| Breast lesion removal (open) (19120) |
$2,703.75 |
$3,605 |
0.7× |
| Shoulder arthroscopy with decompression (29826) |
$347.62 |
$463.50 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,793.75 |
$7,725 |
1.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$588.07 |
$784.09 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,351.88 |
$1,802.50 |
1.6× |
| Diagnostic colonoscopy (45378) |
$898.03 |
$1,197.38 |
1.0× |
| Colonoscopy with biopsy (45380) |
$1,190.04 |
$1,586.72 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,276.27 |
$1,701.69 |
1.1× |
| Laparoscopic gallbladder removal (47562) |
$3,977.41 |
$5,303.22 |
0.7× |
| Inguinal hernia repair (age 5+) (49505) |
$1,722.87 |
$2,297.16 |
0.5× |
| Cataract removal with lens insertion (66984) |
$2,317.50 |
$3,090 |
1.0× |
| CT head/brain without contrast (70450) |
$334.59 |
$446.12 |
3.3× |
| MRI brain without contrast (70551) |
$856.70 |
$1,142.27 |
3.7× |
| MRI brain with contrast (70552) |
$542.39 |
$723.19 |
1.6× |
| MRI brain without and with contrast (70553) |
$1,712.05 |
$2,282.74 |
5.1× |
| X-ray lower spine, 4+ views (72110) |
$77.54 |
$103.39 |
0.8× |
| MRI lumbar spine without contrast (72148) |
$510.72 |
$680.96 |
2.2× |
| CT pelvis with contrast (72193) |
$218.42 |
$291.24 |
1.3× |
| MRI lower-extremity joint without contrast (73721) |
$501.93 |
$669.24 |
2.2× |
| CT abdomen and pelvis with contrast (74177) |
$444.19 |
$592.25 |
1.3× |
| Ultrasound, abdomen complete (76700) |
$204.23 |
$272.30 |
2.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$144.65 |
$192.86 |
1.4× |
| Ultrasound, transvaginal (76830) |
$182.70 |
$243.60 |
1.8× |
| Mammography, one breast (diagnostic) (77065) |
$89.61 |
$119.48 |
1.0× |
| Mammography, both breasts (diagnostic) (77066) |
$109.89 |
$146.52 |
1.0× |
| Mammography, screening (bilateral) (77067) |
$78.22 |
$104.29 |
0.9× |
| Basic metabolic panel (80048) |
$100.04 |
$133.39 |
11.8× |
| Comprehensive metabolic panel (80053) |
$96.76 |
$129.01 |
9.2× |
| Lipid panel (80061) |
$93.08 |
$124.12 |
7.0× |
| Renal function panel (80069) |
$90.19 |
$120.25 |
10.4× |
| Hepatic function panel (80076) |
$90.38 |
$120.51 |
11.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$16.22 |
$21.63 |
4.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$8.50 |
$11.33 |
2.4× |
| PSA, total (84153) |
$64.31 |
$85.75 |
3.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$75.32 |
$100.42 |
4.5× |
| CBC with automated differential (85025) |
$34.57 |
$46.10 |
4.4× |
| Prothrombin time (PT) (85610) |
$37.66 |
$50.21 |
8.8× |
| Partial thromboplastin time (PTT) (85730) |
$38.05 |
$50.73 |
6.3× |
| Psychotherapy, 30 minutes (90832) |
$146.78 |
$195.70 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$181.54 |
$242.05 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$212.44 |
$283.25 |
1.2× |
| Group psychotherapy (90853) |
$50.22 |
$66.95 |
0.5× |
| Sleep study (attended polysomnography) (95810) |
$1,254.34 |
$1,672.46 |
1.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$51.18 |
$68.24 |
1.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$65.18 |
$86.90 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$39.60 |
$52.79 |
0.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$57.94 |
$77.25 |
0.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$29.93 |
$39.91 |
0.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$41.91 |
$55.88 |
0.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$197.18 |
$262.91 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$235.23 |
$313.64 |
— |