| Breast lesion removal (open) (19120) |
$1,956.50 |
$3,913 |
0.5× |
| Shoulder arthroscopy with decompression (29826) |
$1,169.67 |
$2,339.33 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$8,265 |
$16,530 |
2.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$732 |
$1,464 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$370.82 |
$741.62 |
0.4× |
| Diagnostic colonoscopy (45378) |
$671 |
$1,342 |
0.8× |
| Colonoscopy with biopsy (45380) |
$538.83 |
$1,077.66 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$1,525 |
$3,050 |
1.3× |
| Laparoscopic gallbladder removal (47562) |
$10,005 |
$20,010 |
1.7× |
| Inguinal hernia repair (age 5+) (49505) |
$2,957.50 |
$5,915 |
0.9× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$919.50 |
$1,839 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,803 |
$3,606 |
2.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$538.50 |
$1,077 |
1.0× |
| Cataract removal with lens insertion (66984) |
$3,407.50 |
$6,815 |
1.5× |
| CT head/brain without contrast (70450) |
$579 |
$1,158 |
5.8× |
| MRI brain without contrast (70551) |
$1,040.50 |
$2,081 |
4.5× |
| MRI brain with contrast (70552) |
$1,398 |
$2,796 |
4.2× |
| MRI brain without and with contrast (70553) |
$1,690.50 |
$3,381 |
5.1× |
| X-ray lower spine, 4+ views (72110) |
$296.25 |
$592.50 |
3.0× |
| MRI lumbar spine without contrast (72148) |
$1,040.50 |
$2,081 |
4.5× |
| CT pelvis with contrast (72193) |
$1,182 |
$2,364 |
7.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,040.50 |
$2,081 |
4.5× |
| CT abdomen and pelvis with contrast (74177) |
$1,204 |
$2,408 |
3.6× |
| Ultrasound, abdomen complete (76700) |
$456 |
$912 |
4.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$529.75 |
$1,059.50 |
5.3× |
| Ultrasound, transvaginal (76830) |
$379.25 |
$758.50 |
3.8× |
| Mammography, one breast (diagnostic) (77065) |
$178.50 |
$357 |
2.1× |
| Mammography, both breasts (diagnostic) (77066) |
$225.75 |
$451.50 |
2.0× |
| Mammography, screening (bilateral) (77067) |
$224.25 |
$448.50 |
2.5× |
| Basic metabolic panel (80048) |
$71.75 |
$143.50 |
8.5× |
| Comprehensive metabolic panel (80053) |
$49 |
$98 |
4.6× |
| Lipid panel (80061) |
$62.50 |
$125 |
4.7× |
| Renal function panel (80069) |
$40 |
$80 |
4.6× |
| Hepatic function panel (80076) |
$38 |
$76 |
4.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$8.50 |
$17 |
2.4× |
| PSA, total (84153) |
$86.50 |
$173 |
4.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$59.25 |
$118.50 |
3.5× |
| CBC with automated differential (85025) |
$34.75 |
$69.50 |
4.5× |
| CBC, automated (85027) |
$32.50 |
$65 |
5.0× |
| Prothrombin time (PT) (85610) |
$37.75 |
$75.50 |
8.8× |
| Partial thromboplastin time (PTT) (85730) |
$39.75 |
$79.50 |
6.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$196 |
$392 |
1.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$180 |
$360 |
1.1× |
| Electrocardiogram (ECG), complete (93000) |
$166.50 |
$333 |
2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$74.75 |
$149.50 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$39.75 |
$79.50 |
0.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$29.25 |
$58.50 |
0.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$46.25 |
$92.50 |
0.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$80 |
$160 |
0.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$106 |
$212 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$65.50 |
$131 |
— |