| Breast lesion removal (open) (19120) |
$4,191 |
$5,588 |
1.1× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$4,289 |
$5,719 |
0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,459 |
$1,945 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,501 |
$2,001 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,618 |
$2,157 |
1.7× |
| Colonoscopy with biopsy (45380) |
$1,626 |
$2,167.50 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$1,664 |
$2,219 |
1.4× |
| Laparoscopic gallbladder removal (47562) |
$8,948 |
$11,931 |
1.5× |
| Inguinal hernia repair (age 5+) (49505) |
$5,465 |
$7,287 |
1.5× |
| Obstetric care, cesarean delivery (global) (59510) |
$9,970 |
$13,293 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,273 |
$1,697 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,508 |
$2,010 |
1.7× |
| CT head/brain without contrast (70450) |
$921 |
$1,228 |
8.8× |
| MRI brain without contrast (70551) |
$1,592 |
$2,123 |
6.6× |
| MRI brain with contrast (70552) |
$1,773 |
$2,364 |
5.1× |
| MRI brain without and with contrast (70553) |
$2,075.50 |
$2,767.50 |
5.9× |
| X-ray lower spine, 4+ views (72110) |
$274 |
$365.50 |
2.6× |
| MRI lumbar spine without contrast (72148) |
$1,673 |
$2,231 |
7.0× |
| CT pelvis with contrast (72193) |
$1,246 |
$1,661 |
7.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,673 |
$2,231 |
7.0× |
| CT abdomen and pelvis with contrast (74177) |
$1,891.50 |
$2,522 |
5.4× |
| Ultrasound, abdomen complete (76700) |
$493 |
$657 |
4.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$376 |
$501 |
3.6× |
| Ultrasound, transvaginal (76830) |
$376 |
$501 |
3.6× |
| Basic metabolic panel (80048) |
$41 |
$54 |
4.8× |
| Comprehensive metabolic panel (80053) |
$78 |
$104 |
7.4× |
| Obstetric panel (80055) |
$300 |
$400 |
6.3× |
| Lipid panel (80061) |
$105 |
$140 |
7.8× |
| Renal function panel (80069) |
$35.50 |
$47.50 |
4.1× |
| Hepatic function panel (80076) |
$45 |
$60 |
5.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$11 |
$15 |
2.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$8 |
$11 |
2.3× |
| PSA, total (84153) |
$67 |
$89 |
3.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$80 |
$106 |
4.8× |
| CBC with automated differential (85025) |
$47 |
$62 |
6.0× |
| CBC, automated (85027) |
$44 |
$58 |
6.8× |
| Prothrombin time (PT) (85610) |
$28 |
$37 |
6.5× |
| Partial thromboplastin time (PTT) (85730) |
$67 |
$89 |
11.1× |
| Sleep study (attended polysomnography) (95810) |
$2,342 |
$3,123 |
2.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$86 |
$115 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$158 |
$210.50 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$219.50 |
$292.50 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$300 |
$400 |
2.2× |