| Breast lesion removal (open) (19120) |
$10,995.40 |
$16,916 |
2.5× |
| Shoulder arthroscopy with decompression (29826) |
$5,878.49 |
$9,043.83 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$8,887.78 |
$13,673.50 |
2.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$5,311.15 |
$8,171 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,618.20 |
$4,028 |
2.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,914.17 |
$4,483.34 |
2.9× |
| Diagnostic colonoscopy (45378) |
$2,372.18 |
$3,649.50 |
2.3× |
| Colonoscopy with biopsy (45380) |
$1,905.80 |
$2,932 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$1,677.10 |
$2,580.16 |
1.3× |
| Laparoscopic gallbladder removal (47562) |
$50,356.15 |
$77,471 |
7.5× |
| Inguinal hernia repair (age 5+) (49505) |
$8,411.65 |
$12,941 |
2.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,964.65 |
$4,561 |
3.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,727.40 |
$4,196 |
2.8× |
| Cataract removal with lens insertion (66984) |
$3,586.05 |
$5,517 |
1.4× |
| CT head/brain without contrast (70450) |
$1,221.35 |
$1,879 |
10.5× |
| MRI brain without contrast (70551) |
$2,695.22 |
$4,146.50 |
10.1× |
| MRI brain with contrast (70552) |
$4,578.60 |
$7,044 |
11.8× |
| MRI brain without and with contrast (70553) |
$4,978.35 |
$7,659 |
12.8× |
| X-ray lower spine, 4+ views (72110) |
$598.98 |
$921.50 |
5.1× |
| MRI lumbar spine without contrast (72148) |
$2,649.40 |
$4,076 |
10.0× |
| CT pelvis with contrast (72193) |
$2,176.20 |
$3,348 |
11.1× |
| MRI lower-extremity joint without contrast (73721) |
$3,848 |
$5,920 |
14.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,492.75 |
$3,835 |
6.4× |
| Ultrasound, abdomen complete (76700) |
$607.10 |
$934 |
5.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$722.80 |
$1,112 |
6.2× |
| Ultrasound, transvaginal (76830) |
$607.10 |
$934 |
5.2× |
| Mammography, one breast (diagnostic) (77065) |
$506.35 |
$779 |
5.9× |
| Mammography, both breasts (diagnostic) (77066) |
$633.10 |
$974 |
5.7× |
| Mammography, screening (bilateral) (77067) |
$534.95 |
$823 |
5.9× |
| Basic metabolic panel (80048) |
$106.60 |
$164 |
12.6× |
| Comprehensive metabolic panel (80053) |
$93.28 |
$143.50 |
8.8× |
| Lipid panel (80061) |
$105.30 |
$162 |
7.9× |
| Renal function panel (80069) |
$103.35 |
$159 |
11.9× |
| Hepatic function panel (80076) |
$81.25 |
$125 |
9.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$21.45 |
$33 |
6.2× |
| PSA, total (84153) |
$90.02 |
$138.50 |
4.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$122.52 |
$188.50 |
7.3× |
| CBC with automated differential (85025) |
$100.75 |
$155 |
13.0× |
| CBC, automated (85027) |
$65 |
$100 |
10.0× |
| Prothrombin time (PT) (85610) |
$67.28 |
$103.50 |
15.7× |
| Partial thromboplastin time (PTT) (85730) |
$78.65 |
$121 |
13.1× |
| Left heart catheterization (93452) |
$11,722.75 |
$18,035 |
3.2× |
| Sleep study (attended polysomnography) (95810) |
$3,890.90 |
$5,986 |
4.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$141.70 |
$218 |
4.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$234.65 |
$361 |
1.6× |