| Breast lesion removal (open) (19120) |
$4,864 |
$12,160 |
1.3× |
| Shoulder arthroscopy with decompression (29826) |
$8,115.70 |
$20,289.25 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$14,655.40 |
$36,638.50 |
4.5× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$10,635.40 |
$27,097.50 |
1.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$7,142 |
$13,695.50 |
7.9× |
| Diagnostic colonoscopy (45378) |
$5,315.60 |
$13,967.50 |
5.8× |
| Colonoscopy with biopsy (45380) |
$5,207 |
$12,629 |
4.4× |
| Colonoscopy with lesion removal (45385) |
$4,908.40 |
$13,240.50 |
4.1× |
| Laparoscopic gallbladder removal (47562) |
$22,605.60 |
$56,514 |
3.8× |
| Inguinal hernia repair (age 5+) (49505) |
$37,067.20 |
$92,668 |
10.4× |
| CT head/brain without contrast (70450) |
$1,460.80 |
$3,652 |
14.1× |
| MRI brain without contrast (70551) |
$2,459.20 |
$6,148 |
10.4× |
| MRI brain with contrast (70552) |
$3,219.60 |
$8,049 |
9.3× |
| MRI brain without and with contrast (70553) |
$4,522.80 |
$11,307 |
13.1× |
| X-ray lower spine, 4+ views (72110) |
$384.80 |
$962 |
3.7× |
| MRI lumbar spine without contrast (72148) |
$3,317.60 |
$8,294 |
14.0× |
| CT pelvis with contrast (72193) |
$1,732 |
$4,330 |
10.0× |
| MRI lower-extremity joint without contrast (73721) |
$3,548.40 |
$8,871 |
15.0× |
| CT abdomen and pelvis with contrast (74177) |
$2,987.20 |
$7,468 |
8.6× |
| Ultrasound, abdomen complete (76700) |
$796.40 |
$1,991 |
7.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$790.40 |
$1,976 |
7.6× |
| Ultrasound, transvaginal (76830) |
$912.80 |
$2,282 |
8.8× |
| Mammography, one breast (diagnostic) (77065) |
$160 |
$400 |
1.9× |
| Mammography, both breasts (diagnostic) (77066) |
$249.60 |
$624 |
2.3× |
| Mammography, screening (bilateral) (77067) |
$294.40 |
$736 |
3.2× |
| Basic metabolic panel (80048) |
$52 |
$130 |
6.1× |
| Comprehensive metabolic panel (80053) |
$63.20 |
$158 |
6.0× |
| Obstetric panel (80055) |
$188 |
$470 |
3.9× |
| Lipid panel (80061) |
$93.60 |
$234 |
7.0× |
| Renal function panel (80069) |
$85.20 |
$213 |
9.8× |
| Hepatic function panel (80076) |
$58.40 |
$146 |
7.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$53.60 |
$134 |
13.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$58.40 |
$146 |
16.8× |
| PSA, total (84153) |
$130.80 |
$327 |
7.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$86 |
$215 |
5.1× |
| CBC with automated differential (85025) |
$55.20 |
$138 |
7.1× |
| CBC, automated (85027) |
$49.60 |
$124 |
7.7× |
| Prothrombin time (PT) (85610) |
$30 |
$75 |
7.0× |
| Partial thromboplastin time (PTT) (85730) |
$67.20 |
$168 |
11.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$332.80 |
$832 |
1.9× |
| Group psychotherapy (90853) |
$288.40 |
$721 |
2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$134.20 |
$335.50 |
4.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$341.60 |
$854 |
2.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$495.60 |
$1,239 |
3.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$637.20 |
$1,593 |
4.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$413.20 |
$1,033 |
3.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$577.60 |
$1,444 |
4.4× |