| Breast lesion removal (open) (19120) |
$1,172.60 |
$1,804 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$13,867.94 |
$21,335.30 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$7,628.45 |
$11,736.07 |
2.3× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$5,909.03 |
$9,090.82 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,800.98 |
$2,770.75 |
2.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$835.90 |
$1,286 |
0.9× |
| Diagnostic colonoscopy (45378) |
$2,194.33 |
$3,375.90 |
2.4× |
| Colonoscopy with biopsy (45380) |
$4,412.40 |
$6,788.31 |
3.7× |
| Colonoscopy with lesion removal (45385) |
$4,412.40 |
$6,788.31 |
3.7× |
| Laparoscopic gallbladder removal (47562) |
$9,301.51 |
$14,310.02 |
1.5× |
| Inguinal hernia repair (age 5+) (49505) |
$6,378.35 |
$9,812.84 |
1.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$3,348.80 |
$5,152 |
3.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,523.28 |
$2,343.50 |
1.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$756.60 |
$1,164 |
1.4× |
| Cataract removal with lens insertion (66984) |
$5,615.21 |
$8,638.78 |
2.4× |
| CT head/brain without contrast (70450) |
$1,132.30 |
$1,742 |
10.8× |
| MRI brain without contrast (70551) |
$1,600.95 |
$2,463 |
6.7× |
| MRI brain with contrast (70552) |
$1,728.35 |
$2,659 |
4.9× |
| MRI brain without and with contrast (70553) |
$1,785.55 |
$2,747 |
5.1× |
| X-ray lower spine, 4+ views (72110) |
$444.60 |
$684 |
4.2× |
| MRI lumbar spine without contrast (72148) |
$1,882.40 |
$2,896 |
7.9× |
| CT pelvis with contrast (72193) |
$1,548.30 |
$2,382 |
8.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,569.10 |
$2,414 |
6.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,717.65 |
$4,181 |
7.8× |
| Ultrasound, abdomen complete (76700) |
$526.50 |
$810 |
5.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$876.20 |
$1,348 |
8.4× |
| Ultrasound, transvaginal (76830) |
$648.05 |
$997 |
6.2× |
| Mammography, one breast (diagnostic) (77065) |
$257.40 |
$396 |
3.0× |
| Mammography, both breasts (diagnostic) (77066) |
$386.10 |
$594 |
3.5× |
| Mammography, screening (bilateral) (77067) |
$233.02 |
$358.50 |
2.6× |
| Basic metabolic panel (80048) |
$118.30 |
$182 |
14.0× |
| Comprehensive metabolic panel (80053) |
$23.40 |
$36 |
2.2× |
| Lipid panel (80061) |
$128.05 |
$197 |
9.6× |
| Renal function panel (80069) |
$145.60 |
$224 |
16.8× |
| Hepatic function panel (80076) |
$172.90 |
$266 |
21.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$52.65 |
$81 |
13.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$55.90 |
$86 |
16.1× |
| PSA, total (84153) |
$70.52 |
$108.50 |
3.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$41.28 |
$63.50 |
2.5× |
| 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) |
$65.32 |
$100.50 |
10.9× |
| Psychotherapy, 30 minutes (90832) |
$250.58 |
$385.50 |
1.4× |
| Psychotherapy, 45 minutes (90834) |
$264.88 |
$407.50 |
1.5× |
| Psychotherapy, 60 minutes (90837) |
$278.85 |
$429 |
1.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$258.05 |
$397 |
1.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$234 |
$360 |
1.3× |
| Group psychotherapy (90853) |
$487.50 |
$750 |
4.8× |
| Left heart catheterization (93452) |
$5,682.30 |
$8,742 |
1.7× |
| Sleep study (attended polysomnography) (95810) |
$4,602 |
$7,080 |
5.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$133.90 |
$206 |
4.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$180.70 |
$278 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$230.75 |
$355 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$319.15 |
$491 |
2.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$242.45 |
$373 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$200.20 |
$308 |
— |