| Breast lesion removal (open) (19120) |
$3,727.20 |
$9,318 |
0.9× |
| Shoulder arthroscopy with decompression (29826) |
$2,409.55 |
$6,023.88 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,716.90 |
$9,292.25 |
1.1× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$3,669 |
$9,172.50 |
0.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,126.60 |
$2,816.50 |
1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,212.80 |
$3,032 |
1.3× |
| Diagnostic colonoscopy (45378) |
$1,290.80 |
$3,227 |
1.4× |
| Colonoscopy with biopsy (45380) |
$996.10 |
$2,490.25 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$926.80 |
$2,317 |
0.8× |
| Laparoscopic gallbladder removal (47562) |
$10,375.40 |
$25,938.50 |
1.7× |
| Inguinal hernia repair (age 5+) (49505) |
$7,678.80 |
$19,197 |
2.1× |
| Laparoscopic radical prostatectomy (55866) |
$13,809.20 |
$34,523 |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$592.80 |
$1,482 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$859.60 |
$2,149 |
1.0× |
| CT head/brain without contrast (70450) |
$669.60 |
$1,674 |
6.4× |
| MRI brain without contrast (70551) |
$1,572.40 |
$3,931 |
6.6× |
| MRI brain with contrast (70552) |
$1,689.80 |
$4,224.50 |
4.8× |
| MRI brain without and with contrast (70553) |
$2,729.60 |
$6,824 |
7.8× |
| X-ray lower spine, 4+ views (72110) |
$263.60 |
$659 |
2.5× |
| MRI lumbar spine without contrast (72148) |
$1,648.80 |
$4,122 |
6.9× |
| CT pelvis with contrast (72193) |
$1,598.40 |
$3,996 |
9.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,976.20 |
$4,940.50 |
8.3× |
| CT abdomen and pelvis with contrast (74177) |
$2,079.40 |
$5,198.50 |
5.9× |
| Ultrasound, abdomen complete (76700) |
$798.40 |
$1,996 |
7.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$400.80 |
$1,002 |
3.8× |
| Ultrasound, transvaginal (76830) |
$549.20 |
$1,373 |
5.2× |
| Mammography, one breast (diagnostic) (77065) |
$213.40 |
$533.50 |
2.5× |
| Mammography, both breasts (diagnostic) (77066) |
$292.40 |
$731 |
2.6× |
| Mammography, screening (bilateral) (77067) |
$196.20 |
$490.50 |
2.2× |
| Basic metabolic panel (80048) |
$35.60 |
$89 |
4.2× |
| Comprehensive metabolic panel (80053) |
$107.60 |
$269 |
10.2× |
| Obstetric panel (80055) |
$174 |
$435 |
3.6× |
| Lipid panel (80061) |
$35.60 |
$89 |
2.7× |
| Renal function panel (80069) |
$50.80 |
$127 |
5.9× |
| Hepatic function panel (80076) |
$75.60 |
$189 |
9.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$12 |
$30 |
3.4× |
| PSA, total (84153) |
$60.80 |
$152 |
3.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$64.80 |
$162 |
3.9× |
| CBC with automated differential (85025) |
$24.80 |
$62 |
3.2× |
| CBC, automated (85027) |
$17.20 |
$43 |
2.7× |
| Prothrombin time (PT) (85610) |
$38 |
$95 |
8.9× |
| Partial thromboplastin time (PTT) (85730) |
$63 |
$157.50 |
10.5× |
| Left heart catheterization (93452) |
$4,738 |
$11,845 |
1.5× |
| Sleep study (attended polysomnography) (95810) |
$574 |
$1,435 |
0.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$58.40 |
$146 |
2.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$59.20 |
$148 |
0.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$129.20 |
$323 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$103.60 |
$259 |
0.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$48 |
$120 |
0.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$60 |
$150 |
0.4× |