| Breast lesion removal (open) (19120) |
$3,049.80 |
$13,260 |
0.9× |
| Knee arthroscopy with meniscectomy (29881) |
$21,696.01 |
$94,330.46 |
7.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$219.82 |
$955.73 |
0.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$219.82 |
$955.73 |
0.3× |
| Diagnostic colonoscopy (45378) |
$243.65 |
$1,059.34 |
0.3× |
| Colonoscopy with biopsy (45380) |
$243.65 |
$1,059.34 |
0.2× |
| Colonoscopy with lesion removal (45385) |
$243.65 |
$1,059.34 |
0.2× |
| Colonoscopy with endoscopic ultrasound (45391) |
$243.65 |
$1,059.34 |
0.2× |
| Laparoscopic gallbladder removal (47562) |
$2,854.99 |
$12,413 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$9,369.06 |
$40,735.05 |
2.9× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$354.12 |
$1,539.66 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$762.10 |
$3,313.50 |
1.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$325.68 |
$1,416 |
0.7× |
| Cataract removal with lens insertion (66984) |
$3,549.29 |
$15,431.68 |
1.7× |
| CT head/brain without contrast (70450) |
$203.55 |
$885 |
2.2× |
| MRI brain without contrast (70551) |
$474.49 |
$2,063 |
2.2× |
| MRI brain with contrast (70552) |
$686.55 |
$2,985 |
2.2× |
| MRI brain without and with contrast (70553) |
$793.50 |
$3,450 |
2.5× |
| X-ray lower spine, 4+ views (72110) |
$122.24 |
$531.50 |
1.3× |
| MRI lumbar spine without contrast (72148) |
$474.49 |
$2,063 |
2.2× |
| CT pelvis with contrast (72193) |
$400.89 |
$1,743 |
2.5× |
| MRI lower-extremity joint without contrast (73721) |
$576.04 |
$2,504.50 |
2.7× |
| CT abdomen and pelvis with contrast (74177) |
$628.13 |
$2,731 |
2.0× |
| Ultrasound, abdomen complete (76700) |
$152.84 |
$664.50 |
1.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$106.49 |
$463 |
1.1× |
| Ultrasound, transvaginal (76830) |
$101.78 |
$442.50 |
1.1× |
| Mammography, one breast (diagnostic) (77065) |
$66.38 |
$288.60 |
0.8× |
| Mammography, both breasts (diagnostic) (77066) |
$133.63 |
$581 |
1.2× |
| Mammography, screening (bilateral) (77067) |
$101.20 |
$440 |
1.1× |
| Basic metabolic panel (80048) |
$21.74 |
$94.50 |
2.6× |
| Comprehensive metabolic panel (80053) |
$11.46 |
$49.84 |
1.1× |
| Obstetric panel (80055) |
$32.99 |
$143.43 |
0.7× |
| Lipid panel (80061) |
$28.52 |
$124 |
2.1× |
| Renal function panel (80069) |
$21.74 |
$94.50 |
2.5× |
| Hepatic function panel (80076) |
$19.09 |
$83 |
2.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$7.42 |
$32.25 |
1.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$3.42 |
$14.86 |
1.0× |
| PSA, total (84153) |
$63.48 |
$276 |
3.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$42.09 |
$183 |
2.5× |
| CBC with automated differential (85025) |
$26.91 |
$117 |
3.5× |
| CBC, automated (85027) |
$15.65 |
$68.05 |
2.4× |
| Prothrombin time (PT) (85610) |
$13.59 |
$59.10 |
3.2× |
| Partial thromboplastin time (PTT) (85730) |
$20.72 |
$90.10 |
3.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$106.48 |
$462.95 |
0.7× |
| Left heart catheterization (93452) |
$2,380.04 |
$10,348 |
0.8× |
| Sleep study (attended polysomnography) (95810) |
$944.04 |
$4,104.50 |
1.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$27.83 |
$121 |
1.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$58.21 |
$253.08 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$69.85 |
$303.70 |
0.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$83.82 |
$364.44 |
0.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$30.13 |
$131 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$30.13 |
$131 |
— |