| Shoulder arthroscopy with decompression (29826) |
$19,177.07 |
$29,503.18 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$7,526.10 |
$11,578.61 |
2.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,827.22 |
$2,811.10 |
2.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,990.38 |
$4,600.58 |
3.4× |
| Diagnostic colonoscopy (45378) |
$1,465.70 |
$2,254.92 |
1.6× |
| Colonoscopy with biopsy (45380) |
$3,327.84 |
$5,119.76 |
2.9× |
| Colonoscopy with lesion removal (45385) |
$2,751.58 |
$4,233.20 |
2.4× |
| Laparoscopic gallbladder removal (47562) |
$10,077.24 |
$15,503.44 |
1.7× |
| Inguinal hernia repair (age 5+) (49505) |
$9,509.05 |
$14,629.31 |
2.8× |
| Laparoscopic radical prostatectomy (55866) |
$35,813.43 |
$55,097.58 |
3.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$3,958.50 |
$6,090 |
4.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$5,917.31 |
$9,103.56 |
7.0× |
| CT head/brain without contrast (70450) |
$1,588.60 |
$2,444 |
15.8× |
| MRI brain without contrast (70551) |
$2,285.40 |
$3,516 |
10.0× |
| MRI brain with contrast (70552) |
$2,536.95 |
$3,903 |
7.6× |
| MRI brain without and with contrast (70553) |
$3,652.35 |
$5,619 |
10.9× |
| X-ray lower spine, 4+ views (72110) |
$600.60 |
$924 |
6.0× |
| MRI lumbar spine without contrast (72148) |
$2,766.40 |
$4,256 |
12.1× |
| CT pelvis with contrast (72193) |
$1,644.50 |
$2,530 |
9.7× |
| MRI lower-extremity joint without contrast (73721) |
$2,995.85 |
$4,609 |
13.1× |
| CT abdomen and pelvis with contrast (74177) |
$4,124.90 |
$6,346 |
12.3× |
| Ultrasound, abdomen complete (76700) |
$1,199.25 |
$1,845 |
11.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$747.50 |
$1,150 |
7.4× |
| Ultrasound, transvaginal (76830) |
$898.95 |
$1,383 |
8.9× |
| Mammography, one breast (diagnostic) (77065) |
$280.15 |
$431 |
3.3× |
| Mammography, both breasts (diagnostic) (77066) |
$431.60 |
$664 |
3.9× |
| Mammography, screening (bilateral) (77067) |
$315.90 |
$486 |
3.5× |
| Basic metabolic panel (80048) |
$18.85 |
$29 |
2.2× |
| Comprehensive metabolic panel (80053) |
$23.40 |
$36 |
2.2× |
| Obstetric panel (80055) |
$264.55 |
$407 |
5.5× |
| Lipid panel (80061) |
$88.40 |
$136 |
6.6× |
| Renal function panel (80069) |
$31.20 |
$48 |
3.6× |
| Hepatic function panel (80076) |
$22.10 |
$34 |
2.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$16.90 |
$26 |
4.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$23.40 |
$36 |
6.7× |
| PSA, total (84153) |
$82.88 |
$127.50 |
4.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$35.42 |
$54.50 |
2.1× |
| CBC with automated differential (85025) |
$17.55 |
$27 |
2.3× |
| CBC, automated (85027) |
$72.15 |
$111 |
11.2× |
| Prothrombin time (PT) (85610) |
$98.80 |
$152 |
23.0× |
| Partial thromboplastin time (PTT) (85730) |
$94.58 |
$145.50 |
15.7× |
| Left heart catheterization (93452) |
$14,090.05 |
$21,677 |
4.5× |
| Sleep study (attended polysomnography) (95810) |
$5,136.95 |
$7,903 |
6.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$154.70 |
$238 |
5.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$64.35 |
$99 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$104.65 |
$161 |
0.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$141.70 |
$218 |
1.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$68.90 |
$106 |
0.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$104.65 |
$161 |
0.8× |