| Breast lesion removal (open) (19120) |
$335.40 |
$516 |
0.1× |
| Shoulder arthroscopy with decompression (29826) |
$12,501.22 |
$19,232.65 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$8,949.97 |
$13,769.19 |
2.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,183.32 |
$4,897.40 |
3.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$4,402.45 |
$6,773 |
4.8× |
| Diagnostic colonoscopy (45378) |
$2,543.28 |
$3,912.75 |
2.7× |
| Colonoscopy with biopsy (45380) |
$5,961.35 |
$9,171.31 |
5.0× |
| Colonoscopy with lesion removal (45385) |
$5,031.66 |
$7,741.01 |
4.2× |
| Laparoscopic gallbladder removal (47562) |
$11,298.66 |
$17,382.55 |
1.9× |
| Inguinal hernia repair (age 5+) (49505) |
$10,090.34 |
$15,523.60 |
2.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,640.60 |
$2,524 |
1.9× |
| CT head/brain without contrast (70450) |
$1,505.40 |
$2,316 |
14.4× |
| MRI brain without contrast (70551) |
$1,921.08 |
$2,955.50 |
8.0× |
| MRI brain with contrast (70552) |
$1,836.25 |
$2,825 |
5.3× |
| MRI brain without and with contrast (70553) |
$2,608.45 |
$4,013 |
7.5× |
| X-ray lower spine, 4+ views (72110) |
$507 |
$780 |
4.8× |
| MRI lumbar spine without contrast (72148) |
$1,370.20 |
$2,108 |
5.7× |
| CT pelvis with contrast (72193) |
$1,372.80 |
$2,112 |
7.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,639.30 |
$2,522 |
6.9× |
| CT abdomen and pelvis with contrast (74177) |
$3,930.55 |
$6,047 |
11.2× |
| Ultrasound, abdomen complete (76700) |
$1,121.25 |
$1,725 |
10.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$510.90 |
$786 |
4.9× |
| Ultrasound, transvaginal (76830) |
$698.75 |
$1,075 |
6.7× |
| Mammography, one breast (diagnostic) (77065) |
$303.55 |
$467 |
3.5× |
| Mammography, both breasts (diagnostic) (77066) |
$455.65 |
$701 |
4.1× |
| Mammography, screening (bilateral) (77067) |
$279.50 |
$430 |
3.1× |
| Basic metabolic panel (80048) |
$124.15 |
$191 |
14.7× |
| Comprehensive metabolic panel (80053) |
$23.40 |
$36 |
2.2× |
| Lipid panel (80061) |
$113.10 |
$174 |
8.4× |
| Renal function panel (80069) |
$159.90 |
$246 |
18.4× |
| Hepatic function panel (80076) |
$141.05 |
$217 |
17.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$32.50 |
$50 |
8.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$35.10 |
$54 |
10.1× |
| PSA, total (84153) |
$80.28 |
$123.50 |
4.4× |
| 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) |
$30.55 |
$47 |
7.1× |
| Partial thromboplastin time (PTT) (85730) |
$60.78 |
$93.50 |
10.1× |
| Psychotherapy, 30 minutes (90832) |
$237.25 |
$365 |
1.3× |
| Psychotherapy, 45 minutes (90834) |
$250.90 |
$386 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$278.85 |
$429 |
1.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$258.05 |
$397 |
1.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$234 |
$360 |
1.3× |
| Group psychotherapy (90853) |
$643.50 |
$990 |
6.3× |
| Left heart catheterization (93452) |
$5,430.10 |
$8,354 |
1.7× |
| Sleep study (attended polysomnography) (95810) |
$3,552.25 |
$5,465 |
4.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$120.90 |
$186 |
4.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$217.75 |
$335 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$190.78 |
$293.50 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$354.90 |
$546 |
2.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$107.25 |
$165 |
0.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$157.30 |
$242 |
1.2× |