| Breast lesion removal (open) (19120) |
$16,146 |
$24,840 |
3.7× |
| Shoulder arthroscopy with decompression (29826) |
$2,853.28 |
$4,389.66 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$7,870.85 |
$12,109 |
2.2× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$7,273.50 |
$11,190 |
1.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,637.05 |
$4,057 |
2.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,031.90 |
$3,126 |
2.0× |
| Diagnostic colonoscopy (45378) |
$3,157.27 |
$4,857.34 |
3.0× |
| Colonoscopy with biopsy (45380) |
$2,367.95 |
$3,643 |
1.8× |
| Colonoscopy with lesion removal (45385) |
$3,157.27 |
$4,857.34 |
2.4× |
| Laparoscopic gallbladder removal (47562) |
$46,395.70 |
$71,378 |
6.9× |
| Inguinal hernia repair (age 5+) (49505) |
$8,619 |
$13,260 |
2.2× |
| Laparoscopic radical prostatectomy (55866) |
$52,904.80 |
$81,392 |
4.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,695.85 |
$2,609 |
1.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,014.68 |
$3,099.50 |
2.0× |
| Cataract removal with lens insertion (66984) |
$10,715.03 |
$16,484.66 |
4.2× |
| CT head/brain without contrast (70450) |
$1,426.42 |
$2,194.50 |
12.2× |
| MRI brain without contrast (70551) |
$3,124.55 |
$4,807 |
11.8× |
| MRI brain with contrast (70552) |
$3,458.98 |
$5,321.50 |
8.9× |
| MRI brain without and with contrast (70553) |
$3,812.25 |
$5,865 |
9.8× |
| X-ray lower spine, 4+ views (72110) |
$460.52 |
$708.50 |
4.0× |
| MRI lumbar spine without contrast (72148) |
$2,360.48 |
$3,631.50 |
8.9× |
| CT pelvis with contrast (72193) |
$2,346.50 |
$3,610 |
12.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,161.90 |
$3,326 |
8.1× |
| CT abdomen and pelvis with contrast (74177) |
$2,508.35 |
$3,859 |
6.5× |
| Ultrasound, abdomen complete (76700) |
$750.10 |
$1,154 |
6.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$739.70 |
$1,138 |
6.3× |
| Ultrasound, transvaginal (76830) |
$511.55 |
$787 |
4.4× |
| Basic metabolic panel (80048) |
$110.50 |
$170 |
13.1× |
| Comprehensive metabolic panel (80053) |
$154.70 |
$238 |
14.6× |
| Lipid panel (80061) |
$128.05 |
$197 |
9.6× |
| Renal function panel (80069) |
$84.50 |
$130 |
9.7× |
| Hepatic function panel (80076) |
$69.22 |
$106.50 |
8.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$46.80 |
$72 |
13.4× |
| PSA, total (84153) |
$117.98 |
$181.50 |
6.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$140.08 |
$215.50 |
8.3× |
| CBC with automated differential (85025) |
$79.95 |
$123 |
10.3× |
| CBC, automated (85027) |
$56.55 |
$87 |
8.7× |
| Prothrombin time (PT) (85610) |
$63.05 |
$97 |
14.7× |
| Partial thromboplastin time (PTT) (85730) |
$80.60 |
$124 |
13.4× |
| Left heart catheterization (93452) |
$8,236.80 |
$12,672 |
2.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$104.65 |
$161 |
3.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$180.70 |
$278 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$211.90 |
$326 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$269.75 |
$415 |
1.8× |