| Knee arthroscopy with meniscectomy (29881) |
$7,137.90 |
$10,197 |
2.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,425.78 |
$2,036.82 |
1.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,544.74 |
$2,206.78 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,457.75 |
$2,082.50 |
1.5× |
| Colonoscopy with biopsy (45380) |
$1,196.86 |
$1,709.80 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,924.71 |
$2,749.58 |
1.5× |
| Laparoscopic gallbladder removal (47562) |
$7,231.63 |
$10,330.90 |
1.1× |
| Inguinal hernia repair (age 5+) (49505) |
$5,014.14 |
$7,163.05 |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,029.23 |
$1,470.32 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$626.50 |
$895 |
0.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,622.25 |
$2,317.50 |
2.8× |
| Cataract removal with lens insertion (66984) |
$5,811.26 |
$8,301.80 |
2.4× |
| CT head/brain without contrast (70450) |
$787.50 |
$1,125 |
7.1× |
| MRI brain without contrast (70551) |
$1,170.90 |
$1,672.72 |
4.7× |
| MRI brain with contrast (70552) |
$1,728.24 |
$2,468.91 |
4.7× |
| MRI brain without and with contrast (70553) |
$1,971.94 |
$2,817.05 |
5.4× |
| X-ray lower spine, 4+ views (72110) |
$283.35 |
$404.79 |
2.6× |
| MRI lumbar spine without contrast (72148) |
$1,123.32 |
$1,604.74 |
4.5× |
| CT pelvis with contrast (72193) |
$1,389.37 |
$1,984.81 |
7.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,266.08 |
$1,808.68 |
5.0× |
| CT abdomen and pelvis with contrast (74177) |
$1,778.71 |
$2,541.01 |
4.8× |
| Ultrasound, abdomen complete (76700) |
$201.88 |
$288.40 |
1.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$201.88 |
$288.40 |
1.8× |
| Ultrasound, transvaginal (76830) |
$555.94 |
$794.20 |
5.0× |
| Mammography, screening (bilateral) (77067) |
$284.80 |
$406.85 |
3.1× |
| Basic metabolic panel (80048) |
$59.50 |
$85 |
7.0× |
| Comprehensive metabolic panel (80053) |
$30.45 |
$43.50 |
2.9× |
| Obstetric panel (80055) |
$234.50 |
$335 |
4.9× |
| Lipid panel (80061) |
$44.80 |
$64 |
3.3× |
| Renal function panel (80069) |
$60.90 |
$87 |
7.0× |
| Hepatic function panel (80076) |
$57.40 |
$82 |
7.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$26.60 |
$38 |
7.6× |
| PSA, total (84153) |
$103.60 |
$148 |
5.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$94.50 |
$135 |
5.6× |
| CBC with automated differential (85025) |
$21 |
$30 |
2.7× |
| CBC, automated (85027) |
$21 |
$30 |
3.2× |
| Prothrombin time (PT) (85610) |
$32.90 |
$47 |
7.7× |
| Partial thromboplastin time (PTT) (85730) |
$46.90 |
$67 |
7.8× |
| Electrocardiogram (ECG), complete (93000) |
$161.70 |
$231 |
2.6× |
| Sleep study (attended polysomnography) (95810) |
$2,523.50 |
$3,605 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$79.31 |
$113.30 |
2.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$236.60 |
$338 |
1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$295.40 |
$422 |
2.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$556.50 |
$795 |
4.0× |