| Breast lesion removal (open) (19120) |
$6,075.63 |
$7,991 |
1.2× |
| Shoulder arthroscopy with decompression (29826) |
— |
$7,596 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,052.93 |
$15,112 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,051.34 |
$7,829 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$836.15 |
$11,742 |
0.7× |
| Diagnostic colonoscopy (45378) |
$1,077.09 |
$15,658 |
0.9× |
| Colonoscopy with biopsy (45380) |
$1,532.94 |
$7,829 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,106.30 |
$11,742 |
0.7× |
| Laparoscopic gallbladder removal (47562) |
$7,221.77 |
$19,368 |
0.9× |
| Inguinal hernia repair (age 5+) (49505) |
$4,907.57 |
$23,126 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,172.94 |
$7,991 |
1.0× |
| Cataract removal with lens insertion (66984) |
$2,992.04 |
$21,247 |
1.0× |
| CT head/brain without contrast (70450) |
$166.08 |
$4,575 |
1.2× |
| MRI brain without contrast (70551) |
$357.63 |
$7,784 |
1.2× |
| MRI brain without and with contrast (70553) |
$720.41 |
$17,312 |
1.6× |
| X-ray lower spine, 4+ views (72110) |
$149.55 |
$1,458 |
1.1× |
| MRI lumbar spine without contrast (72148) |
$321.21 |
$7,738 |
1.0× |
| CT pelvis with contrast (72193) |
$249.87 |
$4,070 |
1.1× |
| MRI lower-extremity joint without contrast (73721) |
$339.02 |
$19,336 |
1.1× |
| CT abdomen and pelvis with contrast (74177) |
$512.25 |
$16,812 |
1.1× |
| Ultrasound, abdomen complete (76700) |
$153.02 |
$2,011 |
1.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$188.90 |
$2,089 |
1.4× |
| Ultrasound, transvaginal (76830) |
$142.53 |
$1,432 |
1.1× |
| Mammography, one breast (diagnostic) (77065) |
$118.43 |
$624 |
1.4× |
| Mammography, both breasts (diagnostic) (77066) |
$156.65 |
$935 |
1.4× |
| Mammography, screening (bilateral) (77067) |
$163.70 |
$719 |
1.8× |
| Basic metabolic panel (80048) |
$12.74 |
$2,764 |
1.5× |
| Comprehensive metabolic panel (80053) |
$15.63 |
$1,954 |
1.5× |
| Lipid panel (80061) |
$19.68 |
$880 |
1.5× |
| Hepatic function panel (80076) |
$12.02 |
$1,170 |
1.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$5.22 |
$99 |
1.5× |
| PSA, total (84153) |
$22.35 |
$129 |
1.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$24.69 |
$314 |
1.5× |
| CBC with automated differential (85025) |
$11.51 |
$1,280 |
1.5× |
| CBC, automated (85027) |
$9.51 |
$625 |
1.5× |
| Prothrombin time (PT) (85610) |
$6.30 |
$132 |
1.5× |
| Partial thromboplastin time (PTT) (85730) |
$8.84 |
$198 |
1.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$61.17 |
$648 |
2.1× |