| Breast lesion removal (open) (19120) |
$4,382.98 |
$5,478.72 |
1.2× |
| Shoulder arthroscopy with decompression (29826) |
$20,762.62 |
$25,953.27 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$6,863.68 |
$8,579.60 |
2.3× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$3,542.42 |
$4,428.03 |
0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,476.43 |
$3,095.54 |
3.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,915.35 |
$3,644.19 |
3.5× |
| Diagnostic colonoscopy (45378) |
$2,387.71 |
$2,984.64 |
2.8× |
| Colonoscopy with biopsy (45380) |
$3,347.69 |
$4,184.61 |
3.0× |
| Colonoscopy with lesion removal (45385) |
$3,778.35 |
$4,722.94 |
3.4× |
| Laparoscopic gallbladder removal (47562) |
$12,166.06 |
$15,207.58 |
2.2× |
| Inguinal hernia repair (age 5+) (49505) |
$11,083.02 |
$13,853.77 |
3.4× |
| Laparoscopic radical prostatectomy (55866) |
$22,737.90 |
$28,422.37 |
2.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$6,622.02 |
$8,277.53 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$10,056.88 |
$12,571.10 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$6,624.67 |
$8,280.84 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$159.20 |
$199 |
0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$827.20 |
$1,034 |
1.0× |
| CT head/brain without contrast (70450) |
$736.80 |
$921 |
7.7× |
| MRI brain without contrast (70551) |
$1,292 |
$1,615 |
5.9× |
| MRI brain with contrast (70552) |
$1,414.40 |
$1,768 |
4.4× |
| MRI brain without and with contrast (70553) |
$1,536.80 |
$1,921 |
4.8× |
| X-ray lower spine, 4+ views (72110) |
$300 |
$375 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$1,292 |
$1,615 |
5.9× |
| CT pelvis with contrast (72193) |
$1,016 |
$1,270 |
6.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,292 |
$1,615 |
5.9× |
| CT abdomen and pelvis with contrast (74177) |
$1,857.60 |
$2,322 |
5.8× |
| Ultrasound, abdomen complete (76700) |
$396 |
$495 |
4.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$139.20 |
$174 |
1.4× |
| Ultrasound, transvaginal (76830) |
$384 |
$480 |
4.0× |
| Mammography, one breast (diagnostic) (77065) |
$150.40 |
$188 |
1.7× |
| Mammography, both breasts (diagnostic) (77066) |
$150.40 |
$188 |
1.4× |
| Mammography, screening (bilateral) (77067) |
$140 |
$175 |
1.5× |
| Basic metabolic panel (80048) |
$44 |
$55 |
5.2× |
| Comprehensive metabolic panel (80053) |
$60 |
$75 |
5.7× |
| Lipid panel (80061) |
$73.60 |
$92 |
5.5× |
| Renal function panel (80069) |
$61.60 |
$77 |
7.1× |
| Hepatic function panel (80076) |
$77.60 |
$97 |
9.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$22.40 |
$28 |
6.4× |
| PSA, total (84153) |
$116 |
$145 |
6.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$75.20 |
$94 |
4.5× |
| CBC with automated differential (85025) |
$40 |
$50 |
5.1× |
| CBC, automated (85027) |
$36 |
$45 |
5.6× |
| Prothrombin time (PT) (85610) |
$28 |
$35 |
6.5× |
| Partial thromboplastin time (PTT) (85730) |
$52 |
$65 |
8.7× |
| Left heart catheterization (93452) |
$6,183.20 |
$7,729 |
2.1× |
| Sleep study (attended polysomnography) (95810) |
$2,170.40 |
$2,713 |
2.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$72.80 |
$91 |
2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$188 |
$235 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$276 |
$345 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$316 |
$395 |
2.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$152 |
$190 |
1.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$216 |
$270 |
1.8× |