| Breast lesion removal (open) (19120) |
$5,174.11 |
$23,518.67 |
1.4× |
| Shoulder arthroscopy with decompression (29826) |
$9,037.38 |
$41,079.01 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,122.42 |
$23,283.73 |
1.7× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$4,333.59 |
$19,698.12 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,645.03 |
$7,477.40 |
2.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,749.58 |
$12,498.07 |
3.3× |
| Diagnostic colonoscopy (45378) |
$1,556.56 |
$7,075.28 |
1.8× |
| Colonoscopy with biopsy (45380) |
$1,998.77 |
$9,085.33 |
1.8× |
| Colonoscopy with lesion removal (45385) |
$1,939.88 |
$8,817.64 |
1.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,101.10 |
$5,005 |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$7,871.10 |
$35,777.71 |
1.4× |
| Inguinal hernia repair (age 5+) (49505) |
$7,211.30 |
$32,778.64 |
2.2× |
| Laparoscopic radical prostatectomy (55866) |
$8,779.77 |
$39,908.05 |
0.9× |
| Obstetric care, vaginal delivery (global) (59400) |
$490.82 |
$2,231 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$5,863.06 |
$26,650.26 |
7.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,240.36 |
$5,638 |
1.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$2,875.01 |
$13,068.22 |
5.6× |
| Cataract removal with lens insertion (66984) |
$3,703.48 |
$16,833.98 |
1.7× |
| CT head/brain without contrast (70450) |
$704.44 |
$3,202 |
7.3× |
| MRI brain without contrast (70551) |
$1,364.44 |
$6,202 |
6.2× |
| MRI brain with contrast (70552) |
$1,551.44 |
$7,052 |
4.8× |
| MRI brain without and with contrast (70553) |
$1,858.78 |
$8,449 |
5.8× |
| X-ray lower spine, 4+ views (72110) |
$211.20 |
$960 |
2.2× |
| MRI lumbar spine without contrast (72148) |
$1,364.44 |
$6,202 |
6.2× |
| CT pelvis with contrast (72193) |
$975.04 |
$4,432 |
6.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,364.44 |
$6,202 |
6.2× |
| CT abdomen and pelvis with contrast (74177) |
$1,949.42 |
$8,861 |
6.0× |
| Ultrasound, abdomen complete (76700) |
$280.94 |
$1,277 |
2.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$267.74 |
$1,217 |
2.8× |
| Ultrasound, transvaginal (76830) |
$267.74 |
$1,217 |
2.8× |
| Mammography, one breast (diagnostic) (77065) |
$254.32 |
$1,156 |
3.0× |
| Mammography, both breasts (diagnostic) (77066) |
$254.32 |
$1,156 |
2.3× |
| Mammography, screening (bilateral) (77067) |
$115.28 |
$524 |
1.3× |
| Basic metabolic panel (80048) |
$20.90 |
$95 |
2.5× |
| Comprehensive metabolic panel (80053) |
$26.40 |
$120 |
2.5× |
| Lipid panel (80061) |
$40.48 |
$184 |
3.0× |
| Renal function panel (80069) |
$20.90 |
$95 |
2.4× |
| Hepatic function panel (80076) |
$20.90 |
$95 |
2.6× |
| Urinalysis, non-automated, with microscopy (81000) |
$9.68 |
$44 |
2.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$7.26 |
$33 |
2.1× |
| PSA, total (84153) |
$56.32 |
$256 |
3.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$51.04 |
$232 |
3.0× |
| CBC with automated differential (85025) |
$23.76 |
$108 |
3.1× |
| CBC, automated (85027) |
$20.02 |
$91 |
3.1× |
| Prothrombin time (PT) (85610) |
$335.94 |
$1,527 |
78.3× |
| Partial thromboplastin time (PTT) (85730) |
$1,658.40 |
$7,538.20 |
275.9× |
| Psychotherapy, 30 minutes (90832) |
$100.54 |
$457 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$100.54 |
$457 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$100.54 |
$457 |
0.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$121.22 |
$551 |
0.7× |
| Electrocardiogram (ECG), complete (93000) |
$160.82 |
$731 |
2.9× |
| Left heart catheterization (93452) |
$6,060.12 |
$27,546 |
2.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$62.70 |
$285 |
2.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$61.82 |
$281 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$74.58 |
$339 |
0.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$89.98 |
$409 |
0.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$89.98 |
$409 |
0.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$89.98 |
$409 |
0.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$129.80 |
$590 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$151.58 |
$689 |
— |