| Breast lesion removal (open) (19120) |
$18,591.19 |
— |
4.8× |
| Shoulder arthroscopy with decompression (29826) |
$29,842.04 |
— |
— |
| Knee arthroscopy with meniscectomy (29881) |
$20,566.88 |
— |
6.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$16,370.54 |
— |
2.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$6,683.07 |
— |
7.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$9,290.84 |
— |
10.4× |
| Diagnostic colonoscopy (45378) |
$6,775.86 |
— |
7.4× |
| Colonoscopy with biopsy (45380) |
$8,905.26 |
— |
7.6× |
| Colonoscopy with lesion removal (45385) |
$7,663.30 |
— |
6.5× |
| Laparoscopic gallbladder removal (47562) |
$25,143.91 |
— |
4.2× |
| Inguinal hernia repair (age 5+) (49505) |
$23,273.38 |
— |
6.6× |
| Laparoscopic radical prostatectomy (55866) |
$49,418.33 |
— |
4.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,493.40 |
$3,836 |
2.9× |
| Cataract removal with lens insertion (66984) |
$9,654.12 |
— |
4.3× |
| CT head/brain without contrast (70450) |
$1,684.15 |
— |
16.4× |
| MRI brain without contrast (70551) |
$2,184.65 |
— |
9.3× |
| MRI brain with contrast (70552) |
$2,863.90 |
$4,406 |
8.3× |
| MRI brain without and with contrast (70553) |
$3,367.65 |
$5,181 |
9.8× |
| X-ray lower spine, 4+ views (72110) |
$715 |
— |
6.9× |
| MRI lumbar spine without contrast (72148) |
$2,458.30 |
$3,782 |
10.5× |
| CT pelvis with contrast (72193) |
$1,918.15 |
$2,951 |
11.1× |
| MRI lower-extremity joint without contrast (73721) |
$3,099.52 |
— |
13.2× |
| CT abdomen and pelvis with contrast (74177) |
$2,451.47 |
— |
7.1× |
| Ultrasound, abdomen complete (76700) |
$944.45 |
$1,453 |
9.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$551.85 |
$849 |
5.4× |
| Ultrasound, transvaginal (76830) |
$501.15 |
$771 |
4.9× |
| Mammography, one breast (diagnostic) (77065) |
$245.70 |
$378 |
2.9× |
| Mammography, both breasts (diagnostic) (77066) |
$412.10 |
$634 |
3.7× |
| Mammography, screening (bilateral) (77067) |
$227.50 |
$350 |
2.5× |
| Basic metabolic panel (80048) |
$217.75 |
— |
25.7× |
| Comprehensive metabolic panel (80053) |
$269.75 |
— |
25.5× |
| Lipid panel (80061) |
$56.22 |
$86.50 |
4.2× |
| Renal function panel (80069) |
$38.35 |
$59 |
4.4× |
| Hepatic function panel (80076) |
$37.05 |
$57 |
4.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$11.05 |
$17 |
3.2× |
| PSA, total (84153) |
$65 |
$100 |
3.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$37.70 |
$58 |
2.2× |
| CBC with automated differential (85025) |
$264.55 |
— |
34.0× |
| CBC, automated (85027) |
$21,708.67 |
— |
3355.3× |
| Prothrombin time (PT) (85610) |
$113.10 |
— |
26.4× |
| Partial thromboplastin time (PTT) (85730) |
$772.20 |
— |
128.5× |
| Left heart catheterization (93452) |
$8,233.55 |
$12,667 |
2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$133.25 |
$205 |
4.6× |