| Shoulder arthroscopy with decompression (29826) |
$13,824.40 |
$21,268.31 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$6,890.56 |
$10,600.86 |
2.1× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$4,030.17 |
$6,200.26 |
0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,078.02 |
$3,196.95 |
2.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,725.08 |
$5,730.90 |
4.1× |
| Diagnostic colonoscopy (45378) |
$1,701.94 |
$2,618.37 |
1.8× |
| Colonoscopy with biopsy (45380) |
$3,241.89 |
$4,987.53 |
2.7× |
| Colonoscopy with lesion removal (45385) |
$2,939.20 |
$4,521.85 |
2.5× |
| Laparoscopic gallbladder removal (47562) |
$10,429.83 |
$16,045.89 |
1.7× |
| Inguinal hernia repair (age 5+) (49505) |
$6,140.78 |
$9,447.35 |
1.7× |
| Laparoscopic radical prostatectomy (55866) |
$21,535.21 |
$33,131.09 |
2.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,564.55 |
$2,407 |
1.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,141.72 |
$1,756.50 |
1.3× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,575.60 |
$2,424 |
2.9× |
| Cataract removal with lens insertion (66984) |
$6,761.48 |
$10,402.28 |
2.9× |
| CT head/brain without contrast (70450) |
$799.50 |
$1,230 |
7.6× |
| MRI brain without contrast (70551) |
$1,265.55 |
$1,947 |
5.3× |
| MRI brain with contrast (70552) |
$1,833.65 |
$2,821 |
5.2× |
| MRI brain without and with contrast (70553) |
$2,161.90 |
$3,326 |
6.2× |
| X-ray lower spine, 4+ views (72110) |
$341.90 |
$526 |
3.3× |
| MRI lumbar spine without contrast (72148) |
$1,643.20 |
$2,528 |
6.9× |
| CT pelvis with contrast (72193) |
$972.40 |
$1,496 |
5.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,357.85 |
$2,089 |
5.7× |
| CT abdomen and pelvis with contrast (74177) |
$2,040.35 |
$3,139 |
5.8× |
| Ultrasound, abdomen complete (76700) |
$749.45 |
$1,153 |
7.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$884.65 |
$1,361 |
8.4× |
| Ultrasound, transvaginal (76830) |
$340.60 |
$524 |
3.3× |
| Mammography, one breast (diagnostic) (77065) |
$280.15 |
$431 |
3.3× |
| Mammography, both breasts (diagnostic) (77066) |
$419.90 |
$646 |
3.8× |
| Mammography, screening (bilateral) (77067) |
$220.35 |
$339 |
2.4× |
| Basic metabolic panel (80048) |
$18.85 |
$29 |
2.2× |
| Comprehensive metabolic panel (80053) |
$23.40 |
$36 |
2.2× |
| Lipid panel (80061) |
$62.40 |
$96 |
4.7× |
| Renal function panel (80069) |
$122.85 |
$189 |
14.2× |
| Hepatic function panel (80076) |
$22.10 |
$34 |
2.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$16.90 |
$26 |
4.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$51.35 |
$79 |
14.8× |
| PSA, total (84153) |
$69.55 |
$107 |
3.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$35.42 |
$54.50 |
2.1× |
| CBC with automated differential (85025) |
$17.55 |
$27 |
2.3× |
| CBC, automated (85027) |
$14.30 |
$22 |
2.2× |
| Prothrombin time (PT) (85610) |
$29.90 |
$46 |
7.0× |
| Partial thromboplastin time (PTT) (85730) |
$48.10 |
$74 |
8.0× |
| Psychotherapy, 30 minutes (90832) |
$265.20 |
$408 |
1.5× |
| Psychotherapy, 45 minutes (90834) |
$265.20 |
$408 |
1.5× |
| Psychotherapy, 60 minutes (90837) |
$265.20 |
$408 |
1.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$245.05 |
$377 |
1.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$264.55 |
$407 |
1.5× |
| Group psychotherapy (90853) |
$485.55 |
$747 |
4.8× |
| Left heart catheterization (93452) |
$4,179.50 |
$6,430 |
1.3× |
| Sleep study (attended polysomnography) (95810) |
$4,201.60 |
$6,464 |
4.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$114.40 |
$176 |
3.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$174.20 |
$268 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$226.52 |
$348.50 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$301.60 |
$464 |
2.3× |