| Breast lesion removal (open) (19120) |
$3,295.80 |
$5,493 |
0.9× |
| Shoulder arthroscopy with decompression (29826) |
$1,326.15 |
$2,210.25 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,300.50 |
$2,167.50 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,104.60 |
$1,841 |
1.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$858.98 |
$1,431.62 |
1.0× |
| Diagnostic colonoscopy (45378) |
$1,200.60 |
$2,001 |
1.4× |
| Colonoscopy with biopsy (45380) |
$1,040.40 |
$1,734 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,355.95 |
$2,259.92 |
1.2× |
| Colonoscopy with endoscopic ultrasound (45391) |
$466.50 |
$777.50 |
0.4× |
| Laparoscopic gallbladder removal (47562) |
$9,428.78 |
$15,714.64 |
1.7× |
| Inguinal hernia repair (age 5+) (49505) |
$5,373 |
$8,955 |
1.6× |
| Laparoscopic radical prostatectomy (55866) |
$12,613.20 |
$21,022 |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$795 |
$1,325 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$964.50 |
$1,607.50 |
1.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$795 |
$1,325 |
1.5× |
| Cataract removal with lens insertion (66984) |
$2,494.80 |
$4,158 |
1.2× |
| CT head/brain without contrast (70450) |
$595.80 |
$993 |
6.1× |
| MRI brain without contrast (70551) |
$1,421.40 |
$2,369 |
6.3× |
| MRI brain with contrast (70552) |
$1,574.40 |
$2,624 |
4.8× |
| MRI brain without and with contrast (70553) |
$1,657.20 |
$2,762 |
5.1× |
| X-ray lower spine, 4+ views (72110) |
$124.80 |
$208 |
1.3× |
| MRI lumbar spine without contrast (72148) |
$634.20 |
$1,057 |
2.8× |
| CT pelvis with contrast (72193) |
$778.20 |
$1,297 |
4.7× |
| MRI lower-extremity joint without contrast (73721) |
$759.30 |
$1,265.50 |
3.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,150.26 |
$1,917.10 |
3.5× |
| Ultrasound, abdomen complete (76700) |
$272.10 |
$453.50 |
2.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$153.60 |
$256 |
1.6× |
| Ultrasound, transvaginal (76830) |
$151.80 |
$253 |
1.5× |
| Mammography, one breast (diagnostic) (77065) |
$243 |
$405 |
2.8× |
| Mammography, both breasts (diagnostic) (77066) |
$339.60 |
$566 |
3.1× |
| Mammography, screening (bilateral) (77067) |
$126 |
$210 |
1.4× |
| Basic metabolic panel (80048) |
$64.20 |
$107 |
7.6× |
| Comprehensive metabolic panel (80053) |
$138.60 |
$231 |
13.1× |
| Lipid panel (80061) |
$51 |
$85 |
3.8× |
| Renal function panel (80069) |
$76.80 |
$128 |
8.8× |
| Hepatic function panel (80076) |
$68.40 |
$114 |
8.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$8.40 |
$14 |
2.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$19.80 |
$33 |
5.7× |
| PSA, total (84153) |
$78.60 |
$131 |
4.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$115.64 |
$192.72 |
6.9× |
| CBC with automated differential (85025) |
$56.40 |
$94 |
7.3× |
| CBC, automated (85027) |
$48 |
$80 |
7.4× |
| Prothrombin time (PT) (85610) |
$21.60 |
$36 |
5.0× |
| Partial thromboplastin time (PTT) (85730) |
$42 |
$70 |
7.0× |
| Left heart catheterization (93452) |
$4,745.10 |
$7,908.50 |
1.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$184.20 |
$307 |
6.3× |