| Shoulder arthroscopy with decompression (29826) |
$16,335.69 |
$25,131.83 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$8,816.20 |
$13,563.38 |
2.7× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$6,999.23 |
$10,768.04 |
1.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,899.74 |
$4,461.14 |
3.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,940.49 |
$6,062.29 |
4.3× |
| Diagnostic colonoscopy (45378) |
$1,841.04 |
$2,832.37 |
2.0× |
| Colonoscopy with biopsy (45380) |
$3,401.03 |
$5,232.35 |
2.8× |
| Colonoscopy with lesion removal (45385) |
$3,609.64 |
$5,553.29 |
3.0× |
| Laparoscopic gallbladder removal (47562) |
$11,855.86 |
$18,239.78 |
2.0× |
| Inguinal hernia repair (age 5+) (49505) |
$11,850.73 |
$18,231.89 |
3.3× |
| Laparoscopic radical prostatectomy (55866) |
$27,511.69 |
$42,325.67 |
2.6× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,407.90 |
$2,166 |
1.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,066.70 |
$4,718 |
3.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$191.75 |
$295 |
0.3× |
| CT head/brain without contrast (70450) |
$1,686.10 |
$2,594 |
16.1× |
| MRI brain without contrast (70551) |
$2,305.55 |
$3,547 |
9.6× |
| MRI brain with contrast (70552) |
$2,584.40 |
$3,976 |
7.4× |
| MRI brain without and with contrast (70553) |
$3,297.45 |
$5,073 |
9.4× |
| X-ray lower spine, 4+ views (72110) |
$460.20 |
$708 |
4.4× |
| MRI lumbar spine without contrast (72148) |
$2,363.40 |
$3,636 |
9.9× |
| CT pelvis with contrast (72193) |
$1,990.30 |
$3,062 |
11.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,647.10 |
$2,534 |
6.9× |
| CT abdomen and pelvis with contrast (74177) |
$3,961.10 |
$6,094 |
11.3× |
| Ultrasound, abdomen complete (76700) |
$1,093.95 |
$1,683 |
10.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$492.05 |
$757 |
4.7× |
| Ultrasound, transvaginal (76830) |
$580.45 |
$893 |
5.5× |
| Mammography, one breast (diagnostic) (77065) |
$248.30 |
$382 |
2.9× |
| Mammography, both breasts (diagnostic) (77066) |
$378.95 |
$583 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$206.38 |
$317.50 |
2.3× |
| Basic metabolic panel (80048) |
$141.05 |
$217 |
16.7× |
| Comprehensive metabolic panel (80053) |
$23.40 |
$36 |
2.2× |
| Obstetric panel (80055) |
$421.85 |
$649 |
8.8× |
| Lipid panel (80061) |
$150.80 |
$232 |
11.3× |
| Renal function panel (80069) |
$31.20 |
$48 |
3.6× |
| Hepatic function panel (80076) |
$113.10 |
$174 |
13.8× |
| 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) |
$96.20 |
$148 |
5.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$84.18 |
$129.50 |
5.0× |
| CBC with automated differential (85025) |
$17.55 |
$27 |
2.3× |
| CBC, automated (85027) |
$14.30 |
$22 |
2.2× |
| Prothrombin time (PT) (85610) |
$14.30 |
$22 |
3.3× |
| Partial thromboplastin time (PTT) (85730) |
$62.72 |
$96.50 |
10.4× |
| Left heart catheterization (93452) |
$10,685.35 |
$16,439 |
3.3× |
| Sleep study (attended polysomnography) (95810) |
$3,725.15 |
$5,731 |
4.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$122.85 |
$189 |
4.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$121.88 |
$187.50 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$123.50 |
$190 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$248.62 |
$382.50 |
1.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$107.25 |
$165 |
0.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$141.05 |
$217 |
1.1× |