| Breast lesion removal (open) (19120) |
$5,156.40 |
$8,594 |
1.4× |
| Knee arthroscopy with meniscectomy (29881) |
$4,674 |
$7,790 |
1.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,609.20 |
$2,682 |
1.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,654.20 |
$2,757 |
1.9× |
| Diagnostic colonoscopy (45378) |
$2,346.60 |
$3,911 |
2.6× |
| Colonoscopy with biopsy (45380) |
$1,778.40 |
$2,964 |
1.5× |
| Colonoscopy with lesion removal (45385) |
$1,729.20 |
$2,882 |
1.5× |
| Laparoscopic gallbladder removal (47562) |
$8,029.80 |
$13,383 |
1.4× |
| Laparoscopic radical prostatectomy (55866) |
$14,745.60 |
$24,576 |
1.4× |
| Obstetric care, vaginal delivery (global) (59400) |
$720 |
$1,200 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$619.20 |
$1,032 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$632.40 |
$1,054 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,488.60 |
$2,481 |
1.8× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,027.80 |
$1,713 |
1.9× |
| Cataract removal with lens insertion (66984) |
$2,933.40 |
$4,889 |
1.3× |
| CT head/brain without contrast (70450) |
$1,191.60 |
$1,986 |
11.9× |
| MRI brain without contrast (70551) |
$1,849.20 |
$3,082 |
8.1× |
| MRI brain with contrast (70552) |
$2,085.60 |
$3,476 |
6.2× |
| MRI brain without and with contrast (70553) |
$2,644.80 |
$4,408 |
7.9× |
| X-ray lower spine, 4+ views (72110) |
$403.80 |
$673 |
4.0× |
| MRI lumbar spine without contrast (72148) |
$1,876.20 |
$3,127 |
8.2× |
| CT pelvis with contrast (72193) |
$1,445.40 |
$2,409 |
8.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,809.60 |
$3,016 |
7.9× |
| CT abdomen and pelvis with contrast (74177) |
$2,637.60 |
$4,396 |
7.9× |
| Ultrasound, abdomen complete (76700) |
$648.60 |
$1,081 |
6.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$503.40 |
$839 |
5.0× |
| Ultrasound, transvaginal (76830) |
$484.20 |
$807 |
4.8× |
| Mammography, one breast (diagnostic) (77065) |
$256.20 |
$427 |
3.0× |
| Mammography, both breasts (diagnostic) (77066) |
$351.60 |
$586 |
3.2× |
| Mammography, screening (bilateral) (77067) |
$259.80 |
$433 |
2.8× |
| Basic metabolic panel (80048) |
$90 |
$150 |
10.6× |
| Comprehensive metabolic panel (80053) |
$123 |
$205 |
11.6× |
| Obstetric panel (80055) |
$181.80 |
$303 |
3.8× |
| Lipid panel (80061) |
$88.80 |
$148 |
6.6× |
| Renal function panel (80069) |
$90.60 |
$151 |
10.4× |
| Hepatic function panel (80076) |
$93.60 |
$156 |
11.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$43.80 |
$73 |
10.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$15.60 |
$26 |
4.5× |
| PSA, total (84153) |
$90.60 |
$151 |
4.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$95.40 |
$159 |
5.7× |
| CBC with automated differential (85025) |
$61.20 |
$102 |
7.9× |
| CBC, automated (85027) |
$50.40 |
$84 |
7.8× |
| Prothrombin time (PT) (85610) |
$65.40 |
$109 |
15.2× |
| Partial thromboplastin time (PTT) (85730) |
$57 |
$95 |
9.5× |
| Psychotherapy, 30 minutes (90832) |
$189 |
$315 |
1.1× |
| Psychotherapy, 45 minutes (90834) |
$189 |
$315 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$189 |
$315 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$189 |
$315 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$189 |
$315 |
1.1× |
| Group psychotherapy (90853) |
$105.60 |
$176 |
1.1× |
| Left heart catheterization (93452) |
$7,502.40 |
$12,504 |
2.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$88.20 |
$147 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$117 |
$195 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$126 |
$210 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$147 |
$245 |
1.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$139.80 |
$233 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$189.60 |
$316 |
1.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$144 |
$240 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$179.40 |
$299 |
— |