| Breast lesion removal (open) (19120) |
$335.40 |
$516 |
0.1× |
| Shoulder arthroscopy with decompression (29826) |
$14,086.02 |
$21,670.80 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$7,543.82 |
$11,605.87 |
2.3× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$5,813.33 |
$8,943.59 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,038.38 |
$1,597.50 |
1.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$835.90 |
$1,286 |
0.9× |
| Diagnostic colonoscopy (45378) |
$1,276.28 |
$1,963.50 |
1.4× |
| Colonoscopy with biopsy (45380) |
$4,678.71 |
$7,198.01 |
3.9× |
| Colonoscopy with lesion removal (45385) |
$4,293.26 |
$6,605.01 |
3.6× |
| Colonoscopy with endoscopic ultrasound (45391) |
$6,342.13 |
$9,757.13 |
5.3× |
| Laparoscopic gallbladder removal (47562) |
$10,188.83 |
$15,675.12 |
1.7× |
| Inguinal hernia repair (age 5+) (49505) |
$6,764.42 |
$10,406.80 |
1.9× |
| Laparoscopic radical prostatectomy (55866) |
$26,174.17 |
$40,267.95 |
2.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,564.55 |
$2,407 |
1.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,235.74 |
$3,439.61 |
2.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$756.60 |
$1,164 |
1.4× |
| Cataract removal with lens insertion (66984) |
$5,238 |
$8,058.46 |
2.3× |
| CT head/brain without contrast (70450) |
$1,415.05 |
$2,177 |
13.5× |
| MRI brain without contrast (70551) |
$1,206.40 |
$1,856 |
5.0× |
| MRI brain with contrast (70552) |
$2,455.05 |
$3,777 |
7.0× |
| MRI brain without and with contrast (70553) |
$2,789.80 |
$4,292 |
8.0× |
| X-ray lower spine, 4+ views (72110) |
$370.50 |
$570 |
3.5× |
| MRI lumbar spine without contrast (72148) |
$2,141.10 |
$3,294 |
9.0× |
| CT pelvis with contrast (72193) |
$1,827.15 |
$2,811 |
10.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,859 |
$2,860 |
7.8× |
| CT abdomen and pelvis with contrast (74177) |
$3,181.75 |
$4,895 |
9.1× |
| Ultrasound, abdomen complete (76700) |
$747.50 |
$1,150 |
7.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$726.05 |
$1,117 |
6.9× |
| Ultrasound, transvaginal (76830) |
$613.60 |
$944 |
5.9× |
| Mammography, one breast (diagnostic) (77065) |
$248.30 |
$382 |
2.9× |
| Mammography, both breasts (diagnostic) (77066) |
$372.45 |
$573 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$228.15 |
$351 |
2.5× |
| Basic metabolic panel (80048) |
$18.85 |
$29 |
2.2× |
| Comprehensive metabolic panel (80053) |
$23.40 |
$36 |
2.2× |
| Lipid panel (80061) |
$88.08 |
$135.50 |
6.6× |
| Renal function panel (80069) |
$182 |
$280 |
21.0× |
| Hepatic function panel (80076) |
$22.10 |
$34 |
2.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$32.50 |
$50 |
8.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$24.70 |
$38 |
7.1× |
| PSA, total (84153) |
$91.65 |
$141 |
5.0× |
| 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) |
$14.30 |
$22 |
3.3× |
| Partial thromboplastin time (PTT) (85730) |
$24.05 |
$37 |
4.0× |
| Psychotherapy, 30 minutes (90832) |
$155.35 |
$239 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$191.10 |
$294 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$250.90 |
$386 |
1.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$234 |
$360 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$234 |
$360 |
1.3× |
| Group psychotherapy (90853) |
$643.50 |
$990 |
6.3× |
| Left heart catheterization (93452) |
$5,682.30 |
$8,742 |
1.7× |
| Sleep study (attended polysomnography) (95810) |
$3,573.05 |
$5,497 |
4.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$94.90 |
$146 |
3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$149.50 |
$230 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$227.18 |
$349.50 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$272.02 |
$418.50 |
2.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$107.25 |
$165 |
0.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$157.30 |
$242 |
1.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$242.45 |
$373 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$200.20 |
$308 |
— |