| Breast lesion removal (open) (19120) |
$6,018.36 |
— |
1.3× |
| Shoulder arthroscopy with decompression (29826) |
$16,283.80 |
— |
— |
| Knee arthroscopy with meniscectomy (29881) |
$7,908.99 |
— |
2.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,171.88 |
— |
1.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,257.25 |
— |
2.1× |
| Diagnostic colonoscopy (45378) |
$1,057.71 |
— |
0.9× |
| Colonoscopy with biopsy (45380) |
$2,089.94 |
— |
1.5× |
| Colonoscopy with lesion removal (45385) |
$1,552.62 |
— |
1.1× |
| Laparoscopic gallbladder removal (47562) |
$11,331.73 |
— |
1.6× |
| Inguinal hernia repair (age 5+) (49505) |
$5,574.69 |
— |
1.3× |
| Laparoscopic radical prostatectomy (55866) |
$20,393.35 |
— |
1.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,242.60 |
— |
1.2× |
| CT head/brain without contrast (70450) |
$926.90 |
— |
7.4× |
| MRI brain without contrast (70551) |
$1,244.10 |
$1,914 |
4.4× |
| MRI brain with contrast (70552) |
$1,329.90 |
$2,046 |
3.2× |
| MRI brain without and with contrast (70553) |
$1,977.95 |
$3,043 |
4.7× |
| X-ray lower spine, 4+ views (72110) |
$274.30 |
$422 |
2.2× |
| MRI lumbar spine without contrast (72148) |
$1,570.40 |
$2,416 |
5.5× |
| CT pelvis with contrast (72193) |
$943.80 |
$1,452 |
4.5× |
| MRI lower-extremity joint without contrast (73721) |
$897 |
$1,380 |
3.1× |
| CT abdomen and pelvis with contrast (74177) |
$930.47 |
— |
2.2× |
| Ultrasound, abdomen complete (76700) |
$460.85 |
$709 |
3.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$364.65 |
$561 |
2.9× |
| Ultrasound, transvaginal (76830) |
$246.35 |
$379 |
2.0× |
| Mammography, one breast (diagnostic) (77065) |
$213.85 |
$329 |
2.5× |
| Mammography, both breasts (diagnostic) (77066) |
$263.90 |
$406 |
2.4× |
| Mammography, screening (bilateral) (77067) |
$235.30 |
$362 |
2.6× |
| Basic metabolic panel (80048) |
$67.60 |
$104 |
8.0× |
| Comprehensive metabolic panel (80053) |
$60.45 |
$93 |
5.7× |
| Lipid panel (80061) |
$36.72 |
$56.50 |
2.7× |
| Renal function panel (80069) |
$31.20 |
$48 |
3.6× |
| Hepatic function panel (80076) |
$27.30 |
$42 |
3.3× |
| PSA, total (84153) |
$53.95 |
$83 |
2.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$32.50 |
$50 |
1.9× |
| CBC with automated differential (85025) |
$51.35 |
$79 |
6.6× |
| CBC, automated (85027) |
$4,125.22 |
— |
637.6× |
| Prothrombin time (PT) (85610) |
$15.60 |
$24 |
3.6× |
| Partial thromboplastin time (PTT) (85730) |
$20.80 |
$32 |
3.5× |
| Left heart catheterization (93452) |
$3,068 |
$4,720 |
0.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$92.95 |
$143 |
3.2× |