| Breast lesion removal (open) (19120) |
$8,224.30 |
$11,749 |
1.8× |
| Shoulder arthroscopy with decompression (29826) |
$3,899 |
$5,570 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,622.05 |
$8,031.50 |
1.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,934.35 |
$5,620.50 |
3.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$4,755.10 |
$6,793 |
4.4× |
| Diagnostic colonoscopy (45378) |
$5,002.90 |
$7,147 |
4.6× |
| Colonoscopy with biopsy (45380) |
$6,519.10 |
$9,313 |
4.6× |
| Colonoscopy with lesion removal (45385) |
$7,743.40 |
$11,062 |
5.5× |
| Laparoscopic gallbladder removal (47562) |
$8,719.90 |
$12,457 |
1.2× |
| Inguinal hernia repair (age 5+) (49505) |
$14,171.50 |
$20,245 |
3.4× |
| Obstetric care, vaginal delivery (global) (59400) |
$1,526.70 |
$2,181 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,149.40 |
$1,642 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,909.60 |
$2,728 |
1.8× |
| CT head/brain without contrast (70450) |
$1,284.50 |
$1,835 |
10.4× |
| MRI brain without contrast (70551) |
$1,524.60 |
$2,178 |
5.4× |
| MRI brain with contrast (70552) |
$2,779.70 |
$3,971 |
6.7× |
| MRI brain without and with contrast (70553) |
$1,996.05 |
$2,851.50 |
4.8× |
| X-ray lower spine, 4+ views (72110) |
$441.70 |
$631 |
3.6× |
| MRI lumbar spine without contrast (72148) |
$1,584.10 |
$2,263 |
5.6× |
| CT pelvis with contrast (72193) |
$1,431.50 |
$2,045 |
6.9× |
| MRI lower-extremity joint without contrast (73721) |
$2,255.40 |
$3,222 |
8.0× |
| CT abdomen and pelvis with contrast (74177) |
$2,323.30 |
$3,319 |
5.6× |
| Ultrasound, abdomen complete (76700) |
$558.60 |
$798 |
4.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$602.70 |
$861 |
4.9× |
| Ultrasound, transvaginal (76830) |
$453.60 |
$648 |
3.7× |
| Mammography, one breast (diagnostic) (77065) |
$336.70 |
$481 |
3.9× |
| Mammography, both breasts (diagnostic) (77066) |
$487.90 |
$697 |
4.4× |
| Mammography, screening (bilateral) (77067) |
$266.70 |
$381 |
2.9× |
| Basic metabolic panel (80048) |
$162.40 |
$232 |
19.2× |
| Comprehensive metabolic panel (80053) |
$168 |
$240 |
15.9× |
| Obstetric panel (80055) |
$352.10 |
$503 |
7.4× |
| Lipid panel (80061) |
$205.10 |
$293 |
15.3× |
| Renal function panel (80069) |
$142.10 |
$203 |
16.4× |
| Hepatic function panel (80076) |
$155.40 |
$222 |
19.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$18.20 |
$26 |
5.2× |
| PSA, total (84153) |
$131.25 |
$187.50 |
7.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$158.55 |
$226.50 |
9.4× |
| CBC with automated differential (85025) |
$95.55 |
$136.50 |
12.3× |
| CBC, automated (85027) |
$68.60 |
$98 |
10.6× |
| Prothrombin time (PT) (85610) |
$71.40 |
$102 |
16.6× |
| Partial thromboplastin time (PTT) (85730) |
$77 |
$110 |
12.8× |
| Left heart catheterization (93452) |
$4,197.20 |
$5,996 |
1.1× |
| Sleep study (attended polysomnography) (95810) |
$2,606.10 |
$3,723 |
2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$175 |
$250 |
6.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$241.15 |
$344.50 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$273 |
$390 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$333.90 |
$477 |
2.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$124.60 |
$178 |
0.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$162.40 |
$232 |
1.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$146.30 |
$209 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$146.30 |
$209 |
— |