| Shoulder arthroscopy with decompression (29826) |
$19,602.34 |
$30,157.45 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$10,649.83 |
$16,384.35 |
3.3× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$12,552.73 |
$19,311.89 |
2.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,873.92 |
$5,959.88 |
4.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$5,141.02 |
$7,909.26 |
5.8× |
| Diagnostic colonoscopy (45378) |
$2,993.50 |
$4,605.38 |
3.3× |
| Colonoscopy with biopsy (45380) |
$4,708.43 |
$7,243.74 |
4.0× |
| Colonoscopy with lesion removal (45385) |
$4,884.80 |
$7,515.07 |
4.2× |
| Colonoscopy with endoscopic ultrasound (45391) |
$4,404.76 |
$6,776.56 |
3.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$17,075.82 |
$26,270.50 |
19.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,530.45 |
$3,893 |
2.9× |
| CT head/brain without contrast (70450) |
$1,660.10 |
$2,554 |
16.2× |
| MRI brain without contrast (70551) |
$2,341.30 |
$3,602 |
10.0× |
| MRI brain with contrast (70552) |
$2,359.50 |
$3,630 |
6.9× |
| MRI brain without and with contrast (70553) |
$3,125.85 |
$4,809 |
9.2× |
| X-ray lower spine, 4+ views (72110) |
$464.10 |
$714 |
4.5× |
| MRI lumbar spine without contrast (72148) |
$1,279.20 |
$1,968 |
5.5× |
| CT pelvis with contrast (72193) |
$1,778.40 |
$2,736 |
10.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,275.30 |
$1,962 |
5.5× |
| CT abdomen and pelvis with contrast (74177) |
$3,543.15 |
$5,451 |
10.4× |
| Ultrasound, abdomen complete (76700) |
$934.70 |
$1,438 |
9.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$370.50 |
$570 |
3.6× |
| Ultrasound, transvaginal (76830) |
$475.15 |
$731 |
4.6× |
| Basic metabolic panel (80048) |
$140.40 |
$216 |
16.6× |
| Comprehensive metabolic panel (80053) |
$189.15 |
$291 |
17.9× |
| Lipid panel (80061) |
$139.75 |
$215 |
10.4× |
| Renal function panel (80069) |
$240.50 |
$370 |
27.7× |
| Hepatic function panel (80076) |
$183.30 |
$282 |
22.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$28.60 |
$44 |
8.2× |
| PSA, total (84153) |
$138.45 |
$213 |
7.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$81.90 |
$126 |
4.9× |
| CBC with automated differential (85025) |
$94.25 |
$145 |
12.1× |
| CBC, automated (85027) |
$84.50 |
$130 |
13.1× |
| Prothrombin time (PT) (85610) |
$62.40 |
$96 |
14.5× |
| Partial thromboplastin time (PTT) (85730) |
$87.10 |
$134 |
14.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$78 |
$120 |
2.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$165.10 |
$254 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$209.30 |
$322 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$287.30 |
$442 |
2.2× |