| Breast lesion removal (open) (19120) |
$3,501.77 |
$5,002.53 |
0.9× |
| Shoulder arthroscopy with decompression (29826) |
$7,351.76 |
$10,502.52 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,394 |
$6,277.14 |
1.3× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$3,846.48 |
$5,494.96 |
0.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,311.63 |
$1,873.75 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,311.63 |
$1,873.75 |
1.4× |
| Diagnostic colonoscopy (45378) |
$1,297.14 |
$1,853.05 |
1.4× |
| Colonoscopy with biopsy (45380) |
$1,362.52 |
$1,946.45 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,376.74 |
$1,966.76 |
1.1× |
| Laparoscopic gallbladder removal (47562) |
$7,095.38 |
$10,136.26 |
1.2× |
| Inguinal hernia repair (age 5+) (49505) |
$4,729.77 |
$6,756.82 |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$232.82 |
$332.60 |
0.3× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$700.27 |
$1,000.38 |
1.3× |
| Cataract removal with lens insertion (66984) |
$3,774.97 |
$5,392.81 |
1.6× |
| CT head/brain without contrast (70450) |
$1,372 |
$1,960 |
13.1× |
| MRI brain without contrast (70551) |
$1,217.78 |
$1,739.68 |
5.1× |
| MRI brain with contrast (70552) |
$1,662.36 |
$2,374.79 |
4.7× |
| MRI brain without and with contrast (70553) |
$2,469.96 |
$3,528.50 |
7.0× |
| X-ray lower spine, 4+ views (72110) |
$170.50 |
$243.58 |
1.6× |
| MRI lumbar spine without contrast (72148) |
$1,554.82 |
$2,221.18 |
6.5× |
| CT pelvis with contrast (72193) |
$1,871.26 |
$2,673.23 |
10.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,598.84 |
$2,284.05 |
6.7× |
| CT abdomen and pelvis with contrast (74177) |
$2,582.80 |
$3,689.72 |
7.4× |
| Ultrasound, abdomen complete (76700) |
$557.64 |
$796.63 |
5.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$227.22 |
$324.61 |
2.2× |
| Ultrasound, transvaginal (76830) |
$283.50 |
$405 |
2.7× |
| Mammography, one breast (diagnostic) (77065) |
$205.40 |
$293.42 |
2.4× |
| Mammography, both breasts (diagnostic) (77066) |
$235.21 |
$336.02 |
2.1× |
| Mammography, screening (bilateral) (77067) |
$196.02 |
$280.02 |
2.1× |
| Basic metabolic panel (80048) |
$132.74 |
$189.62 |
15.7× |
| Comprehensive metabolic panel (80053) |
$185.84 |
$265.48 |
17.6× |
| Obstetric panel (80055) |
$100.40 |
$143.43 |
2.1× |
| Lipid panel (80061) |
$131.30 |
$187.58 |
9.8× |
| Renal function panel (80069) |
$130.90 |
$187 |
15.1× |
| Hepatic function panel (80076) |
$137.20 |
$196 |
16.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$59.50 |
$85 |
14.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$22.24 |
$31.78 |
6.4× |
| PSA, total (84153) |
$124.15 |
$177.36 |
6.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$167.09 |
$238.70 |
9.9× |
| CBC with automated differential (85025) |
$77 |
$110 |
9.9× |
| CBC, automated (85027) |
$67.20 |
$96 |
10.4× |
| Prothrombin time (PT) (85610) |
$53.20 |
$76 |
12.4× |
| Partial thromboplastin time (PTT) (85730) |
$73.50 |
$105 |
12.2× |
| Sleep study (attended polysomnography) (95810) |
$3,040.76 |
$4,343.95 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$49.25 |
$70.35 |
1.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$175 |
$250 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$224 |
$320 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$304.77 |
$435.38 |
2.3× |