| Breast lesion removal (open) (19120) |
$7,889.50 |
$13,149.18 |
2.0× |
| Shoulder arthroscopy with decompression (29826) |
$25,264.66 |
$42,107.78 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$9,360.84 |
$15,601.40 |
2.9× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$8,471.38 |
$14,118.96 |
1.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,684.18 |
$4,473.64 |
2.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$4,781.10 |
$7,968.51 |
5.3× |
| Diagnostic colonoscopy (45378) |
$2,893.80 |
$4,823 |
3.1× |
| Colonoscopy with biopsy (45380) |
$5,328.25 |
$8,880.42 |
4.4× |
| Colonoscopy with lesion removal (45385) |
$4,869.38 |
$8,115.62 |
4.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$6,265.04 |
$10,441.73 |
5.2× |
| Laparoscopic gallbladder removal (47562) |
$17,965.38 |
$29,942.30 |
3.0× |
| Inguinal hernia repair (age 5+) (49505) |
$13,685.66 |
$22,809.43 |
3.8× |
| Laparoscopic radical prostatectomy (55866) |
$40,367.99 |
$67,279.98 |
3.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$15,626.97 |
$26,044.95 |
17.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$15,292.22 |
$25,487.04 |
17.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$580.50 |
$967.50 |
1.1× |
| Cataract removal with lens insertion (66984) |
$15,727.44 |
$26,212.40 |
6.8× |
| CT head/brain without contrast (70450) |
$1,605.60 |
$2,676 |
15.3× |
| MRI brain without contrast (70551) |
$2,178 |
$3,630 |
9.1× |
| MRI brain with contrast (70552) |
$2,613 |
$4,355 |
7.5× |
| MRI brain without and with contrast (70553) |
$4,094.40 |
$6,824 |
11.7× |
| X-ray lower spine, 4+ views (72110) |
$629.40 |
$1,049 |
6.0× |
| MRI lumbar spine without contrast (72148) |
$3,413.62 |
$5,689.36 |
14.3× |
| CT pelvis with contrast (72193) |
$2,161.62 |
$3,602.71 |
12.3× |
| MRI lower-extremity joint without contrast (73721) |
$2,834.40 |
$4,724 |
11.8× |
| CT abdomen and pelvis with contrast (74177) |
$3,784.80 |
$6,308 |
10.8× |
| Ultrasound, abdomen complete (76700) |
$1,139.40 |
$1,899 |
10.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$955.80 |
$1,593 |
9.1× |
| Ultrasound, transvaginal (76830) |
$2,008.20 |
$3,347 |
19.1× |
| Mammography, one breast (diagnostic) (77065) |
$383.40 |
$639 |
4.4× |
| Mammography, both breasts (diagnostic) (77066) |
$649.80 |
$1,083 |
5.9× |
| Mammography, screening (bilateral) (77067) |
$2,979.32 |
$4,965.54 |
32.7× |
| Basic metabolic panel (80048) |
$154.80 |
$258 |
18.3× |
| Comprehensive metabolic panel (80053) |
$186 |
$310 |
17.6× |
| Lipid panel (80061) |
$508.80 |
$848 |
38.0× |
| Renal function panel (80069) |
$82.80 |
$138 |
9.5× |
| Hepatic function panel (80076) |
$161.40 |
$269 |
19.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$28.20 |
$47 |
8.1× |
| PSA, total (84153) |
$104.40 |
$174 |
5.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$82.80 |
$138 |
4.9× |
| CBC with automated differential (85025) |
$96.60 |
$161 |
12.4× |
| CBC, automated (85027) |
$69.60 |
$116 |
10.8× |
| Prothrombin time (PT) (85610) |
$805.80 |
$1,343 |
187.8× |
| Partial thromboplastin time (PTT) (85730) |
$2,009.40 |
$3,349 |
334.3× |
| Psychotherapy, 30 minutes (90832) |
$105.60 |
$176 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$120 |
$200 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$181.80 |
$303 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$324.60 |
$541 |
1.8× |
| Group psychotherapy (90853) |
$166.50 |
$277.50 |
1.6× |
| Left heart catheterization (93452) |
$36,674.89 |
$61,124.81 |
11.3× |
| Sleep study (attended polysomnography) (95810) |
$3,333 |
$5,555 |
3.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$114.60 |
$191 |
3.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$50.40 |
$84 |
0.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$55.80 |
$93 |
0.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$60 |
$100 |
0.4× |