| Shoulder arthroscopy with decompression (29826) |
$7,253.04 |
$11,158.52 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,588.99 |
$7,059.99 |
1.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$3,327.85 |
$5,119.77 |
0.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,532.74 |
$3,896.52 |
2.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$4,093.84 |
$6,298.21 |
4.7× |
| Diagnostic colonoscopy (45378) |
$1,648.46 |
$2,536.10 |
1.8× |
| Colonoscopy with biopsy (45380) |
$3,337.08 |
$5,133.97 |
2.9× |
| Colonoscopy with lesion removal (45385) |
$2,960.72 |
$4,554.96 |
2.6× |
| Laparoscopic gallbladder removal (47562) |
$7,005.15 |
$10,777.15 |
1.2× |
| Inguinal hernia repair (age 5+) (49505) |
$6,739.98 |
$10,369.20 |
1.9× |
| Laparoscopic radical prostatectomy (55866) |
$20,998.02 |
$32,304.65 |
2.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,333.74 |
$2,051.92 |
1.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$828.75 |
$1,275 |
1.6× |
| Cataract removal with lens insertion (66984) |
$3,037.74 |
$4,673.44 |
1.4× |
| CT head/brain without contrast (70450) |
$1,075.10 |
$1,654 |
10.6× |
| MRI brain without contrast (70551) |
$1,973.40 |
$3,036 |
8.5× |
| MRI brain with contrast (70552) |
$2,343.90 |
$3,606 |
6.9× |
| MRI brain without and with contrast (70553) |
$2,925.65 |
$4,501 |
8.7× |
| X-ray lower spine, 4+ views (72110) |
$336.05 |
$517 |
3.3× |
| MRI lumbar spine without contrast (72148) |
$1,965.60 |
$3,024 |
8.5× |
| CT pelvis with contrast (72193) |
$1,582.75 |
$2,435 |
9.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,365 |
$2,100 |
5.9× |
| CT abdomen and pelvis with contrast (74177) |
$3,197.35 |
$4,919 |
9.5× |
| Ultrasound, abdomen complete (76700) |
$703.30 |
$1,082 |
6.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$326.95 |
$503 |
3.2× |
| Ultrasound, transvaginal (76830) |
$312.65 |
$481 |
3.1× |
| Mammography, one breast (diagnostic) (77065) |
$162.50 |
$250 |
1.9× |
| Mammography, both breasts (diagnostic) (77066) |
$175.50 |
$270 |
1.6× |
| Mammography, screening (bilateral) (77067) |
$130.98 |
$201.50 |
1.4× |
| Basic metabolic panel (80048) |
$18.85 |
$29 |
2.2× |
| Comprehensive metabolic panel (80053) |
$23.40 |
$36 |
2.2× |
| Obstetric panel (80055) |
$237.25 |
$365 |
5.0× |
| Lipid panel (80061) |
$89.70 |
$138 |
6.7× |
| Renal function panel (80069) |
$31.20 |
$48 |
3.6× |
| Hepatic function panel (80076) |
$22.10 |
$34 |
2.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$55.25 |
$85 |
13.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$30.22 |
$46.50 |
8.7× |
| PSA, total (84153) |
$101.72 |
$156.50 |
5.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$35.42 |
$54.50 |
2.1× |
| CBC with automated differential (85025) |
$17.55 |
$27 |
2.3× |
| CBC, automated (85027) |
$14.30 |
$22 |
2.2× |
| Prothrombin time (PT) (85610) |
$34.45 |
$53 |
8.0× |
| Partial thromboplastin time (PTT) (85730) |
$45.82 |
$70.50 |
7.6× |
| Left heart catheterization (93452) |
$5,373.55 |
$8,267 |
1.7× |
| Sleep study (attended polysomnography) (95810) |
$3,377.40 |
$5,196 |
4.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$74.10 |
$114 |
2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$149.82 |
$230.50 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$115.70 |
$178 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$262.60 |
$404 |
2.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$78 |
$120 |
0.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$92.95 |
$143 |
0.7× |