| Breast lesion removal (open) (19120) |
$1,555.34 |
$5,760.51 |
0.4× |
| Knee arthroscopy with meniscectomy (29881) |
$2,777.64 |
$10,287.57 |
0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$613.17 |
$2,271 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$613.17 |
$2,271 |
0.7× |
| Diagnostic colonoscopy (45378) |
$621 |
$2,300 |
0.7× |
| Colonoscopy with biopsy (45380) |
$621 |
$2,300 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$621 |
$2,300 |
0.6× |
| Colonoscopy with endoscopic ultrasound (45391) |
$609.66 |
$2,258 |
0.5× |
| Laparoscopic gallbladder removal (47562) |
$3,119.03 |
$11,551.96 |
0.5× |
| Laparoscopic radical prostatectomy (55866) |
$10,654.39 |
$39,460.70 |
1.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$410.67 |
$1,521 |
0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$643.95 |
$2,385 |
0.8× |
| Cataract removal with lens insertion (66984) |
$1,413.99 |
$5,237 |
0.7× |
| CT head/brain without contrast (70450) |
$385.56 |
$1,428 |
3.9× |
| MRI brain without contrast (70551) |
$884.25 |
$3,275 |
3.9× |
| MRI brain with contrast (70552) |
$1,114.56 |
$4,128 |
3.4× |
| MRI brain without and with contrast (70553) |
$1,851.12 |
$6,856 |
5.7× |
| X-ray lower spine, 4+ views (72110) |
$96.39 |
$357 |
1.0× |
| MRI lumbar spine without contrast (72148) |
$636.12 |
$2,356 |
2.8× |
| CT pelvis with contrast (72193) |
$473.58 |
$1,754 |
2.9× |
| MRI lower-extremity joint without contrast (73721) |
$588.87 |
$2,181 |
2.6× |
| CT abdomen and pelvis with contrast (74177) |
$468.72 |
$1,736 |
1.4× |
| Ultrasound, abdomen complete (76700) |
$143.64 |
$532 |
1.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$154.98 |
$574 |
1.6× |
| Ultrasound, transvaginal (76830) |
$111.51 |
$413 |
1.1× |
| Mammography, one breast (diagnostic) (77065) |
$100.71 |
$373 |
1.2× |
| Mammography, both breasts (diagnostic) (77066) |
$122.85 |
$455 |
1.1× |
| Mammography, screening (bilateral) (77067) |
$122.04 |
$452 |
1.3× |
| Basic metabolic panel (80048) |
$81.27 |
$301 |
9.6× |
| Comprehensive metabolic panel (80053) |
$84.24 |
$312 |
8.0× |
| Lipid panel (80061) |
$37.66 |
$139.50 |
2.8× |
| Renal function panel (80069) |
$81.27 |
$301 |
9.4× |
| Hepatic function panel (80076) |
$49.14 |
$182 |
6.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$2.97 |
$11 |
0.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$5.40 |
$20 |
1.6× |
| PSA, total (84153) |
$28.89 |
$107 |
1.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$48.06 |
$178 |
2.9× |
| CBC with automated differential (85025) |
$31.32 |
$116 |
4.0× |
| CBC, automated (85027) |
$12.69 |
$47 |
2.0× |
| Prothrombin time (PT) (85610) |
$19.44 |
$72 |
4.5× |
| Partial thromboplastin time (PTT) (85730) |
$17.55 |
$65 |
2.9× |
| Left heart catheterization (93452) |
$1,065.96 |
$3,948 |
0.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$40.77 |
$151 |
1.4× |