| Breast lesion removal (open) (19120) |
$6,550 |
$13,100 |
1.9× |
| Shoulder arthroscopy with decompression (29826) |
$4,346.62 |
$8,693.25 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,783.25 |
$7,566.50 |
1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,362.50 |
$4,725 |
3.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,362.50 |
$4,725 |
3.0× |
| Diagnostic colonoscopy (45378) |
$2,362.50 |
$4,725 |
2.9× |
| Colonoscopy with biopsy (45380) |
$2,278.25 |
$4,556.50 |
2.2× |
| Colonoscopy with lesion removal (45385) |
$2,362.50 |
$4,725 |
2.3× |
| Laparoscopic gallbladder removal (47562) |
$11,000 |
$22,000 |
2.1× |
| Inguinal hernia repair (age 5+) (49505) |
$7,058.12 |
$14,116.24 |
2.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$2,684 |
$5,368 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$2,827.50 |
$5,655 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,780.58 |
$3,561.16 |
2.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,362.50 |
$4,725 |
3.0× |
| CT head/brain without contrast (70450) |
$222.25 |
$444.50 |
2.4× |
| MRI brain without contrast (70551) |
$161.25 |
$322.50 |
0.8× |
| MRI brain with contrast (70552) |
$921.50 |
$1,843 |
3.0× |
| MRI brain without and with contrast (70553) |
$3,231 |
$6,462 |
10.6× |
| X-ray lower spine, 4+ views (72110) |
$386.40 |
$772.80 |
4.2× |
| MRI lumbar spine without contrast (72148) |
$1,873.20 |
$3,746.40 |
9.0× |
| CT pelvis with contrast (72193) |
$1,883.50 |
$3,767 |
12.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,123.98 |
$2,247.95 |
5.4× |
| CT abdomen and pelvis with contrast (74177) |
$4,131.40 |
$8,262.80 |
13.5× |
| Ultrasound, abdomen complete (76700) |
$194 |
$388 |
2.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$291 |
$582 |
3.2× |
| Ultrasound, transvaginal (76830) |
$154 |
$308 |
1.7× |
| Mammography, one breast (diagnostic) (77065) |
$56.38 |
$112.75 |
0.7× |
| Mammography, both breasts (diagnostic) (77066) |
$214.50 |
$429 |
1.9× |
| Mammography, screening (bilateral) (77067) |
$94.25 |
$188.50 |
1.0× |
| Basic metabolic panel (80048) |
$34.25 |
$68.50 |
4.0× |
| Comprehensive metabolic panel (80053) |
$90 |
$180 |
8.5× |
| Lipid panel (80061) |
$42 |
$84 |
3.1× |
| Renal function panel (80069) |
$21 |
$42 |
2.4× |
| Hepatic function panel (80076) |
$16.75 |
$33.50 |
2.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$9.25 |
$18.50 |
2.7× |
| PSA, total (84153) |
$9.25 |
$18.50 |
0.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$21 |
$42 |
1.3× |
| CBC with automated differential (85025) |
$70.25 |
$140.50 |
9.0× |
| CBC, automated (85027) |
$12.94 |
$25.88 |
2.0× |
| Prothrombin time (PT) (85610) |
$7 |
$14 |
1.6× |
| Partial thromboplastin time (PTT) (85730) |
$20.50 |
$41 |
3.4× |
| Sleep study (attended polysomnography) (95810) |
$1,416.25 |
$2,832.50 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$40.50 |
$81 |
1.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$97.50 |
$195 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$165 |
$330 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$215 |
$430 |
1.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$121.50 |
$243 |
1.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$195 |
$390 |
1.7× |