| Knee arthroscopy with meniscectomy (29881) |
$3,295.30 |
$4,393.72 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$880.04 |
$1,173.38 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$883.70 |
$1,178.27 |
0.9× |
| Diagnostic colonoscopy (45378) |
$786.56 |
$1,048.74 |
0.8× |
| Colonoscopy with biopsy (45380) |
$1,298.48 |
$1,731.30 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,147.76 |
$1,530.34 |
0.9× |
| Inguinal hernia repair (age 5+) (49505) |
$3,703.39 |
$4,937.85 |
1.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$464.54 |
$619.38 |
0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$762.71 |
$1,016.94 |
0.8× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$990.45 |
$1,320.60 |
1.7× |
| Cataract removal with lens insertion (66984) |
$2,800.83 |
$3,734.44 |
1.2× |
| CT head/brain without contrast (70450) |
$1,000.11 |
$1,333.48 |
9.1× |
| MRI brain without contrast (70551) |
$3,126.79 |
$4,169.05 |
12.4× |
| MRI brain with contrast (70552) |
$2,648.80 |
$3,531.73 |
7.2× |
| MRI brain without and with contrast (70553) |
$3,495.12 |
$4,660.16 |
9.5× |
| X-ray lower spine, 4+ views (72110) |
$275.95 |
$367.93 |
2.5× |
| MRI lumbar spine without contrast (72148) |
$2,011.64 |
$2,682.19 |
8.0× |
| CT pelvis with contrast (72193) |
$1,000.11 |
$1,333.48 |
5.4× |
| MRI lower-extremity joint without contrast (73721) |
$3,463.04 |
$4,617.38 |
13.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,103.04 |
$2,804.05 |
5.7× |
| Ultrasound, abdomen complete (76700) |
$741.72 |
$988.96 |
6.7× |
| Ultrasound, transvaginal (76830) |
$214.88 |
$286.50 |
1.9× |
| Basic metabolic panel (80048) |
$65.30 |
$87.06 |
7.7× |
| Comprehensive metabolic panel (80053) |
$73.07 |
$97.42 |
6.9× |
| Obstetric panel (80055) |
$151.16 |
$201.54 |
3.2× |
| Lipid panel (80061) |
$86.93 |
$115.91 |
6.5× |
| Renal function panel (80069) |
$53.60 |
$71.47 |
6.2× |
| Hepatic function panel (80076) |
$96.67 |
$128.89 |
11.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$31.64 |
$42.19 |
7.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$14.06 |
$18.75 |
4.0× |
| PSA, total (84153) |
$81.73 |
$108.97 |
4.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$75.65 |
$100.86 |
4.5× |
| CBC with automated differential (85025) |
$61.62 |
$82.16 |
7.9× |
| CBC, automated (85027) |
$61.54 |
$82.05 |
9.5× |
| Prothrombin time (PT) (85610) |
$43.50 |
$58 |
10.1× |
| Partial thromboplastin time (PTT) (85730) |
$40.44 |
$53.92 |
6.7× |
| Sleep study (attended polysomnography) (95810) |
$1,810.40 |
$2,413.86 |
2.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$62.72 |
$83.64 |
2.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$155.08 |
$206.78 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$229.22 |
$305.63 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$253.38 |
$337.84 |
1.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$143.26 |
$191.01 |
1.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$246.95 |
$329.26 |
1.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$177.96 |
$237.28 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$188.07 |
$250.76 |
— |