| Breast lesion removal (open) (19120) |
$335.40 |
$516 |
0.1× |
| Shoulder arthroscopy with decompression (29826) |
$36,222.13 |
$55,726.35 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$22,474.97 |
$34,576.87 |
6.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,941.60 |
$6,064 |
4.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$7,903.79 |
$12,159.68 |
8.7× |
| Diagnostic colonoscopy (45378) |
$3,900.33 |
$6,000.50 |
4.2× |
| Colonoscopy with biopsy (45380) |
$6,996.60 |
$10,764 |
5.8× |
| Colonoscopy with lesion removal (45385) |
$7,286.51 |
$11,210.01 |
6.1× |
| Laparoscopic gallbladder removal (47562) |
$21,845.50 |
$33,608.46 |
3.6× |
| Inguinal hernia repair (age 5+) (49505) |
$21,631.67 |
$33,279.50 |
6.0× |
| Laparoscopic radical prostatectomy (55866) |
$46,820.65 |
$72,031.77 |
4.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,912.95 |
$2,943 |
2.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,119.02 |
$4,798.50 |
3.5× |
| CT head/brain without contrast (70450) |
$1,565.20 |
$2,408 |
14.9× |
| MRI brain without contrast (70551) |
$2,189.20 |
$3,368 |
9.2× |
| MRI brain with contrast (70552) |
$1,823.90 |
$2,806 |
5.2× |
| MRI brain without and with contrast (70553) |
$2,919.80 |
$4,492 |
8.4× |
| X-ray lower spine, 4+ views (72110) |
$566.15 |
$871 |
5.4× |
| MRI lumbar spine without contrast (72148) |
$2,332.20 |
$3,588 |
9.8× |
| CT pelvis with contrast (72193) |
$984.75 |
$1,515 |
5.6× |
| MRI lower-extremity joint without contrast (73721) |
$2,496 |
$3,840 |
10.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,080.95 |
$1,663 |
3.1× |
| Ultrasound, abdomen complete (76700) |
$1,362.40 |
$2,096 |
13.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,190.15 |
$1,831 |
11.4× |
| Ultrasound, transvaginal (76830) |
$905.45 |
$1,393 |
8.6× |
| Mammography, one breast (diagnostic) (77065) |
$308.10 |
$474 |
3.6× |
| Mammography, both breasts (diagnostic) (77066) |
$401.70 |
$618 |
3.6× |
| Mammography, screening (bilateral) (77067) |
$213.20 |
$328 |
2.3× |
| Basic metabolic panel (80048) |
$198.90 |
$306 |
23.5× |
| Comprehensive metabolic panel (80053) |
$252.20 |
$388 |
23.9× |
| Lipid panel (80061) |
$182 |
$280 |
13.6× |
| Renal function panel (80069) |
$248.95 |
$383 |
28.7× |
| Hepatic function panel (80076) |
$183.95 |
$283 |
22.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$46.15 |
$71 |
11.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$22.42 |
$34.50 |
6.4× |
| PSA, total (84153) |
$137.15 |
$211 |
7.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$102.70 |
$158 |
6.1× |
| CBC with automated differential (85025) |
$155.35 |
$239 |
20.0× |
| CBC, automated (85027) |
$117 |
$180 |
18.1× |
| Prothrombin time (PT) (85610) |
$71.82 |
$110.50 |
16.7× |
| Partial thromboplastin time (PTT) (85730) |
$81.58 |
$125.50 |
13.6× |
| Psychotherapy, 30 minutes (90832) |
$109.52 |
$168.50 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$121.88 |
$187.50 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$145.28 |
$223.50 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$121.22 |
$186.50 |
0.7× |
| Left heart catheterization (93452) |
$8,923.85 |
$13,729 |
2.7× |
| Sleep study (attended polysomnography) (95810) |
$5,074.55 |
$7,807 |
5.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$127.40 |
$196 |
4.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$82.55 |
$127 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$123.50 |
$190 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$178.75 |
$275 |
1.3× |
| Office consultation (low complexity, ~30 min) (99243) |
$107.25 |
$165 |
0.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$157.30 |
$242 |
1.2× |