| Breast lesion removal (open) (19120) |
$11,604.62 |
$13,652.50 |
2.8× |
| Shoulder arthroscopy with decompression (29826) |
$2,846.44 |
$3,348.75 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,512.62 |
$4,132.50 |
1.0× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low — confirm this is the full procedure |
$2,458.28 |
$2,892.09 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,878.50 |
$2,210 |
2.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,696.18 |
$1,995.50 |
1.8× |
| Diagnostic colonoscopy (45378) |
$1,851.09 |
$2,177.75 |
1.9× |
| Colonoscopy with biopsy (45380) |
$1,696.18 |
$1,995.50 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,696.18 |
$1,995.50 |
1.3× |
| Laparoscopic gallbladder removal (47562) |
$16,686.35 |
$19,631 |
2.6× |
| Inguinal hernia repair (age 5+) (49505) |
$19,462.88 |
$22,897.50 |
5.2× |
| Laparoscopic radical prostatectomy (55866) |
$22,913.88 |
$26,957.50 |
2.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$515.10 |
$606 |
0.6× |
| CT head/brain without contrast (70450) |
$752.25 |
$885 |
6.8× |
| MRI brain without contrast (70551) |
$752.25 |
$885 |
3.0× |
| MRI brain with contrast (70552) |
$752.25 |
$885 |
2.0× |
| MRI brain without and with contrast (70553) |
$752.25 |
$885 |
2.0× |
| X-ray lower spine, 4+ views (72110) |
$270.72 |
$318.50 |
2.5× |
| MRI lumbar spine without contrast (72148) |
$752.25 |
$885 |
3.0× |
| CT pelvis with contrast (72193) |
$752.25 |
$885 |
4.1× |
| MRI lower-extremity joint without contrast (73721) |
$752.25 |
$885 |
3.0× |
| CT abdomen and pelvis with contrast (74177) |
$752.25 |
$885 |
2.0× |
| Ultrasound, abdomen complete (76700) |
$358.70 |
$422 |
3.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$358.70 |
$422 |
3.3× |
| Ultrasound, transvaginal (76830) |
$358.70 |
$422 |
3.3× |
| Mammography, one breast (diagnostic) (77065) |
$224.40 |
$264 |
2.6× |
| Mammography, both breasts (diagnostic) (77066) |
$286.02 |
$336.50 |
2.6× |
| Mammography, screening (bilateral) (77067) |
$237.58 |
$279.50 |
2.6× |
| Basic metabolic panel (80048) |
$92.65 |
$109 |
11.0× |
| Comprehensive metabolic panel (80053) |
$117.30 |
$138 |
11.1× |
| Obstetric panel (80055) |
$203.15 |
$239 |
4.2× |
| Lipid panel (80061) |
$58.22 |
$68.50 |
4.3× |
| Renal function panel (80069) |
$101.15 |
$119 |
11.7× |
| Hepatic function panel (80076) |
$106.68 |
$125.50 |
13.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$90.95 |
$107 |
22.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$75.22 |
$88.50 |
21.6× |
| PSA, total (84153) |
$119.85 |
$141 |
6.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$115.60 |
$136 |
6.9× |
| CBC with automated differential (85025) |
$70.55 |
$83 |
9.1× |
| CBC, automated (85027) |
$59.50 |
$70 |
9.2× |
| Prothrombin time (PT) (85610) |
$42.50 |
$50 |
9.9× |
| Partial thromboplastin time (PTT) (85730) |
$166.18 |
$195.50 |
27.6× |
| Left heart catheterization (93452) |
$11,670.50 |
$13,730 |
3.4× |
| Sleep study (attended polysomnography) (95810) |
$2,968.20 |
$3,492 |
3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$115.60 |
$136 |
4.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$138.55 |
$163 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$289.85 |
$341 |
2.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$576.30 |
$678 |
4.1× |