| Breast lesion removal (open) (19120) |
$10,763.48 |
$17,939.12 |
3.0× |
| Shoulder arthroscopy with decompression (29826) |
$29,532.66 |
$49,221.10 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$14,794.16 |
$24,656.93 |
4.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$5,341.86 |
$8,903.10 |
6.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$8,030.06 |
$13,383.44 |
9.5× |
| Diagnostic colonoscopy (45378) |
$5,985.23 |
$9,975.38 |
6.9× |
| Colonoscopy with biopsy (45380) |
$7,403.76 |
$12,339.61 |
6.7× |
| Colonoscopy with lesion removal (45385) |
$6,890.62 |
$11,484.36 |
6.2× |
| Laparoscopic gallbladder removal (47562) |
$15,269.93 |
$25,449.88 |
2.7× |
| Inguinal hernia repair (age 5+) (49505) |
$16,935.46 |
$28,225.76 |
5.1× |
| Laparoscopic radical prostatectomy (55866) |
$67,388.06 |
$112,313.43 |
6.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,449.50 |
$2,230 |
1.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,390.31 |
$3,983.85 |
2.9× |
| CT head/brain without contrast (70450) |
$1,795.30 |
$2,762 |
18.5× |
| MRI brain without contrast (70551) |
$3,288.35 |
$5,059 |
14.8× |
| MRI brain with contrast (70552) |
$2,694.90 |
$4,146 |
8.3× |
| MRI brain without and with contrast (70553) |
$2,265.90 |
$3,486 |
7.0× |
| X-ray lower spine, 4+ views (72110) |
$536.25 |
$825 |
5.5× |
| MRI lumbar spine without contrast (72148) |
$3,234.40 |
$4,976 |
14.6× |
| CT pelvis with contrast (72193) |
$1,709.50 |
$2,630 |
10.5× |
| MRI lower-extremity joint without contrast (73721) |
$2,446.60 |
$3,764 |
11.0× |
| CT abdomen and pelvis with contrast (74177) |
$3,185.65 |
$4,901 |
9.8× |
| Ultrasound, abdomen complete (76700) |
$930.80 |
$1,432 |
9.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$837.20 |
$1,288 |
8.6× |
| Ultrasound, transvaginal (76830) |
$935.35 |
$1,439 |
9.6× |
| Mammography, one breast (diagnostic) (77065) |
$408.85 |
$629 |
4.7× |
| Mammography, both breasts (diagnostic) (77066) |
$461.50 |
$710 |
4.2× |
| Mammography, screening (bilateral) (77067) |
$312 |
$480 |
3.4× |
| Basic metabolic panel (80048) |
$214.50 |
$330 |
25.4× |
| Comprehensive metabolic panel (80053) |
$247 |
$380 |
23.4× |
| Lipid panel (80061) |
$27.95 |
$43 |
2.1× |
| Renal function panel (80069) |
$70.85 |
$109 |
8.2× |
| Hepatic function panel (80076) |
$112.78 |
$173.50 |
13.8× |
| PSA, total (84153) |
$219.70 |
$338 |
11.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$103.68 |
$159.50 |
6.2× |
| CBC with automated differential (85025) |
$117 |
$180 |
15.1× |
| CBC, automated (85027) |
$63.38 |
$97.50 |
9.8× |
| Prothrombin time (PT) (85610) |
$23.40 |
$36 |
5.5× |
| Partial thromboplastin time (PTT) (85730) |
$26.98 |
$41.50 |
4.5× |
| Left heart catheterization (93452) |
$4,854.85 |
$7,469 |
1.6× |
| Sleep study (attended polysomnography) (95810) |
$3,658.20 |
$5,628 |
4.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$126.75 |
$195 |
4.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$208.65 |
$321 |
1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$223.60 |
$344 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$251.55 |
$387 |
2.0× |