| Shoulder arthroscopy with decompression (29826) |
$13,258.21 |
$20,397.24 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$6,718.91 |
$10,336.78 |
2.1× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$4,367.71 |
$6,719.55 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,026.10 |
$3,117.08 |
2.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,662.96 |
$5,635.33 |
4.2× |
| Diagnostic colonoscopy (45378) |
$2,092.67 |
$3,219.50 |
2.3× |
| Colonoscopy with biopsy (45380) |
$3,331.67 |
$5,125.64 |
2.9× |
| Colonoscopy with lesion removal (45385) |
$3,350.12 |
$5,154.03 |
2.9× |
| Laparoscopic gallbladder removal (47562) |
$8,811.64 |
$13,556.37 |
1.5× |
| Inguinal hernia repair (age 5+) (49505) |
$7,904.78 |
$12,161.20 |
2.3× |
| Laparoscopic radical prostatectomy (55866) |
$20,602.81 |
$31,696.63 |
2.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$9,225.45 |
$14,193 |
10.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,838.20 |
$2,828 |
2.2× |
| CT head/brain without contrast (70450) |
$1,493.70 |
$2,298 |
14.9× |
| MRI brain without contrast (70551) |
$1,996.80 |
$3,072 |
8.7× |
| MRI brain with contrast (70552) |
$1,888.90 |
$2,906 |
5.6× |
| MRI brain without and with contrast (70553) |
$2,947.10 |
$4,534 |
8.8× |
| X-ray lower spine, 4+ views (72110) |
$460.20 |
$708 |
4.6× |
| MRI lumbar spine without contrast (72148) |
$2,147.60 |
$3,304 |
9.4× |
| CT pelvis with contrast (72193) |
$1,617.20 |
$2,488 |
9.6× |
| MRI lower-extremity joint without contrast (73721) |
$2,038.40 |
$3,136 |
8.9× |
| CT abdomen and pelvis with contrast (74177) |
$3,116.10 |
$4,794 |
9.3× |
| Ultrasound, abdomen complete (76700) |
$756.60 |
$1,164 |
7.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$787.80 |
$1,212 |
7.8× |
| Ultrasound, transvaginal (76830) |
$879.45 |
$1,353 |
8.7× |
| Mammography, one breast (diagnostic) (77065) |
$202.15 |
$311 |
2.3× |
| Mammography, both breasts (diagnostic) (77066) |
$409.50 |
$630 |
3.7× |
| Mammography, screening (bilateral) (77067) |
$308.75 |
$475 |
3.4× |
| Basic metabolic panel (80048) |
$205.08 |
$315.50 |
24.2× |
| Comprehensive metabolic panel (80053) |
$23.40 |
$36 |
2.2× |
| Obstetric panel (80055) |
$337.35 |
$519 |
7.1× |
| Lipid panel (80061) |
$101.40 |
$156 |
7.6× |
| Renal function panel (80069) |
$154.05 |
$237 |
17.7× |
| Hepatic function panel (80076) |
$99.45 |
$153 |
12.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$16.90 |
$26 |
4.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$26.65 |
$41 |
7.7× |
| PSA, total (84153) |
$81.90 |
$126 |
4.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$35.42 |
$54.50 |
2.1× |
| CBC with automated differential (85025) |
$17.55 |
$27 |
2.3× |
| CBC, automated (85027) |
$57.85 |
$89 |
8.9× |
| Prothrombin time (PT) (85610) |
$36.40 |
$56 |
8.5× |
| Partial thromboplastin time (PTT) (85730) |
$56.22 |
$86.50 |
9.4× |
| Left heart catheterization (93452) |
$13,508.30 |
$20,782 |
4.3× |
| Sleep study (attended polysomnography) (95810) |
$4,464.20 |
$6,868 |
5.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$151.12 |
$232.50 |
5.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$83.85 |
$129 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$104 |
$160 |
0.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$131.30 |
$202 |
1.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$68.90 |
$106 |
0.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$104.65 |
$161 |
0.8× |