| Breast lesion removal (open) (19120) |
$2,351.70 |
$3,618 |
0.6× |
| Shoulder arthroscopy with decompression (29826) |
$13,806.12 |
$21,240.19 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$8,237.33 |
$12,672.82 |
2.7× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$5,589.78 |
$8,599.66 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,988.77 |
$3,059.65 |
2.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,501.34 |
$5,386.68 |
4.1× |
| Diagnostic colonoscopy (45378) |
$1,839.42 |
$2,829.88 |
2.1× |
| Colonoscopy with biopsy (45380) |
$2,872.39 |
$4,419.06 |
2.6× |
| Colonoscopy with lesion removal (45385) |
$3,050.77 |
$4,693.50 |
2.7× |
| Laparoscopic gallbladder removal (47562) |
$10,081.56 |
$15,510.10 |
1.8× |
| Inguinal hernia repair (age 5+) (49505) |
$8,949.32 |
$13,768.18 |
2.7× |
| Laparoscopic radical prostatectomy (55866) |
$26,886.87 |
$41,364.41 |
2.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,589.62 |
$2,445.56 |
1.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,824.55 |
$2,807 |
2.2× |
| CT head/brain without contrast (70450) |
$1,440.40 |
$2,216 |
14.8× |
| MRI brain without contrast (70551) |
$2,475.85 |
$3,809 |
11.1× |
| MRI brain with contrast (70552) |
$2,282.15 |
$3,511 |
7.0× |
| MRI brain without and with contrast (70553) |
$2,960.75 |
$4,555 |
9.1× |
| X-ray lower spine, 4+ views (72110) |
$397.80 |
$612 |
4.1× |
| MRI lumbar spine without contrast (72148) |
$1,809.60 |
$2,784 |
8.1× |
| CT pelvis with contrast (72193) |
$1,491.10 |
$2,294 |
9.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,862.25 |
$2,865 |
8.4× |
| CT abdomen and pelvis with contrast (74177) |
$4,006.60 |
$6,164 |
12.3× |
| Ultrasound, abdomen complete (76700) |
$817.70 |
$1,258 |
8.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$420.55 |
$647 |
4.3× |
| Ultrasound, transvaginal (76830) |
$429 |
$660 |
4.4× |
| Mammography, one breast (diagnostic) (77065) |
$239.85 |
$369 |
2.8× |
| Mammography, both breasts (diagnostic) (77066) |
$321.75 |
$495 |
2.9× |
| Mammography, screening (bilateral) (77067) |
$229.78 |
$353.50 |
2.5× |
| Basic metabolic panel (80048) |
$149.50 |
$230 |
17.7× |
| Comprehensive metabolic panel (80053) |
$23.40 |
$36 |
2.2× |
| Lipid panel (80061) |
$99.12 |
$152.50 |
7.4× |
| Renal function panel (80069) |
$196.95 |
$303 |
22.7× |
| Hepatic function panel (80076) |
$168.35 |
$259 |
20.6× |
| Urinalysis, non-automated, with microscopy (81000) |
$47.45 |
$73 |
11.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$27.30 |
$42 |
7.8× |
| PSA, total (84153) |
$108.88 |
$167.50 |
5.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$100.10 |
$154 |
6.0× |
| 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) |
$43.88 |
$67.50 |
7.3× |
| Left heart catheterization (93452) |
$5,929.30 |
$9,122 |
2.0× |
| Sleep study (attended polysomnography) (95810) |
$3,272.42 |
$5,034.50 |
4.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$75.40 |
$116 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$85.15 |
$131 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$115.70 |
$178 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$180.70 |
$278 |
1.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$78 |
$120 |
0.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$92.95 |
$143 |
0.7× |