| Breast lesion removal (open) (19120) |
$17,468.15 |
$24,954.50 |
3.8× |
| Shoulder arthroscopy with decompression (29826) |
$5,250 |
$7,500 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$6,899.72 |
$9,856.75 |
1.8× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$3,995.60 |
$5,708 |
0.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,778.30 |
$3,969 |
2.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,871.80 |
$2,674 |
1.7× |
| Diagnostic colonoscopy (45378) |
$3,709.30 |
$5,299 |
3.4× |
| Colonoscopy with biopsy (45380) |
$3,615.50 |
$5,165 |
2.6× |
| Colonoscopy with lesion removal (45385) |
$4,452.70 |
$6,361 |
3.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$7,339.50 |
$10,485 |
5.2× |
| Laparoscopic gallbladder removal (47562) |
$17,726.80 |
$25,324 |
2.5× |
| Inguinal hernia repair (age 5+) (49505) |
$11,060.35 |
$15,800.50 |
2.6× |
| Laparoscopic radical prostatectomy (55866) |
$18,811.09 |
$26,872.99 |
1.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,096.55 |
$1,566.50 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$957.25 |
$1,367.50 |
0.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$2,939.30 |
$4,199 |
4.5× |
| Cataract removal with lens insertion (66984) |
$4,256 |
$6,080 |
1.6× |
| CT head/brain without contrast (70450) |
$1,284.50 |
$1,835 |
10.4× |
| MRI brain without contrast (70551) |
$1,510.25 |
$2,157.50 |
5.4× |
| MRI brain with contrast (70552) |
$2,371.60 |
$3,388 |
5.8× |
| MRI brain without and with contrast (70553) |
$2,071.65 |
$2,959.50 |
5.0× |
| X-ray lower spine, 4+ views (72110) |
$441.70 |
$631 |
3.6× |
| MRI lumbar spine without contrast (72148) |
$1,631 |
$2,330 |
5.8× |
| CT pelvis with contrast (72193) |
$1,431.50 |
$2,045 |
6.9× |
| MRI lower-extremity joint without contrast (73721) |
$2,255.40 |
$3,222 |
8.0× |
| CT abdomen and pelvis with contrast (74177) |
$2,625 |
$3,750 |
6.4× |
| Ultrasound, abdomen complete (76700) |
$558.60 |
$798 |
4.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$602.70 |
$861 |
4.9× |
| Ultrasound, transvaginal (76830) |
$453.60 |
$648 |
3.7× |
| Mammography, one breast (diagnostic) (77065) |
$336.70 |
$481 |
3.9× |
| Mammography, both breasts (diagnostic) (77066) |
$731.85 |
$1,045.50 |
6.6× |
| Mammography, screening (bilateral) (77067) |
$266.70 |
$381 |
2.9× |
| Basic metabolic panel (80048) |
$85.40 |
$122 |
10.1× |
| Comprehensive metabolic panel (80053) |
$96.60 |
$138 |
9.1× |
| Obstetric panel (80055) |
$289.10 |
$413 |
6.0× |
| Lipid panel (80061) |
$116.90 |
$167 |
8.7× |
| Renal function panel (80069) |
$69.30 |
$99 |
8.0× |
| Hepatic function panel (80076) |
$67.20 |
$96 |
8.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$18.20 |
$26 |
5.2× |
| PSA, total (84153) |
$140 |
$200 |
7.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$127.40 |
$182 |
7.6× |
| CBC with automated differential (85025) |
$61.60 |
$88 |
7.9× |
| CBC, automated (85027) |
$71.40 |
$102 |
11.0× |
| Prothrombin time (PT) (85610) |
$41.30 |
$59 |
9.6× |
| Partial thromboplastin time (PTT) (85730) |
$47.60 |
$68 |
7.9× |
| Left heart catheterization (93452) |
$4,827.20 |
$6,896 |
1.3× |
| Sleep study (attended polysomnography) (95810) |
$2,671.20 |
$3,816 |
2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$131.25 |
$187.50 |
4.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$272.65 |
$389.50 |
1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$308.70 |
$441 |
2.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$333.90 |
$477 |
2.1× |