| Breast lesion removal (open) (19120) |
$5,216.79 |
$10,229 |
1.1× |
| Shoulder arthroscopy with decompression (29826) |
$2,827.44 |
$5,544 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,977.49 |
$7,799 |
1.0× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$6,523.41 |
$12,791 |
0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,735.53 |
$3,403 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,928.31 |
$3,781 |
1.8× |
| Diagnostic colonoscopy (45378) |
$1,907.40 |
$3,740 |
1.8× |
| Colonoscopy with biopsy (45380) |
$2,104.77 |
$4,127 |
1.5× |
| Colonoscopy with lesion removal (45385) |
$2,004.81 |
$3,931 |
1.4× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,004.81 |
$3,931 |
1.4× |
| Laparoscopic gallbladder removal (47562) |
$9,896.04 |
$19,404 |
1.4× |
| Inguinal hernia repair (age 5+) (49505) |
$7,880.01 |
$15,451 |
1.9× |
| Laparoscopic radical prostatectomy (55866) |
$12,668.91 |
$24,841 |
1.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,104.66 |
$2,166 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,628.94 |
$3,194 |
1.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,183.20 |
$2,320 |
1.9× |
| Cataract removal with lens insertion (66984) |
$2,952.39 |
$5,789 |
1.1× |
| CT head/brain without contrast (70450) |
$678.81 |
$1,331 |
5.6× |
| MRI brain without contrast (70551) |
$989.40 |
$1,940 |
3.6× |
| MRI brain with contrast (70552) |
$1,166.88 |
$2,288 |
2.9× |
| MRI brain without and with contrast (70553) |
$1,476.45 |
$2,895 |
3.6× |
| X-ray lower spine, 4+ views (72110) |
$315.69 |
$619 |
2.6× |
| MRI lumbar spine without contrast (72148) |
$1,098.03 |
$2,153 |
4.0× |
| CT pelvis with contrast (72193) |
$1,244.91 |
$2,441 |
6.1× |
| MRI lower-extremity joint without contrast (73721) |
$941.97 |
$1,847 |
3.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,884.96 |
$3,696 |
4.7× |
| Ultrasound, abdomen complete (76700) |
$398.31 |
$781 |
3.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$439.11 |
$861 |
3.6× |
| Ultrasound, transvaginal (76830) |
$384.54 |
$754 |
3.2× |
| Mammography, one breast (diagnostic) (77065) |
$233.07 |
$457 |
2.7× |
| Mammography, both breasts (diagnostic) (77066) |
$284.07 |
$557 |
2.6× |
| Mammography, screening (bilateral) (77067) |
$239.44 |
$469.50 |
2.6× |
| Basic metabolic panel (80048) |
$29.58 |
$58 |
3.5× |
| Comprehensive metabolic panel (80053) |
$35.70 |
$70 |
3.4× |
| Obstetric panel (80055) |
$109.65 |
$215 |
2.3× |
| Lipid panel (80061) |
$54.06 |
$106 |
4.0× |
| Renal function panel (80069) |
$28.05 |
$55 |
3.2× |
| Hepatic function panel (80076) |
$26.52 |
$52 |
3.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$15.81 |
$31 |
3.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$15.30 |
$30 |
4.4× |
| PSA, total (84153) |
$59.16 |
$116 |
3.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$70.38 |
$138 |
4.2× |
| CBC with automated differential (85025) |
$49.98 |
$98 |
6.4× |
| CBC, automated (85027) |
$38.76 |
$76 |
6.0× |
| Prothrombin time (PT) (85610) |
$26.01 |
$51 |
6.1× |
| Partial thromboplastin time (PTT) (85730) |
$35.70 |
$70 |
5.9× |
| Psychotherapy, 30 minutes (90832) |
$81.60 |
$160 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$81.60 |
$160 |
0.4× |
| Psychotherapy, 60 minutes (90837) |
$81.60 |
$160 |
0.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$81.60 |
$160 |
0.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$81.60 |
$160 |
0.4× |
| Group psychotherapy (90853) |
$46.92 |
$92 |
0.4× |
| Left heart catheterization (93452) |
$6,974.76 |
$13,676 |
1.9× |
| Sleep study (attended polysomnography) (95810) |
$1,991.04 |
$3,904 |
2.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$71.91 |
$141 |
2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$72.42 |
$142 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$72.42 |
$142 |
0.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$72.42 |
$142 |
0.5× |