 |
$1,127 |
6.5× |
| Mammography, one breast (diagnostic) (77065) |
$331.80 |
$553 |
3.9× |
| Mammography, both breasts (diagnostic) (77066) |
$338.40 |
$564 |
3.1× |
| Mammography, screening (bilateral) (77067) |
$433.80 |
$723 |
4.8× |
| Basic metabolic panel (80048) |
$82.80 |
$138 |
9.8× |
| Comprehensive metabolic panel (80053) |
$34.20 |
$57 |
3.2× |
| Obstetric panel (80055) |
$625.20 |
$1,042 |
13.1× |
| Lipid panel (80061) |
$43.20 |
$72 |
3.2× |
| Renal function panel (80069) |
$58.80 |
$98 |
6.8× |
| Hepatic function panel (80076) |
$121.20 |
$202 |
14.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$8.40 |
$14 |
2.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$14.40 |
$24 |
4.1× |
| PSA, total (84153) |
$127.20 |
$212 |
6.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$57.60 |
$96 |
3.4× |
| CBC with automated differential (85025) |
$20.40 |
$34 |
2.6× |
| CBC, automated (85027) |
$54.60 |
$91 |
8.4× |
| Prothrombin time (PT) (85610) |
$39 |
$65 |
9.1× |
| Partial thromboplastin time (PTT) (85730) |
$61.20 |
$102 |
10.2× |
| Psychotherapy, 30 minutes (90832) |
$425.40 |
$709 |
2.4× |
| Psychotherapy, 45 minutes (90834) |
$397.20 |
$662 |
2.3× |
| Psychotherapy, 60 minutes (90837) |
$644.40 |
$1,074 |
3.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$646.20 |
$1,077 |
3.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$735 |
$1,225 |
4.2× |
| Group psychotherapy (90853) |
$332.40 |
$554 |
3.3× |
| Left heart catheterization (93452) |
$6,699 |
$11,165 |
2.1× |
| Sleep study (attended polysomnography) (95810) |
$7,129.80 |
$11,883 |
8.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$60.60 |
$101 |
2.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$556.20 |
$927 |
4.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$714.60 |
$1,191 |
5.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$940.20 |
$1,567 |
7.1× |