| Breast lesion removal (open) (19120) |
$4,110.60 |
$13,260 |
1.1× |
| Knee arthroscopy with meniscectomy (29881) |
$8,885.77 |
$34,176.02 |
2.8× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$4,632.73 |
$17,818.21 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$566.28 |
$2,178 |
0.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$566.28 |
$2,178 |
0.6× |
| Diagnostic colonoscopy (45378) |
$566.28 |
$2,178 |
0.6× |
| Colonoscopy with biopsy (45380) |
$566.28 |
$2,178 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$566.28 |
$2,178 |
0.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$566.28 |
$2,178 |
0.5× |
| Laparoscopic gallbladder removal (47562) |
$2,942.62 |
$10,325 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$5,456.84 |
$20,987.85 |
1.6× |
| Laparoscopic radical prostatectomy (55866) |
$32,690.92 |
$125,734.32 |
3.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$371.64 |
$1,304 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$541.16 |
$1,956 |
0.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$292.64 |
$944 |
0.6× |
| Cataract removal with lens insertion (66984) |
$1,083.16 |
$4,166 |
0.5× |
| CT head/brain without contrast (70450) |
$163.80 |
$630 |
1.6× |
| MRI brain without contrast (70551) |
$478.66 |
$1,841 |
2.1× |
| MRI brain with contrast (70552) |
$580.32 |
$2,232 |
1.7× |
| MRI brain without and with contrast (70553) |
$586.56 |
$2,256 |
1.7× |
| X-ray lower spine, 4+ views (72110) |
$121.70 |
$427 |
1.2× |
| MRI lumbar spine without contrast (72148) |
$382.98 |
$1,473 |
1.7× |
| CT pelvis with contrast (72193) |
$249.60 |
$960 |
1.5× |
| MRI lower-extremity joint without contrast (73721) |
$611.30 |
$2,209.50 |
2.7× |
| CT abdomen and pelvis with contrast (74177) |
$408.46 |
$1,571 |
1.2× |
| Ultrasound, abdomen complete (76700) |
$110.30 |
$387 |
1.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$120.28 |
$388 |
1.2× |
| Ultrasound, transvaginal (76830) |
$98.90 |
$347 |
1.0× |
| Mammography, one breast (diagnostic) (77065) |
$93.48 |
$328 |
1.1× |
| Mammography, both breasts (diagnostic) (77066) |
$119.13 |
$418 |
1.1× |
| Mammography, screening (bilateral) (77067) |
$98.90 |
$347 |
1.1× |
| Basic metabolic panel (80048) |
$17.67 |
$62 |
2.1× |
| Comprehensive metabolic panel (80053) |
$19.38 |
$68 |
1.8× |
| Obstetric panel (80055) |
$60.84 |
$234 |
1.3× |
| Lipid panel (80061) |
$17.94 |
$69 |
1.3× |
| Renal function panel (80069) |
$16.82 |
$59 |
1.9× |
| Hepatic function panel (80076) |
$12.26 |
$43 |
1.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$4.84 |
$17 |
1.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$3.42 |
$12 |
1.0× |
| PSA, total (84153) |
$28.60 |
$110 |
1.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$29.64 |
$114 |
1.8× |
| CBC with automated differential (85025) |
$12.74 |
$49 |
1.6× |
| CBC, automated (85027) |
$11.12 |
$39 |
1.7× |
| Prothrombin time (PT) (85610) |
$6.24 |
$24 |
1.5× |
| Partial thromboplastin time (PTT) (85730) |
$9.88 |
$38 |
1.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$53.30 |
$205 |
0.3× |
| Left heart catheterization (93452) |
$5,418.40 |
$20,840 |
1.7× |
| Sleep study (attended polysomnography) (95810) |
$1,356.32 |
$4,759 |
1.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$31.20 |
$120 |
1.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$58.24 |
$224 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$65.56 |
$230.50 |
0.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$78.74 |
$274 |
0.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$40.61 |
$131 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$40.61 |
$131 |
— |