| Breast lesion removal (open) (19120) |
$11,836.14 |
— |
2.5× |
| Shoulder arthroscopy with decompression (29826) |
$19,444.19 |
— |
— |
| Knee arthroscopy with meniscectomy (29881) |
$13,497.18 |
— |
3.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$10,780.13 |
— |
1.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,466.14 |
— |
2.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$4,403.77 |
— |
4.1× |
| Diagnostic colonoscopy (45378) |
$2,404.05 |
— |
2.2× |
| Colonoscopy with biopsy (45380) |
$4,791.52 |
— |
3.3× |
| Colonoscopy with lesion removal (45385) |
$3,373.67 |
— |
2.4× |
| Laparoscopic gallbladder removal (47562) |
$20,386.14 |
— |
2.8× |
| Inguinal hernia repair (age 5+) (49505) |
$13,768.60 |
— |
3.2× |
| Laparoscopic radical prostatectomy (55866) |
$32,192.63 |
— |
2.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,405.20 |
— |
3.2× |
| Cataract removal with lens insertion (66984) |
$7,554.83 |
— |
2.7× |
| CT head/brain without contrast (70450) |
$2,373.25 |
— |
18.9× |
| MRI brain without contrast (70551) |
$2,233.52 |
— |
7.8× |
| MRI brain with contrast (70552) |
$1,997.60 |
$3,632 |
4.8× |
| MRI brain without and with contrast (70553) |
$2,688.95 |
$4,889 |
6.4× |
| X-ray lower spine, 4+ views (72110) |
$376.20 |
$684 |
3.0× |
| MRI lumbar spine without contrast (72148) |
$2,037.20 |
$3,704 |
7.1× |
| CT pelvis with contrast (72193) |
$1,387.10 |
$2,522 |
6.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,843.60 |
— |
6.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,537.74 |
— |
3.7× |
| Ultrasound, abdomen complete (76700) |
$735.08 |
— |
5.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$469.15 |
$853 |
3.7× |
| Ultrasound, transvaginal (76830) |
$612.70 |
$1,114 |
4.9× |
| Mammography, one breast (diagnostic) (77065) |
$248.05 |
$451 |
2.9× |
| Mammography, both breasts (diagnostic) (77066) |
$311.30 |
$566 |
2.8× |
| Mammography, screening (bilateral) (77067) |
$274.45 |
$499 |
3.0× |
| Basic metabolic panel (80048) |
$46.75 |
$85 |
5.5× |
| Comprehensive metabolic panel (80053) |
$47.30 |
$86 |
4.5× |
| Lipid panel (80061) |
$50.05 |
$91 |
3.7× |
| Renal function panel (80069) |
$106.70 |
$194 |
12.3× |
| Hepatic function panel (80076) |
$32.45 |
$59 |
4.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$12.65 |
$23 |
3.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$3.85 |
$7 |
1.1× |
| PSA, total (84153) |
$85.80 |
$156 |
4.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$78.10 |
$142 |
4.6× |
| CBC with automated differential (85025) |
$28.60 |
$52 |
3.7× |
| CBC, automated (85027) |
$266.20 |
— |
41.1× |
| Prothrombin time (PT) (85610) |
$18.70 |
$34 |
4.4× |
| Partial thromboplastin time (PTT) (85730) |
$22 |
$40 |
3.7× |
| Psychotherapy, 30 minutes (90832) |
$156.75 |
$285 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$316.80 |
$576 |
1.5× |
| Group psychotherapy (90853) |
$181.22 |
$329.50 |
1.5× |
| Left heart catheterization (93452) |
$5,229.95 |
$9,509 |
1.3× |
| Sleep study (attended polysomnography) (95810) |
$4,256.45 |
$7,739 |
4.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$95.98 |
$174.50 |
3.3× |