| Breast lesion removal (open) (19120) |
$4,902.77 |
$12,256.92 |
1.3× |
| Shoulder arthroscopy with decompression (29826) |
$2,784.29 |
$6,960.72 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,235.67 |
$13,089.18 |
1.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,243.98 |
$3,109.96 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,016.38 |
$2,540.94 |
1.2× |
| Diagnostic colonoscopy (45378) |
$986.77 |
$2,466.93 |
1.1× |
| Colonoscopy with biopsy (45380) |
$987.98 |
$2,469.95 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,001.58 |
$2,503.94 |
0.9× |
| Laparoscopic gallbladder removal (47562) |
$5,084.35 |
$12,710.88 |
0.9× |
| Inguinal hernia repair (age 5+) (49505) |
$8,262.07 |
$20,655.18 |
2.4× |
| Laparoscopic radical prostatectomy (55866) |
$22,788.80 |
$56,971.98 |
2.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$483.77 |
$1,209.43 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$934.64 |
$2,336.60 |
1.1× |
| Cataract removal with lens insertion (66984) |
$2,180.81 |
$5,452.02 |
1.0× |
| CT head/brain without contrast (70450) |
$258.70 |
$646.73 |
2.6× |
| MRI brain without contrast (70551) |
$706.74 |
$1,766.83 |
3.1× |
| MRI brain with contrast (70552) |
$1,199.39 |
$2,998.48 |
3.6× |
| MRI brain without and with contrast (70553) |
$1,183.30 |
$2,958.24 |
3.5× |
| X-ray lower spine, 4+ views (72110) |
$143.12 |
$357.82 |
1.4× |
| MRI lumbar spine without contrast (72148) |
$706.74 |
$1,766.83 |
3.1× |
| CT pelvis with contrast (72193) |
$464.35 |
$1,160.88 |
2.7× |
| MRI lower-extremity joint without contrast (73721) |
$2,210.43 |
$5,526.07 |
9.6× |
| CT abdomen and pelvis with contrast (74177) |
$885.77 |
$2,214.42 |
2.6× |
| Ultrasound, abdomen complete (76700) |
$145.49 |
$363.72 |
1.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$116.12 |
$290.29 |
1.2× |
| Ultrasound, transvaginal (76830) |
$116.12 |
$290.29 |
1.2× |
| Mammography, one breast (diagnostic) (77065) |
$168.02 |
$420.06 |
1.9× |
| Mammography, both breasts (diagnostic) (77066) |
$168.02 |
$420.06 |
1.5× |
| Mammography, screening (bilateral) (77067) |
$209.41 |
$523.52 |
2.3× |
| Basic metabolic panel (80048) |
$56.85 |
$142.13 |
6.7× |
| Comprehensive metabolic panel (80053) |
$96.73 |
$241.84 |
9.2× |
| Lipid panel (80061) |
$18.55 |
$46.37 |
1.4× |
| Renal function panel (80069) |
$89.46 |
$223.64 |
10.3× |
| Hepatic function panel (80076) |
$56.85 |
$142.13 |
7.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$15.58 |
$38.95 |
3.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$4.71 |
$11.76 |
1.4× |
| PSA, total (84153) |
$70.62 |
$176.54 |
3.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$54.42 |
$136.04 |
3.2× |
| CBC with automated differential (85025) |
$58.74 |
$146.85 |
7.6× |
| CBC, automated (85027) |
$52.54 |
$131.36 |
8.1× |
| Prothrombin time (PT) (85610) |
$14.22 |
$35.56 |
3.3× |
| Partial thromboplastin time (PTT) (85730) |
$8.04 |
$20.11 |
1.3× |
| Left heart catheterization (93452) |
$3,586.26 |
$8,965.65 |
1.1× |
| Sleep study (attended polysomnography) (95810) |
$1,072.58 |
$2,681.44 |
1.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$68.85 |
$172.12 |
2.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$108.21 |
$270.53 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$148.26 |
$370.65 |
1.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$155.22 |
$388.05 |
1.2× |