| Breast lesion removal (open) (19120) |
$14,283.91 |
— |
3.4× |
| Shoulder arthroscopy with decompression (29826) |
$42,801.08 |
— |
— |
| Knee arthroscopy with meniscectomy (29881) |
$26,904.89 |
— |
7.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$8,091.20 |
— |
8.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$5,870.80 |
— |
6.1× |
| Diagnostic colonoscopy (45378) |
$4,531 |
— |
4.6× |
| Colonoscopy with biopsy (45380) |
$8,231.12 |
— |
6.5× |
| Colonoscopy with lesion removal (45385) |
$7,987.26 |
— |
6.3× |
| Laparoscopic gallbladder removal (47562) |
$21,241.80 |
— |
3.3× |
| Inguinal hernia repair (age 5+) (49505) |
$35,288.20 |
— |
9.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$5,218.85 |
— |
5.5× |
| CT head/brain without contrast (70450) |
$882.05 |
— |
7.9× |
| MRI brain without contrast (70551) |
$1,535.30 |
$2,362 |
6.0× |
| MRI brain with contrast (70552) |
$1,687.40 |
$2,596 |
4.5× |
| MRI brain without and with contrast (70553) |
$2,497.30 |
$3,842 |
6.7× |
| X-ray lower spine, 4+ views (72110) |
$477.10 |
$734 |
4.3× |
| MRI lumbar spine without contrast (72148) |
$1,612.65 |
$2,481 |
6.4× |
| CT pelvis with contrast (72193) |
$2,156.70 |
$3,318 |
11.6× |
| MRI lower-extremity joint without contrast (73721) |
$2,258.75 |
— |
8.9× |
| CT abdomen and pelvis with contrast (74177) |
$3,236.35 |
$4,979 |
8.7× |
| Ultrasound, abdomen complete (76700) |
$930.15 |
$1,431 |
8.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,098.50 |
$1,690 |
9.9× |
| Ultrasound, transvaginal (76830) |
$826.15 |
$1,271 |
7.4× |
| Mammography, one breast (diagnostic) (77065) |
$258.70 |
$398 |
3.0× |
| Mammography, both breasts (diagnostic) (77066) |
$389.35 |
$599 |
3.5× |
| Mammography, screening (bilateral) (77067) |
$289.25 |
$445 |
3.2× |
| Basic metabolic panel (80048) |
$900.25 |
— |
106.4× |
| Comprehensive metabolic panel (80053) |
$1,262.30 |
— |
119.5× |
| Obstetric panel (80055) |
$202.31 |
$311.24 |
4.2× |
| Lipid panel (80061) |
$254.15 |
$391 |
19.0× |
| Renal function panel (80069) |
$863.85 |
— |
99.5× |
| Hepatic function panel (80076) |
$293.15 |
$451 |
35.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$13 |
$20 |
3.7× |
| PSA, total (84153) |
$182 |
$280 |
9.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$167.38 |
$257.50 |
10.0× |
| CBC with automated differential (85025) |
$1,325.35 |
— |
170.6× |
| CBC, automated (85027) |
$1,431.95 |
— |
221.3× |
| Prothrombin time (PT) (85610) |
$46.15 |
$71 |
10.8× |
| Partial thromboplastin time (PTT) (85730) |
$54.60 |
$84 |
9.1× |
| Sleep study (attended polysomnography) (95810) |
$3,999.45 |
$6,153 |
4.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$95.55 |
$147 |
3.3× |