| Breast lesion removal (open) (19120) |
$11,455.39 |
$28,376 |
2.3× |
| Shoulder arthroscopy with decompression (29826) |
$10,135.22 |
$25,105.83 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,622.24 |
$13,926.78 |
1.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$5,388.52 |
$13,347.83 |
0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,251.24 |
$5,576.52 |
2.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,580.07 |
$6,391.06 |
2.3× |
| Diagnostic colonoscopy (45378) |
$1,950.52 |
$4,831.60 |
1.7× |
| Colonoscopy with biopsy (45380) |
$2,666.43 |
$6,604.99 |
1.8× |
| Colonoscopy with lesion removal (45385) |
$2,884.32 |
$7,144.70 |
1.9× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,419.41 |
$3,516 |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$7,137.56 |
$17,680.35 |
0.9× |
| Inguinal hernia repair (age 5+) (49505) |
$9,385.47 |
$23,248.63 |
2.1× |
| Laparoscopic radical prostatectomy (55866) |
$9,619.34 |
$23,827.94 |
0.7× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,749.99 |
$11,766.13 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$9,287.63 |
$23,006.26 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$4,747.60 |
$11,760.21 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$4,452.21 |
$11,028.50 |
4.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$838.08 |
$2,076 |
1.2× |
| CT head/brain without contrast (70450) |
$1,136.01 |
$2,814 |
8.7× |
| MRI brain without contrast (70551) |
$2,091.57 |
$5,181 |
7.0× |
| MRI brain with contrast (70552) |
$2,336.62 |
$5,788 |
5.4× |
| MRI brain without and with contrast (70553) |
$2,583.68 |
$6,400 |
5.9× |
| X-ray lower spine, 4+ views (72110) |
$444.88 |
$1,102 |
3.4× |
| MRI lumbar spine without contrast (72148) |
$2,091.57 |
$5,181 |
7.0× |
| CT pelvis with contrast (72193) |
$1,257.93 |
$3,116 |
5.7× |
| MRI lower-extremity joint without contrast (73721) |
$2,091.57 |
$5,181 |
7.0× |
| CT abdomen and pelvis with contrast (74177) |
$2,596.19 |
$6,431 |
6.0× |
| Ultrasound, abdomen complete (76700) |
$463.45 |
$1,148 |
3.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$496.15 |
$1,229 |
3.8× |
| Ultrasound, transvaginal (76830) |
$496.15 |
$1,229 |
3.8× |
| Mammography, one breast (diagnostic) (77065) |
$347.18 |
$860 |
4.0× |
| Mammography, both breasts (diagnostic) (77066) |
$432.36 |
$1,071 |
3.9× |
| Mammography, screening (bilateral) (77067) |
$325.38 |
$806 |
3.6× |
| Basic metabolic panel (80048) |
$60.56 |
$150 |
7.2× |
| Comprehensive metabolic panel (80053) |
$77.91 |
$193 |
7.4× |
| Lipid panel (80061) |
$159.06 |
$394 |
11.9× |
| Renal function panel (80069) |
$60.56 |
$150 |
7.0× |
| Hepatic function panel (80076) |
$60.56 |
$150 |
7.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$37.14 |
$92 |
10.7× |
| PSA, total (84153) |
$133.62 |
$331 |
7.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$130.80 |
$324 |
7.8× |
| CBC with automated differential (85025) |
$63.38 |
$157 |
8.2× |
| CBC, automated (85027) |
$85.99 |
$213 |
13.3× |
| Prothrombin time (PT) (85610) |
$88.41 |
$219 |
20.6× |
| Partial thromboplastin time (PTT) (85730) |
$211.54 |
$524 |
35.2× |
| Psychotherapy, 30 minutes (90832) |
$109.40 |
$271 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$196.60 |
$487 |
0.9× |
| Electrocardiogram (ECG), complete (93000) |
$105.77 |
$262 |
1.4× |
| Sleep study (attended polysomnography) (95810) |
$2,691.06 |
$6,666 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$58.13 |
$144 |
2.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$217.19 |
$538 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$287.43 |
$712 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$394.41 |
$977 |
2.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$188.93 |
$468 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$270.88 |
$671 |
1.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$198.22 |
$491 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$198.22 |
$491 |
— |