| Breast lesion removal (open) (19120) |
$7,917 |
$13,195 |
2.1× |
| Shoulder arthroscopy with decompression (29826) |
$21,393.60 |
$35,656 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$8,251.20 |
$13,752 |
2.6× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$10,111.20 |
$16,852 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$4,367.40 |
$7,279 |
4.9× |
| Diagnostic colonoscopy (45378) |
$4,367.40 |
$7,279 |
4.8× |
| Colonoscopy with biopsy (45380) |
$4,367.40 |
$7,279 |
3.7× |
| Colonoscopy with lesion removal (45385) |
$5,097.60 |
$8,496 |
4.3× |
| Laparoscopic gallbladder removal (47562) |
$13,871.40 |
$23,119 |
2.3× |
| Inguinal hernia repair (age 5+) (49505) |
$10,111.20 |
$16,852 |
2.9× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,924.40 |
$4,874 |
3.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,924.40 |
$4,874 |
3.4× |
| Cataract removal with lens insertion (66984) |
$5,490 |
$9,150 |
2.4× |
| CT head/brain without contrast (70450) |
$770.40 |
$1,284 |
7.5× |
| MRI brain without contrast (70551) |
$1,359 |
$2,265 |
5.8× |
| MRI brain with contrast (70552) |
$1,748.40 |
$2,914 |
5.1× |
| MRI brain without and with contrast (70553) |
$2,140.20 |
$3,567 |
6.2× |
| X-ray lower spine, 4+ views (72110) |
$307.20 |
$512 |
3.0× |
| MRI lumbar spine without contrast (72148) |
$1,359 |
$2,265 |
5.8× |
| CT pelvis with contrast (72193) |
$1,207.20 |
$2,012 |
7.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,592.40 |
$2,654 |
6.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,324.40 |
$3,874 |
6.8× |
| Ultrasound, abdomen complete (76700) |
$391.20 |
$652 |
3.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$391.20 |
$652 |
3.8× |
| Ultrasound, transvaginal (76830) |
$391.20 |
$652 |
3.8× |
| Mammography, both breasts (diagnostic) (77066) |
$546 |
$910 |
4.9× |
| Mammography, screening (bilateral) (77067) |
$246 |
$410 |
2.7× |
| Basic metabolic panel (80048) |
$45.60 |
$76 |
5.4× |
| Comprehensive metabolic panel (80053) |
$87.60 |
$146 |
8.3× |
| Lipid panel (80061) |
$37.20 |
$62 |
2.8× |
| Renal function panel (80069) |
$73.20 |
$122 |
8.4× |
| Hepatic function panel (80076) |
$53.40 |
$89 |
6.5× |
| PSA, total (84153) |
$113.40 |
$378 |
6.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$134.40 |
$224 |
8.0× |
| CBC with automated differential (85025) |
$39.60 |
$66 |
5.1× |
| CBC, automated (85027) |
$51 |
$85 |
7.9× |
| Prothrombin time (PT) (85610) |
$39.60 |
$66 |
9.2× |
| Partial thromboplastin time (PTT) (85730) |
$48.60 |
$81 |
8.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$87 |
$165 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$202.80 |
$338 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$268.80 |
$448 |
2.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$367.80 |
$613 |
2.8× |