| Breast lesion removal (open) (19120) |
$1,077.70 |
$1,658 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$8,077.56 |
$12,427.01 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,933.74 |
$9,128.83 |
1.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,363.70 |
$2,098 |
1.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,135.98 |
$3,286.12 |
2.4× |
| Diagnostic colonoscopy (45378) |
$1,099.15 |
$1,691 |
1.2× |
| Colonoscopy with biopsy (45380) |
$2,530.03 |
$3,892.36 |
2.1× |
| Colonoscopy with lesion removal (45385) |
$1,898.66 |
$2,921.02 |
1.6× |
| Laparoscopic gallbladder removal (47562) |
$5,683.44 |
$8,743.76 |
0.9× |
| Inguinal hernia repair (age 5+) (49505) |
$2,169.05 |
$3,337 |
0.6× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$924.95 |
$1,423 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,492.40 |
$2,296 |
1.7× |
| CT head/brain without contrast (70450) |
$858.65 |
$1,321 |
8.2× |
| MRI brain without contrast (70551) |
$1,878.50 |
$2,890 |
7.9× |
| MRI brain with contrast (70552) |
$2,264.60 |
$3,484 |
6.5× |
| MRI brain without and with contrast (70553) |
$2,827.50 |
$4,350 |
8.1× |
| X-ray lower spine, 4+ views (72110) |
$403.65 |
$621 |
3.9× |
| MRI lumbar spine without contrast (72148) |
$1,862.90 |
$2,866 |
7.8× |
| CT pelvis with contrast (72193) |
$2,054.65 |
$3,161 |
11.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,538.55 |
$2,367 |
6.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,199.60 |
$3,384 |
6.3× |
| Ultrasound, abdomen complete (76700) |
$677.95 |
$1,043 |
6.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$367.25 |
$565 |
3.5× |
| Ultrasound, transvaginal (76830) |
$367.25 |
$565 |
3.5× |
| Mammography, one breast (diagnostic) (77065) |
$108.55 |
$167 |
1.3× |
| Mammography, both breasts (diagnostic) (77066) |
$165.10 |
$254 |
1.5× |
| Mammography, screening (bilateral) (77067) |
$98.80 |
$152 |
1.1× |
| Basic metabolic panel (80048) |
$61.75 |
$95 |
7.3× |
| Comprehensive metabolic panel (80053) |
$77.35 |
$119 |
7.3× |
| Obstetric panel (80055) |
$407.55 |
$627 |
8.5× |
| Lipid panel (80061) |
$84.50 |
$130 |
6.3× |
| Renal function panel (80069) |
$85.80 |
$132 |
9.9× |
| Hepatic function panel (80076) |
$63.70 |
$98 |
7.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$39.65 |
$61 |
9.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$24.05 |
$37 |
6.9× |
| PSA, total (84153) |
$136.50 |
$210 |
7.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$45.82 |
$70.50 |
2.7× |
| CBC with automated differential (85025) |
$72.80 |
$112 |
9.4× |
| CBC, automated (85027) |
$63.70 |
$98 |
9.8× |
| Prothrombin time (PT) (85610) |
$34.45 |
$53 |
8.0× |
| Partial thromboplastin time (PTT) (85730) |
$40.95 |
$63 |
6.8× |
| Sleep study (attended polysomnography) (95810) |
$2,810.92 |
$4,324.50 |
3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$83.20 |
$128 |
2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$154.05 |
$237 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$207.35 |
$319 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$285.35 |
$439 |
2.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$207.35 |
$319 |
1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$299 |
$460 |
2.2× |