| Shoulder arthroscopy with decompression (29826) |
$22,984.08 |
$35,360.12 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$12,372.13 |
$19,034.05 |
4.1× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$11,843.28 |
$18,220.43 |
2.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,139.39 |
$4,829.83 |
3.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$7,692.01 |
$11,833.86 |
9.1× |
| Diagnostic colonoscopy (45378) |
$3,622.17 |
$5,572.57 |
4.2× |
| Colonoscopy with biopsy (45380) |
$4,710.86 |
$7,247.48 |
4.2× |
| Colonoscopy with lesion removal (45385) |
$4,970.82 |
$7,647.41 |
4.5× |
| Laparoscopic gallbladder removal (47562) |
$15,250.50 |
$23,462.31 |
2.7× |
| Inguinal hernia repair (age 5+) (49505) |
$13,763.94 |
$21,175.30 |
4.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,531.10 |
$2,355.54 |
3.0× |
| Cataract removal with lens insertion (66984) |
$6,967.37 |
$10,719.03 |
3.2× |
| CT head/brain without contrast (70450) |
$1,643.20 |
$2,528 |
16.9× |
| MRI brain without contrast (70551) |
$2,473.25 |
$3,805 |
11.1× |
| MRI brain with contrast (70552) |
$2,905.50 |
$4,470 |
8.9× |
| MRI brain without and with contrast (70553) |
$3,790.80 |
$5,832 |
11.7× |
| X-ray lower spine, 4+ views (72110) |
$521.95 |
$803 |
5.4× |
| MRI lumbar spine without contrast (72148) |
$2,811.25 |
$4,325 |
12.7× |
| CT pelvis with contrast (72193) |
$2,117.70 |
$3,258 |
13.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,560.35 |
$3,939 |
11.5× |
| CT abdomen and pelvis with contrast (74177) |
$3,012.10 |
$4,634 |
9.3× |
| Ultrasound, abdomen complete (76700) |
$753.35 |
$1,159 |
7.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$588.25 |
$905 |
6.0× |
| Ultrasound, transvaginal (76830) |
$491.40 |
$756 |
5.0× |
| Mammography, one breast (diagnostic) (77065) |
$260 |
$400 |
3.0× |
| Mammography, both breasts (diagnostic) (77066) |
$267.15 |
$411 |
2.4× |
| Mammography, screening (bilateral) (77067) |
$199.55 |
$307 |
2.2× |
| Basic metabolic panel (80048) |
$100.10 |
$154 |
11.8× |
| Comprehensive metabolic panel (80053) |
$143.65 |
$221 |
13.6× |
| Lipid panel (80061) |
$111.80 |
$172 |
8.3× |
| Renal function panel (80069) |
$146.90 |
$226 |
16.9× |
| Hepatic function panel (80076) |
$176.15 |
$271 |
21.6× |
| PSA, total (84153) |
$83.85 |
$129 |
4.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$138.45 |
$213 |
8.2× |
| CBC with automated differential (85025) |
$82.55 |
$127 |
10.6× |
| CBC, automated (85027) |
$82.55 |
$127 |
12.8× |
| Prothrombin time (PT) (85610) |
$61.10 |
$94 |
14.2× |
| Partial thromboplastin time (PTT) (85730) |
$76.70 |
$118 |
12.8× |
| Left heart catheterization (93452) |
$4,777.50 |
$7,350 |
1.6× |
| Sleep study (attended polysomnography) (95810) |
$1,876.88 |
$2,887.50 |
2.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$46.15 |
$71 |
1.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$115.05 |
$177 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$168.35 |
$259 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$242.45 |
$373 |
2.0× |