| Breast lesion removal (open) (19120) |
$8,400 |
$10,500 |
1.9× |
| Shoulder arthroscopy with decompression (29826) |
$17,520 |
$21,900 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$8,400 |
$10,500 |
2.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,840 |
$3,550 |
2.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,200 |
$4,000 |
3.2× |
| Diagnostic colonoscopy (45378) |
$2,880 |
$3,600 |
2.8× |
| Colonoscopy with biopsy (45380) |
$4,240 |
$5,300 |
3.2× |
| Colonoscopy with lesion removal (45385) |
$4,240 |
$5,300 |
3.2× |
| Laparoscopic gallbladder removal (47562) |
$16,880 |
$21,100 |
2.5× |
| Inguinal hernia repair (age 5+) (49505) |
$11,600 |
$14,500 |
2.9× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,835.20 |
$6,044 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,376.80 |
$6,721 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$5,069.60 |
$6,337 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,124.80 |
$1,406 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,403.20 |
$1,754 |
1.4× |
| CT head/brain without contrast (70450) |
$1,139.20 |
$1,424 |
9.8× |
| MRI brain without contrast (70551) |
$1,762.40 |
$2,203 |
6.6× |
| MRI brain with contrast (70552) |
$2,396 |
$2,995 |
6.2× |
| MRI brain without and with contrast (70553) |
$3,152 |
$3,940 |
8.1× |
| X-ray lower spine, 4+ views (72110) |
$430.40 |
$538 |
3.7× |
| MRI lumbar spine without contrast (72148) |
$2,012.80 |
$2,516 |
7.6× |
| CT pelvis with contrast (72193) |
$1,860 |
$2,325 |
9.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,676 |
$2,095 |
6.3× |
| CT abdomen and pelvis with contrast (74177) |
$2,360 |
$2,950 |
6.1× |
| Ultrasound, abdomen complete (76700) |
$820 |
$1,025 |
7.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$708 |
$885 |
6.1× |
| Ultrasound, transvaginal (76830) |
$432 |
$540 |
3.7× |
| Mammography, one breast (diagnostic) (77065) |
$332 |
$415 |
3.9× |
| Mammography, both breasts (diagnostic) (77066) |
$340 |
$425 |
3.1× |
| Mammography, screening (bilateral) (77067) |
$276 |
$345 |
3.0× |
| Basic metabolic panel (80048) |
$41.60 |
$52 |
4.9× |
| Comprehensive metabolic panel (80053) |
$54.40 |
$68 |
5.2× |
| Lipid panel (80061) |
$60.80 |
$76 |
4.5× |
| Renal function panel (80069) |
$48 |
$60 |
5.5× |
| Hepatic function panel (80076) |
$39.20 |
$49 |
4.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$14.40 |
$18 |
4.1× |
| PSA, total (84153) |
$90.40 |
$113 |
4.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$50.40 |
$63 |
3.0× |
| CBC with automated differential (85025) |
$37.60 |
$47 |
4.8× |
| CBC, automated (85027) |
$30.40 |
$38 |
4.7× |
| Prothrombin time (PT) (85610) |
$30.40 |
$38 |
7.1× |
| Partial thromboplastin time (PTT) (85730) |
$23.20 |
$29 |
3.9× |
| Psychotherapy, 30 minutes (90832) |
$108 |
$135 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$108 |
$135 |
0.5× |
| Psychotherapy, 60 minutes (90837) |
$108 |
$135 |
0.5× |
| Electrocardiogram (ECG), complete (93000) |
$115.20 |
$144 |
1.8× |
| Sleep study (attended polysomnography) (95810) |
$2,952 |
$3,690 |
3.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$92 |
$115 |
3.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$335.20 |
$419 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$363.20 |
$454 |
— |