| Breast lesion removal (open) (19120) |
$20,192.80 |
$36,714.18 |
4.0× |
| Shoulder arthroscopy with decompression (29826) |
$32,611.97 |
$59,294.49 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$17,055.23 |
$31,009.50 |
4.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$4,174.03 |
$7,589.14 |
3.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$7,707.30 |
$14,013.27 |
6.6× |
| Diagnostic colonoscopy (45378) |
$4,408.10 |
$8,014.73 |
3.7× |
| Colonoscopy with biopsy (45380) |
$7,989 |
$14,525.46 |
5.2× |
| Colonoscopy with lesion removal (45385) |
$7,832.40 |
$14,240.73 |
5.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$10,558.81 |
$19,197.83 |
6.9× |
| Laparoscopic gallbladder removal (47562) |
$28,559.37 |
$51,926.13 |
3.7× |
| Inguinal hernia repair (age 5+) (49505) |
$21,732.33 |
$39,513.32 |
4.7× |
| Laparoscopic radical prostatectomy (55866) |
$82,256.47 |
$149,557.22 |
6.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$67,591.58 |
$122,893.78 |
59.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,074.70 |
$5,590.37 |
2.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$624.25 |
$1,135 |
0.9× |
| Cataract removal with lens insertion (66984) |
$37,598.58 |
$68,361.06 |
12.7× |
| CT head/brain without contrast (70450) |
$1,558.70 |
$2,834 |
11.6× |
| MRI brain without contrast (70551) |
$1,773.75 |
$3,225 |
5.8× |
| MRI brain with contrast (70552) |
$2,463.45 |
$4,479 |
5.5× |
| MRI brain without and with contrast (70553) |
$4,959.35 |
$9,017 |
11.1× |
| X-ray lower spine, 4+ views (72110) |
$660 |
$1,200 |
4.9× |
| MRI lumbar spine without contrast (72148) |
$2,231.90 |
$4,058 |
7.3× |
| CT pelvis with contrast (72193) |
$1,383.80 |
$2,516 |
6.1× |
| MRI lower-extremity joint without contrast (73721) |
$2,604.80 |
$4,736 |
8.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,797.85 |
$5,087 |
6.2× |
| Ultrasound, abdomen complete (76700) |
$1,225.40 |
$2,228 |
9.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$862.95 |
$1,569 |
6.4× |
| Ultrasound, transvaginal (76830) |
$968.55 |
$1,761 |
7.2× |
| Mammography, one breast (diagnostic) (77065) |
$326.15 |
$593 |
3.8× |
| Mammography, both breasts (diagnostic) (77066) |
$445.50 |
$810 |
4.0× |
| Mammography, screening (bilateral) (77067) |
$363.55 |
$661 |
4.0× |
| Basic metabolic panel (80048) |
$124.30 |
$226 |
14.7× |
| Comprehensive metabolic panel (80053) |
$173.80 |
$316 |
16.5× |
| Obstetric panel (80055) |
$162.25 |
$295 |
3.4× |
Lipid panel (80061)
range across 3 matching MRF lines |
$7.48–$102.30 |
$13.60–$186 |
varies |
| Renal function panel (80069) |
$113.85 |
$207 |
13.1× |
| Hepatic function panel (80076) |
$123.20 |
$224 |
15.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$17.60 |
$32 |
4.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$11.55 |
$21 |
3.3× |
PSA, total (84153)
range across 3 matching MRF lines |
$5.17–$102.30 |
$9.40–$186 |
varies |
Thyroid stimulating hormone (TSH) (84443)
range across 2 matching MRF lines |
$13.84–$107.25 |
$25.17–$195 |
varies |
| CBC with automated differential (85025) |
$64.35 |
$117 |
8.3× |
| CBC, automated (85027) |
$47.30 |
$86 |
7.3× |
| Prothrombin time (PT) (85610) |
$50.60 |
$92 |
11.8× |
| Partial thromboplastin time (PTT) (85730) |
$62.15 |
$113 |
10.3× |
| Psychotherapy, 30 minutes (90832) |
$165.55 |
$301 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$168.85 |
$307 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$213.40 |
$388 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$168.85 |
$307 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$193.60 |
$352 |
0.8× |
| Group psychotherapy (90853) |
$125.95 |
$229 |
1.0× |
| Left heart catheterization (93452) |
$13,109.10 |
$23,834.73 |
3.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$165.55 |
$301 |
5.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$234.85 |
$427 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$124.85 |
$227 |
0.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$134.20 |
$244 |
0.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$1,307.35 |
$2,377 |
7.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$135.30 |
$246 |
0.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$119.35 |
$217 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$154.55 |
$281 |
— |