| Breast lesion removal (open) (19120) |
$19,868.49 |
— |
4.2× |
| Shoulder arthroscopy with decompression (29826) |
$34,944.08 |
— |
— |
| Knee arthroscopy with meniscectomy (29881) |
$18,734.38 |
— |
4.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$6,565.51 |
— |
6.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$9,706.74 |
— |
8.9× |
| Diagnostic colonoscopy (45378) |
$3,774.62 |
— |
3.4× |
| Colonoscopy with biopsy (45380) |
$12,780.69 |
— |
8.9× |
| Colonoscopy with lesion removal (45385) |
$9,475.33 |
— |
6.6× |
| Laparoscopic gallbladder removal (47562) |
$24,408.03 |
— |
3.4× |
| Inguinal hernia repair (age 5+) (49505) |
$16,272.42 |
— |
3.8× |
| Laparoscopic radical prostatectomy (55866) |
$44,735.49 |
— |
3.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,511.95 |
$2,749 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$5,409.62 |
— |
5.1× |
| CT head/brain without contrast (70450) |
$14,883.92 |
— |
118.8× |
| MRI brain without contrast (70551) |
$1,120.62 |
— |
3.9× |
| MRI brain with contrast (70552) |
$1,671.45 |
$3,039 |
4.0× |
| MRI brain without and with contrast (70553) |
$2,754.40 |
$5,008 |
6.6× |
| X-ray lower spine, 4+ views (72110) |
$404.80 |
$736 |
3.2× |
| MRI lumbar spine without contrast (72148) |
$1,508.65 |
$2,743 |
5.3× |
| CT pelvis with contrast (72193) |
$1,074.70 |
$1,954 |
5.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,775.40 |
— |
6.2× |
| CT abdomen and pelvis with contrast (74177) |
$3,253.96 |
— |
7.8× |
| Ultrasound, abdomen complete (76700) |
$505.45 |
$919 |
4.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$520.30 |
$946 |
4.2× |
| Ultrasound, transvaginal (76830) |
$1,511.95 |
— |
12.1× |
| Mammography, one breast (diagnostic) (77065) |
$487.85 |
$887 |
5.7× |
| Mammography, both breasts (diagnostic) (77066) |
$622.60 |
$1,132 |
5.6× |
| Mammography, screening (bilateral) (77067) |
$449.62 |
$817.50 |
4.9× |
| Basic metabolic panel (80048) |
$33.55 |
$61 |
4.0× |
| Comprehensive metabolic panel (80053) |
$41.25 |
$75 |
3.9× |
| Lipid panel (80061) |
$51.70 |
$94 |
3.9× |
| Renal function panel (80069) |
$37.95 |
$69 |
4.4× |
| Hepatic function panel (80076) |
$26.40 |
$48 |
3.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$6.60 |
$12 |
1.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$18.70 |
$34 |
5.4× |
| PSA, total (84153) |
$69.30 |
$126 |
3.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$79.20 |
$144 |
4.7× |
| CBC with automated differential (85025) |
$7,888.14 |
— |
1015.2× |
| CBC, automated (85027) |
$12,341.09 |
— |
1907.4× |
| Prothrombin time (PT) (85610) |
$132.55 |
— |
30.9× |
| Partial thromboplastin time (PTT) (85730) |
$27.50 |
$50 |
4.6× |
| Psychotherapy, 30 minutes (90832) |
$157.30 |
$286 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$187.55 |
$341 |
0.9× |
| Electrocardiogram (ECG), complete (93000) |
$212.30 |
$386 |
3.0× |
| Left heart catheterization (93452) |
$8,243.40 |
$14,988 |
2.1× |
| Sleep study (attended polysomnography) (95810) |
$3,252.70 |
$5,914 |
3.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$149.60 |
$272 |
5.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$275.55 |
$501 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$314.60 |
$572 |
— |