| Breast lesion removal (open) (19120) |
$7,132.02 |
$11,886.70 |
1.8× |
| Shoulder arthroscopy with decompression (29826) |
$14,530.86 |
$24,218.10 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$7,734.30 |
$12,890.50 |
2.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$5,740.18 |
$9,566.96 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,731.36 |
$4,552.26 |
3.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,968.28 |
$4,947.13 |
3.3× |
| Diagnostic colonoscopy (45378) |
$2,843.55 |
$4,739.25 |
3.0× |
| Colonoscopy with biopsy (45380) |
$3,079.96 |
$5,133.26 |
2.6× |
| Colonoscopy with lesion removal (45385) |
$3,236.55 |
$5,394.25 |
2.7× |
| Laparoscopic gallbladder removal (47562) |
$11,677.82 |
$19,463.03 |
1.9× |
| Inguinal hernia repair (age 5+) (49505) |
$10,025.45 |
$16,709.08 |
2.8× |
| Laparoscopic radical prostatectomy (55866) |
$21,196.13 |
$35,326.89 |
2.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,665.14 |
$2,775.23 |
1.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,381.80 |
$2,303 |
2.5× |
| Cataract removal with lens insertion (66984) |
$3,071.50 |
$5,119.16 |
1.3× |
| CT head/brain without contrast (70450) |
$1,354.20 |
$2,257 |
12.9× |
| MRI brain without contrast (70551) |
$2,358.60 |
$3,931 |
9.9× |
| MRI brain with contrast (70552) |
$2,472.60 |
$4,121 |
7.1× |
| MRI brain without and with contrast (70553) |
$3,657 |
$6,095 |
10.5× |
| X-ray lower spine, 4+ views (72110) |
$513 |
$855 |
4.9× |
| MRI lumbar spine without contrast (72148) |
$2,473.20 |
$4,122 |
10.3× |
| CT pelvis with contrast (72193) |
$2,283 |
$3,805 |
13.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,805.60 |
$4,676 |
11.7× |
| CT abdomen and pelvis with contrast (74177) |
$4,248 |
$7,080 |
12.1× |
| Ultrasound, abdomen complete (76700) |
$1,041 |
$1,735 |
9.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$572.40 |
$954 |
5.5× |
| Ultrasound, transvaginal (76830) |
$666 |
$1,110 |
6.4× |
| Mammography, one breast (diagnostic) (77065) |
$258.60 |
$431 |
3.0× |
| Mammography, both breasts (diagnostic) (77066) |
$381 |
$635 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$270.90 |
$451.50 |
3.0× |
| Basic metabolic panel (80048) |
$108 |
$180 |
12.8× |
| Comprehensive metabolic panel (80053) |
$145.80 |
$243 |
13.8× |
| Obstetric panel (80055) |
$175.20 |
$292 |
3.7× |
| Lipid panel (80061) |
$98.40 |
$164 |
7.3× |
| Renal function panel (80069) |
$108 |
$180 |
12.4× |
| Hepatic function panel (80076) |
$98.40 |
$164 |
12.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$16.80 |
$28 |
4.8× |
| PSA, total (84153) |
$114.60 |
$191 |
6.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$109.20 |
$182 |
6.5× |
| CBC with automated differential (85025) |
$52.50 |
$87.50 |
6.8× |
| CBC, automated (85027) |
$72.60 |
$121 |
11.2× |
| Prothrombin time (PT) (85610) |
$38.70 |
$64.50 |
9.0× |
| Partial thromboplastin time (PTT) (85730) |
$63 |
$105 |
10.5× |
| Sleep study (attended polysomnography) (95810) |
$3,367.20 |
$5,612 |
3.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$86.70 |
$144.50 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$116.10 |
$193.50 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$141.90 |
$236.50 |
1.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$105 |
$175 |
0.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$72 |
$120 |
0.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$90 |
$150 |
0.7× |