| Breast lesion removal (open) (19120) |
$7,085.50 |
$8,856.87 |
2.1× |
| Shoulder arthroscopy with decompression (29826) |
$12,171.32 |
$15,214.15 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$8,586.26 |
$10,732.82 |
3.0× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$5,616.74 |
$7,020.93 |
1.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,451.22 |
$4,314.03 |
4.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,769.79 |
$4,712.24 |
4.8× |
| Diagnostic colonoscopy (45378) |
$3,322.34 |
$4,152.92 |
4.1× |
| Colonoscopy with biopsy (45380) |
$3,543.61 |
$4,429.51 |
3.4× |
| Colonoscopy with lesion removal (45385) |
$3,532.93 |
$4,416.16 |
3.4× |
| Colonoscopy with endoscopic ultrasound (45391) |
$12,771.82 |
$15,964.78 |
12.4× |
| Laparoscopic gallbladder removal (47562) |
$9,578.50 |
$11,973.13 |
1.8× |
| Inguinal hernia repair (age 5+) (49505) |
$7,836.89 |
$9,796.11 |
2.5× |
| Obstetric care, vaginal delivery (global) (59400) |
$7,788.76 |
$9,735.95 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$12,243.26 |
$15,304.07 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$7,788.76 |
$9,735.95 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,215.20 |
$1,519 |
1.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,361.60 |
$1,702 |
1.8× |
| CT head/brain without contrast (70450) |
$876.80 |
$1,096 |
9.7× |
| MRI brain without contrast (70551) |
$1,632.80 |
$2,041 |
7.9× |
| MRI brain with contrast (70552) |
$2,351.20 |
$2,939 |
7.8× |
| MRI brain without and with contrast (70553) |
$2,352.80 |
$2,941 |
7.8× |
| X-ray lower spine, 4+ views (72110) |
$379.20 |
$474 |
4.2× |
| MRI lumbar spine without contrast (72148) |
$1,568.80 |
$1,961 |
7.6× |
| CT pelvis with contrast (72193) |
$1,860 |
$2,325 |
12.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,424 |
$1,780 |
6.9× |
| CT abdomen and pelvis with contrast (74177) |
$2,395.20 |
$2,994 |
8.0× |
| Ultrasound, abdomen complete (76700) |
$553.60 |
$692 |
6.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$559.20 |
$699 |
6.2× |
| Ultrasound, transvaginal (76830) |
$518.40 |
$648 |
5.8× |
| Mammography, one breast (diagnostic) (77065) |
$219.20 |
$274 |
2.5× |
| Mammography, both breasts (diagnostic) (77066) |
$253.60 |
$317 |
2.3× |
| Mammography, screening (bilateral) (77067) |
$188 |
$235 |
2.1× |
| Basic metabolic panel (80048) |
$187.20 |
$234 |
22.1× |
| Comprehensive metabolic panel (80053) |
$124 |
$155 |
11.7× |
| Lipid panel (80061) |
$43.20 |
$54 |
3.2× |
| Hepatic function panel (80076) |
$128.80 |
$161 |
15.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$29.60 |
$37 |
7.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$22.40 |
$28 |
6.4× |
| PSA, total (84153) |
$120.80 |
$151 |
6.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$116 |
$145 |
6.9× |
| CBC with automated differential (85025) |
$52 |
$65 |
6.7× |
| CBC, automated (85027) |
$76 |
$95 |
11.7× |
| Prothrombin time (PT) (85610) |
$54.40 |
$68 |
12.7× |
| Partial thromboplastin time (PTT) (85730) |
$72.80 |
$91 |
12.1× |
| Sleep study (attended polysomnography) (95810) |
$2,528.80 |
$3,161 |
3.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$88.80 |
$111 |
3.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$235.60 |
$294.50 |
2.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$311.20 |
$389 |
2.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$347.60 |
$434.50 |
3.0× |