| Shoulder arthroscopy with decompression (29826) |
$21,401.85 |
$32,925.93 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$11,567.37 |
$17,795.96 |
3.5× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$7,765.51 |
$11,946.94 |
1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,441.82 |
$3,756.64 |
2.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$4,107.16 |
$6,318.71 |
4.5× |
| Diagnostic colonoscopy (45378) |
$2,192.09 |
$3,372.45 |
2.4× |
| Colonoscopy with biopsy (45380) |
$3,463.77 |
$5,328.88 |
2.9× |
| Colonoscopy with lesion removal (45385) |
$3,187.52 |
$4,903.88 |
2.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,830.02 |
$4,353.88 |
2.4× |
| Laparoscopic gallbladder removal (47562) |
$14,143.77 |
$21,759.64 |
2.3× |
| Inguinal hernia repair (age 5+) (49505) |
$12,166.81 |
$18,718.17 |
3.4× |
| Laparoscopic radical prostatectomy (55866) |
$39,318.34 |
$60,489.76 |
3.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$8,724.69 |
$13,422.60 |
9.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,692.30 |
$4,142 |
3.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$380.25 |
$585 |
0.7× |
| Cataract removal with lens insertion (66984) |
$9,399.23 |
$14,460.36 |
4.1× |
| CT head/brain without contrast (70450) |
$1,935.05 |
$2,977 |
18.5× |
| MRI brain without contrast (70551) |
$2,458.95 |
$3,783 |
10.3× |
| MRI brain with contrast (70552) |
$2,635.10 |
$4,054 |
7.5× |
| MRI brain without and with contrast (70553) |
$2,779.40 |
$4,276 |
8.0× |
| X-ray lower spine, 4+ views (72110) |
$545.35 |
$839 |
5.2× |
| MRI lumbar spine without contrast (72148) |
$1,600.30 |
$2,462 |
6.7× |
| CT pelvis with contrast (72193) |
$2,078.05 |
$3,197 |
11.8× |
| MRI lower-extremity joint without contrast (73721) |
$2,583.10 |
$3,974 |
10.8× |
| CT abdomen and pelvis with contrast (74177) |
$4,156.75 |
$6,395 |
11.9× |
| Ultrasound, abdomen complete (76700) |
$1,279.20 |
$1,968 |
12.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$978.90 |
$1,506 |
9.3× |
| Ultrasound, transvaginal (76830) |
$671.45 |
$1,033 |
6.4× |
| Mammography, one breast (diagnostic) (77065) |
$431.60 |
$664 |
5.0× |
| Mammography, both breasts (diagnostic) (77066) |
$521.30 |
$802 |
4.7× |
| Mammography, screening (bilateral) (77067) |
$194.35 |
$299 |
2.1× |
| Basic metabolic panel (80048) |
$148.20 |
$228 |
17.5× |
| Comprehensive metabolic panel (80053) |
$265.85 |
$409 |
25.2× |
| Obstetric panel (80055) |
$386.10 |
$594 |
8.1× |
| Lipid panel (80061) |
$132.92 |
$204.50 |
9.9× |
| Renal function panel (80069) |
$250.90 |
$386 |
28.9× |
| Hepatic function panel (80076) |
$222.30 |
$342 |
27.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$44.20 |
$68 |
11.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$23.40 |
$36 |
6.7× |
| PSA, total (84153) |
$135.20 |
$208 |
7.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$70.20 |
$108 |
4.2× |
| CBC with automated differential (85025) |
$107.25 |
$165 |
13.8× |
| CBC, automated (85027) |
$108.55 |
$167 |
16.8× |
| Prothrombin time (PT) (85610) |
$47.45 |
$73 |
11.1× |
| Partial thromboplastin time (PTT) (85730) |
$102.70 |
$158 |
17.1× |
| Psychotherapy, 30 minutes (90832) |
$206.05 |
$317 |
1.2× |
| Psychotherapy, 45 minutes (90834) |
$263.90 |
$406 |
1.5× |
| Psychotherapy, 60 minutes (90837) |
$356.20 |
$548 |
2.0× |
| Group psychotherapy (90853) |
$259.02 |
$398.50 |
2.5× |
| Left heart catheterization (93452) |
$6,303.70 |
$9,698 |
1.9× |
| Sleep study (attended polysomnography) (95810) |
$3,094 |
$4,760 |
3.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$122.20 |
$188 |
4.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$126.75 |
$195 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$177.45 |
$273 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$243.75 |
$375 |
1.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$107.25 |
$165 |
0.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$141.05 |
$217 |
1.1× |