| Breast lesion removal (open) (19120) |
$931 |
$1,330 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$357.70 |
$511 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$2,065 |
$2,950 |
0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$542.50 |
$775 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$945 |
$1,350 |
1.1× |
| Diagnostic colonoscopy (45378) |
$701.40 |
$1,002 |
0.8× |
| Colonoscopy with biopsy (45380) |
$340.90 |
$487 |
0.3× |
| Colonoscopy with lesion removal (45385) |
$549.50 |
$785 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$1,146.60 |
$1,638 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,050.90 |
$5,787 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,477.90 |
$6,397 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$645.05 |
$921.50 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,631.30 |
$3,759 |
3.2× |
| CT head/brain without contrast (70450) |
$641.20 |
$916 |
6.7× |
| MRI brain without contrast (70551) |
$907.90 |
$1,297 |
4.1× |
| MRI brain with contrast (70552) |
$907.90 |
$1,297 |
2.8× |
| MRI brain without and with contrast (70553) |
$1,680 |
$2,400 |
5.2× |
| X-ray lower spine, 4+ views (72110) |
$336.70 |
$481 |
3.5× |
| MRI lumbar spine without contrast (72148) |
$907.90 |
$1,297 |
4.1× |
| CT pelvis with contrast (72193) |
$604.80 |
$864 |
3.7× |
| MRI lower-extremity joint without contrast (73721) |
$907.90 |
$1,297 |
4.1× |
| CT abdomen and pelvis with contrast (74177) |
$665.70 |
$951 |
2.1× |
| Ultrasound, abdomen complete (76700) |
$408.80 |
$584 |
4.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$412.30 |
$589 |
4.3× |
| Ultrasound, transvaginal (76830) |
$354.90 |
$507 |
3.7× |
| Mammography, one breast (diagnostic) (77065) |
$196 |
$280 |
2.3× |
| Mammography, both breasts (diagnostic) (77066) |
$206.50 |
$295 |
1.9× |
| Mammography, screening (bilateral) (77067) |
$196 |
$280 |
2.1× |
| Basic metabolic panel (80048) |
$72.10 |
$103 |
8.5× |
| Comprehensive metabolic panel (80053) |
$66.50 |
$95 |
6.3× |
| Obstetric panel (80055) |
$257.60 |
$368 |
5.4× |
| Lipid panel (80061) |
$104.30 |
$149 |
7.8× |
| Renal function panel (80069) |
$97.30 |
$139 |
11.2× |
| Hepatic function panel (80076) |
$93.10 |
$133 |
11.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$26.60 |
$38 |
6.6× |
| PSA, total (84153) |
$94.85 |
$135.50 |
5.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$44.10 |
$63 |
2.6× |
| CBC with automated differential (85025) |
$28 |
$40 |
3.6× |
| CBC, automated (85027) |
$42.70 |
$61 |
6.6× |
| Prothrombin time (PT) (85610) |
$36.40 |
$52 |
8.5× |
| Partial thromboplastin time (PTT) (85730) |
$59.85 |
$85.50 |
10.0× |
| Sleep study (attended polysomnography) (95810) |
$3,109.40 |
$4,442 |
3.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$75.95 |
$108.50 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$151.55 |
$216.50 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$230.30 |
$329 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$296.45 |
$423.50 |
2.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$200.20 |
$286 |
1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$273.70 |
$391 |
2.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$191.10 |
$273 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$198.80 |
$284 |
— |