| Breast lesion removal (open) (19120) |
$9,720.60 |
$11,436 |
2.0× |
| Knee arthroscopy with meniscectomy (29881) |
$7,697.60 |
$9,056 |
1.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,648.60 |
$3,116 |
2.3× |
| Diagnostic colonoscopy (45378) |
$2,518.55 |
$2,963 |
2.2× |
| Colonoscopy with biopsy (45380) |
$3,309.05 |
$3,893 |
2.2× |
| Colonoscopy with lesion removal (45385) |
$2,935.05 |
$3,453 |
2.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,935.45 |
$2,277 |
1.8× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$2,383.40 |
$2,804 |
3.5× |
| CT head/brain without contrast (70450) |
$2,448.85 |
$2,881 |
18.8× |
| MRI brain without contrast (70551) |
$5,510.55 |
$6,483 |
18.5× |
| MRI brain with contrast (70552) |
$5,510.55 |
$6,483 |
12.7× |
| MRI brain without and with contrast (70553) |
$6,543.30 |
$7,698 |
15.0× |
| X-ray lower spine, 4+ views (72110) |
$583.10 |
$686 |
4.5× |
| MRI lumbar spine without contrast (72148) |
$5,271.70 |
$6,202 |
17.7× |
| CT pelvis with contrast (72193) |
$2,448.85 |
$2,881 |
11.2× |
| MRI lower-extremity joint without contrast (73721) |
$5,510.55 |
$6,483 |
18.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,680.05 |
$3,153 |
6.2× |
| Ultrasound, abdomen complete (76700) |
$1,030.20 |
$1,212 |
7.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,031.05 |
$1,213 |
7.9× |
| Ultrasound, transvaginal (76830) |
$759.90 |
$894 |
5.8× |
| Mammography, one breast (diagnostic) (77065) |
$759.90 |
$894 |
8.8× |
| Mammography, both breasts (diagnostic) (77066) |
$922.25 |
$1,085 |
8.3× |
| Mammography, screening (bilateral) (77067) |
$759.90 |
$894 |
8.3× |
| Basic metabolic panel (80048) |
$170.85 |
$201 |
20.2× |
| Comprehensive metabolic panel (80053) |
$278.80 |
$328 |
26.4× |
| Lipid panel (80061) |
$101.15 |
$119 |
7.6× |
| Renal function panel (80069) |
$263.50 |
$310 |
30.4× |
| Hepatic function panel (80076) |
$164.05 |
$193 |
20.1× |
| PSA, total (84153) |
$327.25 |
$385 |
17.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$430.10 |
$506 |
25.6× |
| CBC with automated differential (85025) |
$123.25 |
$145 |
15.9× |
| CBC, automated (85027) |
$123.25 |
$145 |
19.0× |
| Prothrombin time (PT) (85610) |
$99.45 |
$117 |
23.2× |
| Partial thromboplastin time (PTT) (85730) |
$123.25 |
$145 |
20.5× |
| Group psychotherapy (90853) |
$430.95 |
$507 |
3.4× |
| Sleep study (attended polysomnography) (95810) |
$7,132.35 |
$8,391 |
6.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$553.35 |
$651 |
19.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$470.90 |
$554 |
2.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$719.95 |
$847 |
4.3× |
Office visit, new patient (high complexity, ~60 min) (99205)
range across 2 matching MRF lines |
$156.40–$770.95 |
$184–$907 |
varies |
| Office consultation (low complexity, ~30 min) (99243) |
$602.65 |
$709 |
3.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$766.70 |
$902 |
4.6× |
Preventive visit, new patient (age 18–39) (99385)
range across 2 matching MRF lines |
$308.55–$629.85 |
$363–$741 |
varies |
| Preventive visit, new patient (age 40–64) (99386) |
$308.55 |
$363 |
— |