| Breast lesion removal (open) (19120) |
$5,814.09 |
$11,865.50 |
1.4× |
| Shoulder arthroscopy with decompression (29826) |
$11,704.62 |
$23,887 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,855.62 |
$11,950.25 |
1.7× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$4,355.36 |
$8,888.50 |
0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,470.24 |
$3,000.50 |
1.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,663.36 |
$4,347.50 |
3.9× |
| Diagnostic colonoscopy (45378) |
$1,954.61 |
$3,989 |
2.0× |
| Colonoscopy with biopsy (45380) |
$4,184.72 |
$8,540.25 |
3.3× |
| Colonoscopy with lesion removal (45385) |
$2,530.85 |
$5,179 |
2.0× |
| Laparoscopic gallbladder removal (47562) |
$10,324.54 |
$21,070.50 |
1.6× |
| Inguinal hernia repair (age 5+) (49505) |
$8,034.63 |
$16,397.21 |
2.1× |
| Laparoscopic radical prostatectomy (55866) |
$17,622.99 |
$35,965.29 |
1.6× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,113.55 |
$8,395 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$4,312.49 |
$8,801 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$988.33 |
$2,017 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$713.44 |
$1,456 |
0.8× |
| CT head/brain without contrast (70450) |
$117.11 |
$188 |
1.1× |
| MRI brain without contrast (70551) |
$223.93 |
$348.50 |
0.9× |
| MRI brain with contrast (70552) |
$329.28 |
$480 |
0.9× |
| MRI brain without and with contrast (70553) |
$372.89 |
$565.50 |
1.0× |
| X-ray lower spine, 4+ views (72110) |
— |
$137 |
— |
| MRI lumbar spine without contrast (72148) |
$215.11 |
$340 |
0.9× |
| CT pelvis with contrast (72193) |
$305.76 |
$406 |
1.7× |
| MRI lower-extremity joint without contrast (73721) |
$245 |
$360 |
1.0× |
| CT abdomen and pelvis with contrast (74177) |
$382.69 |
$537.50 |
1.0× |
| Ultrasound, abdomen complete (76700) |
$133.28 |
$201 |
1.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$150.92 |
$308 |
1.4× |
| Ultrasound, transvaginal (76830) |
$147.49 |
$206.50 |
1.3× |
| Mammography, one breast (diagnostic) (77065) |
$147.98 |
$217 |
1.7× |
| Mammography, both breasts (diagnostic) (77066) |
$189.63 |
$274 |
1.7× |
| Mammography, screening (bilateral) (77067) |
$156.31 |
$221.50 |
1.7× |
| Basic metabolic panel (80048) |
— |
$39 |
— |
| Comprehensive metabolic panel (80053) |
— |
$45 |
— |
| Lipid panel (80061) |
— |
$63 |
— |
| Renal function panel (80069) |
— |
$40 |
— |
| Hepatic function panel (80076) |
— |
$39 |
— |
| Urinalysis, non-automated, without microscopy (81002) |
$5.88 |
$12 |
1.7× |
| PSA, total (84153) |
— |
$81 |
— |
| Thyroid stimulating hormone (TSH) (84443) |
— |
$73 |
— |
| CBC with automated differential (85025) |
— |
$36 |
— |
| CBC, automated (85027) |
— |
$32 |
— |
| Prothrombin time (PT) (85610) |
— |
$17 |
— |
| Partial thromboplastin time (PTT) (85730) |
— |
$26 |
— |
| Psychotherapy, 30 minutes (90832) |
— |
$236 |
— |
| Psychotherapy, 45 minutes (90834) |
— |
$312 |
— |
| Psychotherapy, 60 minutes (90837) |
— |
$460 |
— |
| Family psychotherapy, without patient (50 min) (90846) |
$171.50 |
$350 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$171.50 |
$350 |
0.9× |
| Group psychotherapy (90853) |
$135.24 |
$276 |
1.3× |
| Electrocardiogram (ECG), complete (93000) |
$24.50 |
$50 |
0.4× |
| Sleep study (attended polysomnography) (95810) |
$859.46 |
$1,077 |
1.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$76.93 |
$157 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
— |
$386 |
— |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
— |
$517.50 |
— |
| Office visit, new patient (high complexity, ~60 min) (99205) |
— |
$691.50 |
— |
| Office consultation (low complexity, ~30 min) (99243) |
$190.12 |
$388 |
1.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
— |
$554 |
— |
| Preventive visit, new patient (age 18–39) (99385) |
$218.54 |
$446 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$251.37 |
$513 |
— |