| Breast lesion removal (open) (19120) |
$8,475.18 |
— |
2.0× |
| Shoulder arthroscopy with decompression (29826) |
$21,809.72 |
— |
— |
| Knee arthroscopy with meniscectomy (29881) |
$12,625.70 |
— |
3.6× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$8,903.60 |
— |
1.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,764.60 |
— |
2.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$4,778.90 |
— |
4.9× |
| Diagnostic colonoscopy (45378) |
$3,541.98 |
— |
3.5× |
| Colonoscopy with biopsy (45380) |
$4,619.68 |
— |
3.6× |
| Colonoscopy with lesion removal (45385) |
$4,047.81 |
— |
3.1× |
| Laparoscopic gallbladder removal (47562) |
$14,326.44 |
— |
2.2× |
| Inguinal hernia repair (age 5+) (49505) |
$10,648.10 |
— |
2.8× |
| Laparoscopic radical prostatectomy (55866) |
$21,126.67 |
— |
1.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,753.05 |
$2,697 |
1.8× |
| CT head/brain without contrast (70450) |
$1,084.85 |
— |
9.6× |
| MRI brain without contrast (70551) |
$1,593.80 |
— |
6.2× |
| MRI brain with contrast (70552) |
$2,048.80 |
$3,152 |
5.4× |
| MRI brain without and with contrast (70553) |
$2,507.70 |
$3,858 |
6.7× |
| X-ray lower spine, 4+ views (72110) |
$445.25 |
— |
3.9× |
| MRI lumbar spine without contrast (72148) |
$1,534.65 |
$2,361 |
6.0× |
| CT pelvis with contrast (72193) |
$1,482.65 |
$2,281 |
7.8× |
| MRI lower-extremity joint without contrast (73721) |
$2,240.55 |
— |
8.7× |
| CT abdomen and pelvis with contrast (74177) |
$4,374.17 |
— |
11.6× |
| Ultrasound, abdomen complete (76700) |
$408.85 |
$629 |
3.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$319.80 |
$492 |
2.8× |
| Ultrasound, transvaginal (76830) |
$410.15 |
$631 |
3.6× |
| Mammography, one breast (diagnostic) (77065) |
$232.05 |
$357 |
2.7× |
| Mammography, both breasts (diagnostic) (77066) |
$348.40 |
$536 |
3.2× |
| Mammography, screening (bilateral) (77067) |
$248.95 |
— |
2.7× |
| Basic metabolic panel (80048) |
$155.35 |
— |
18.4× |
| Comprehensive metabolic panel (80053) |
$258.05 |
— |
24.4× |
| Obstetric panel (80055) |
$100.10 |
$154 |
2.1× |
| Lipid panel (80061) |
$112.45 |
$173 |
8.4× |
| Renal function panel (80069) |
$234.65 |
— |
27.0× |
| Hepatic function panel (80076) |
$46.80 |
$72 |
5.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$6.50 |
$10 |
1.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$16.90 |
$26 |
4.9× |
| PSA, total (84153) |
$59.15 |
$91 |
3.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$76.05 |
$117 |
4.5× |
| CBC with automated differential (85025) |
$211.25 |
— |
27.2× |
| CBC, automated (85027) |
$261.95 |
— |
40.5× |
| Prothrombin time (PT) (85610) |
$35.10 |
$54 |
8.2× |
| Partial thromboplastin time (PTT) (85730) |
$82.55 |
$127 |
13.7× |
| Psychotherapy, 30 minutes (90832) |
$105.95 |
$163 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$120.25 |
$185 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$143.65 |
$221 |
0.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$178.75 |
$275 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$206.05 |
$317 |
1.1× |
| Group psychotherapy (90853) |
$24.05 |
$37 |
0.2× |
| Left heart catheterization (93452) |
$8,851.05 |
$13,617 |
2.5× |
| Sleep study (attended polysomnography) (95810) |
$3,029 |
$4,660 |
3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$64.35 |
$99 |
2.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$320.45 |
— |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$86.45 |
$133 |
— |