| Breast lesion removal (open) (19120) |
$3,409.25 |
$5,245 |
0.9× |
| Knee arthroscopy with meniscectomy (29881) |
$4,486.95 |
$6,903 |
1.5× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$2,870.40 |
$4,416 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,317.72 |
$2,027.25 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$980.69 |
$1,508.75 |
1.2× |
| Diagnostic colonoscopy (45378) |
$1,426.42 |
$2,194.50 |
1.7× |
| Colonoscopy with biopsy (45380) |
$2,318.22 |
$3,566.50 |
2.1× |
| Colonoscopy with lesion removal (45385) |
$1,782.95 |
$2,743 |
1.6× |
| Laparoscopic gallbladder removal (47562) |
$3,948.10 |
$6,074 |
0.7× |
| Inguinal hernia repair (age 5+) (49505) |
$5,564.65 |
$8,561 |
1.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$727.35 |
$1,119 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$599.95 |
$923 |
0.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,119.30 |
$1,722 |
2.2× |
| Cataract removal with lens insertion (66984) |
$1,992.25 |
$3,065 |
0.9× |
| CT head/brain without contrast (70450) |
$741 |
$1,140 |
7.7× |
| MRI brain without contrast (70551) |
$1,253.85 |
$1,929 |
5.7× |
| MRI brain with contrast (70552) |
$1,253.85 |
$1,929 |
3.9× |
| MRI brain without and with contrast (70553) |
$1,914.90 |
$2,946 |
6.0× |
| X-ray lower spine, 4+ views (72110) |
$260 |
$400 |
2.7× |
| MRI lumbar spine without contrast (72148) |
$1,253.85 |
$1,929 |
5.7× |
| CT pelvis with contrast (72193) |
$741 |
$1,140 |
4.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,253.85 |
$1,929 |
5.7× |
| CT abdomen and pelvis with contrast (74177) |
$741 |
$1,140 |
2.3× |
| Ultrasound, abdomen complete (76700) |
$410.15 |
$631 |
4.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$434.85 |
$669 |
4.5× |
| Ultrasound, transvaginal (76830) |
$323.70 |
$498 |
3.4× |
| Mammography, one breast (diagnostic) (77065) |
$145.28 |
$223.50 |
1.7× |
| Mammography, both breasts (diagnostic) (77066) |
$144.95 |
$223 |
1.3× |
| Mammography, screening (bilateral) (77067) |
$135.85 |
$209 |
1.5× |
| Basic metabolic panel (80048) |
$20.80 |
$32 |
2.5× |
| Comprehensive metabolic panel (80053) |
$26 |
$40 |
2.5× |
| Lipid panel (80061) |
$52.65 |
$81 |
3.9× |
| Renal function panel (80069) |
$21.45 |
$33 |
2.5× |
| Hepatic function panel (80076) |
$17.55 |
$27 |
2.1× |
| PSA, total (84153) |
$128.05 |
$197 |
7.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$46.80 |
$72 |
2.8× |
| CBC with automated differential (85025) |
$5.85 |
$9 |
0.8× |
| CBC, automated (85027) |
$10.08 |
$15.50 |
1.6× |
| Prothrombin time (PT) (85610) |
$10.40 |
$16 |
2.4× |
| Partial thromboplastin time (PTT) (85730) |
$27.30 |
$42 |
4.5× |
| Sleep study (attended polysomnography) (95810) |
$2,018.25 |
$3,105 |
2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$198.25 |
$305 |
6.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$90.02 |
$138.50 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$113.42 |
$174.50 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$122.20 |
$188 |
1.0× |