| Breast lesion removal (open) (19120) |
$13,869.36 |
$19,813.36 |
3.1× |
| Shoulder arthroscopy with decompression (29826) |
$46,287.02 |
$66,124.32 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$41,261.07 |
$58,944.38 |
10.9× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$10,648.17 |
$15,211.67 |
1.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,555.30 |
$5,079 |
3.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$6,859.94 |
$9,799.92 |
6.5× |
| Diagnostic colonoscopy (45378) |
$3,819.90 |
$5,457 |
3.5× |
| Colonoscopy with biopsy (45380) |
$5,286.89 |
$7,552.70 |
3.8× |
| Colonoscopy with lesion removal (45385) |
$4,681.25 |
$6,687.50 |
3.4× |
| Colonoscopy with endoscopic ultrasound (45391) |
$9,487.46 |
$13,553.52 |
6.8× |
| Laparoscopic gallbladder removal (47562) |
$22,946 |
$32,780 |
3.3× |
| Inguinal hernia repair (age 5+) (49505) |
$20,258.04 |
$28,940.06 |
4.9× |
| Laparoscopic radical prostatectomy (55866) |
$61,057.72 |
$87,225.31 |
4.9× |
| Obstetric care, vaginal delivery (global) (59400) |
— |
$5,343 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
— |
$5,898 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
— |
$5,587 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,572.87 |
$5,104.10 |
3.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$440.30 |
$629 |
0.7× |
| Cataract removal with lens insertion (66984) |
$16,790.24 |
$23,986.06 |
6.3× |
| CT head/brain without contrast (70450) |
$700.70 |
$1,001 |
5.8× |
| MRI brain without contrast (70551) |
$1,054.20 |
$1,506 |
3.8× |
| MRI brain with contrast (70552) |
$1,120.70 |
$1,601 |
2.8× |
| MRI brain without and with contrast (70553) |
$1,682.10 |
$2,403 |
4.2× |
| X-ray lower spine, 4+ views (72110) |
$538.30 |
$769 |
4.4× |
| MRI lumbar spine without contrast (72148) |
$1,019.90 |
$1,457 |
3.7× |
| CT pelvis with contrast (72193) |
$779.80 |
$1,114 |
3.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,013.60 |
$1,448 |
3.7× |
| CT abdomen and pelvis with contrast (74177) |
$1,605.80 |
$2,294 |
4.0× |
| Ultrasound, abdomen complete (76700) |
$802.20 |
$1,146 |
6.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$893.90 |
$1,277 |
7.4× |
| Ultrasound, transvaginal (76830) |
$745.50 |
$1,065 |
6.1× |
| Mammography, one breast (diagnostic) (77065) |
$457.80 |
$654 |
5.3× |
| Mammography, both breasts (diagnostic) (77066) |
$458.50 |
$655 |
4.1× |
| Mammography, screening (bilateral) (77067) |
$348.60 |
$498 |
3.8× |
| Basic metabolic panel (80048) |
$85.40 |
$122 |
10.1× |
| Comprehensive metabolic panel (80053) |
$65.80 |
$94 |
6.2× |
| Obstetric panel (80055) |
$110.60 |
$158 |
2.3× |
| Lipid panel (80061) |
$67.20 |
$96 |
5.0× |
| Renal function panel (80069) |
$23.10 |
$33 |
2.7× |
| Hepatic function panel (80076) |
$28.70 |
$41 |
3.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$9.10 |
$13 |
2.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$15.40 |
$22 |
4.4× |
| PSA, total (84153) |
$58.80 |
$84 |
3.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$74.20 |
$106 |
4.4× |
| CBC with automated differential (85025) |
$65.10 |
$93 |
8.4× |
| CBC, automated (85027) |
$49.70 |
$71 |
7.7× |
| Prothrombin time (PT) (85610) |
$53.90 |
$77 |
12.6× |
| Partial thromboplastin time (PTT) (85730) |
$90.30 |
$129 |
15.0× |
| Psychotherapy, 30 minutes (90832) |
$284.20 |
$406 |
1.4× |
| Psychotherapy, 45 minutes (90834) |
$284.20 |
$406 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$284.20 |
$406 |
1.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$168 |
$240 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$102.90 |
$147 |
0.5× |
| Electrocardiogram (ECG), complete (93000) |
— |
$44 |
— |
| Left heart catheterization (93452) |
$14,056 |
$20,080 |
3.7× |
| Sleep study (attended polysomnography) (95810) |
$3,477.95 |
$1,680 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$124.60 |
$178 |
4.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
— |
$244 |
— |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
— |
$362 |
— |
| Office visit, new patient (high complexity, ~60 min) (99205) |
— |
$477 |
— |
| Office consultation (low complexity, ~30 min) (99243) |
— |
$343 |
— |
| Office consultation (moderate complexity, ~40 min) (99244) |
— |
$505 |
— |