| Breast lesion removal (open) (19120) |
$1,056.90 |
$1,626 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$16,539.43 |
$25,445.27 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$6,927.82 |
$10,658.19 |
2.1× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$4,841.34 |
$7,448.22 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,318.80 |
$3,567.38 |
2.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,802.10 |
$5,849.38 |
4.2× |
| Diagnostic colonoscopy (45378) |
$3,793.93 |
$5,836.82 |
4.1× |
| Colonoscopy with biopsy (45380) |
$4,101.17 |
$6,309.50 |
3.4× |
| Colonoscopy with lesion removal (45385) |
$4,305.27 |
$6,623.50 |
3.6× |
| Laparoscopic gallbladder removal (47562) |
$8,907.36 |
$13,703.63 |
1.5× |
| Inguinal hernia repair (age 5+) (49505) |
$8,518.90 |
$13,106 |
2.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,119 |
$3,260 |
2.4× |
| Cataract removal with lens insertion (66984) |
$5,448.74 |
$8,382.67 |
2.4× |
| CT head/brain without contrast (70450) |
$690.62 |
$1,062.50 |
6.6× |
| MRI brain without contrast (70551) |
$909.35 |
$1,399 |
3.8× |
| MRI brain with contrast (70552) |
$1,306.50 |
$2,010 |
3.7× |
| MRI brain without and with contrast (70553) |
$1,333.48 |
$2,051.50 |
3.8× |
| X-ray lower spine, 4+ views (72110) |
$271.70 |
$418 |
2.6× |
| MRI lumbar spine without contrast (72148) |
$1,101.10 |
$1,694 |
4.6× |
| CT pelvis with contrast (72193) |
$897.32 |
$1,380.50 |
5.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,110.52 |
$1,708.50 |
4.6× |
| CT abdomen and pelvis with contrast (74177) |
$1,717.62 |
$2,642.50 |
4.9× |
| Ultrasound, abdomen complete (76700) |
$519.68 |
$799.50 |
5.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$374.08 |
$575.50 |
3.6× |
| Ultrasound, transvaginal (76830) |
$359.78 |
$553.50 |
3.4× |
| Mammography, one breast (diagnostic) (77065) |
$155.02 |
$238.50 |
1.8× |
| Mammography, both breasts (diagnostic) (77066) |
$197.60 |
$304 |
1.8× |
| Mammography, screening (bilateral) (77067) |
$139.10 |
$214 |
1.5× |
| Basic metabolic panel (80048) |
$36.40 |
$56 |
4.3× |
| Comprehensive metabolic panel (80053) |
$66.95 |
$103 |
6.3× |
| Obstetric panel (80055) |
$248.30 |
$382 |
5.2× |
| Lipid panel (80061) |
$108.55 |
$167 |
8.1× |
| Renal function panel (80069) |
$40.30 |
$62 |
4.6× |
| Hepatic function panel (80076) |
$40.30 |
$62 |
4.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$26.65 |
$41 |
6.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$27.30 |
$42 |
7.8× |
| PSA, total (84153) |
$99.12 |
$152.50 |
5.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$48.42 |
$74.50 |
2.9× |
| CBC with automated differential (85025) |
$33.80 |
$52 |
4.4× |
| CBC, automated (85027) |
$27.30 |
$42 |
4.2× |
| Prothrombin time (PT) (85610) |
$24.70 |
$38 |
5.8× |
| Partial thromboplastin time (PTT) (85730) |
$28.60 |
$44 |
4.8× |
| Sleep study (attended polysomnography) (95810) |
$1,253.85 |
$1,929 |
1.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$66.95 |
$103 |
2.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$159.25 |
$245 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$206.70 |
$318 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$250.90 |
$386 |
1.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$204.10 |
$314 |
1.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$262.92 |
$404.50 |
2.0× |