| Breast lesion removal (open) (19120) |
$2,276.99 |
$3,035.99 |
0.6× |
| Shoulder arthroscopy with decompression (29826) |
$3,344.74 |
$4,459.66 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,011.05 |
$4,014.74 |
1.0× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$4,192.11 |
$5,589.48 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,282.50 |
$1,710 |
1.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,536.39 |
$2,048.52 |
1.8× |
| Diagnostic colonoscopy (45378) |
$1,200 |
$1,600 |
1.4× |
| Colonoscopy with biopsy (45380) |
$1,188.10 |
$1,584.13 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,875 |
$2,500 |
1.7× |
| Laparoscopic gallbladder removal (47562) |
$4,197.56 |
$5,596.74 |
0.7× |
| Inguinal hernia repair (age 5+) (49505) |
$2,678.24 |
$3,570.99 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,072.01 |
$2,762.68 |
2.5× |
| Cataract removal with lens insertion (66984) |
$3,672.19 |
$4,896.25 |
1.7× |
| CT head/brain without contrast (70450) |
$639 |
$852 |
6.5× |
| MRI brain without contrast (70551) |
$1,304.25 |
$1,739 |
5.8× |
| MRI brain with contrast (70552) |
$1,886.25 |
$2,515 |
5.7× |
| MRI brain without and with contrast (70553) |
$2,180.25 |
$2,907 |
6.6× |
| X-ray lower spine, 4+ views (72110) |
$621 |
$828 |
6.3× |
| MRI lumbar spine without contrast (72148) |
$1,304.25 |
$1,739 |
5.8× |
| CT pelvis with contrast (72193) |
$1,101.75 |
$1,469 |
6.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,304.25 |
$1,739 |
5.8× |
| CT abdomen and pelvis with contrast (74177) |
$1,725.75 |
$2,301 |
5.2× |
| Ultrasound, abdomen complete (76700) |
$423.38 |
$564.50 |
4.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$570 |
$760 |
5.8× |
| Ultrasound, transvaginal (76830) |
$534.75 |
$713 |
5.4× |
| Basic metabolic panel (80048) |
$105 |
$140 |
12.4× |
| Comprehensive metabolic panel (80053) |
$130.50 |
$174 |
12.4× |
| Lipid panel (80061) |
$157.50 |
$210 |
11.8× |
| Renal function panel (80069) |
$108 |
$144 |
12.4× |
| Hepatic function panel (80076) |
$100.50 |
$134 |
12.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$26.25 |
$35 |
7.5× |
| PSA, total (84153) |
$228 |
$304 |
12.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$207.75 |
$277 |
12.4× |
| CBC with automated differential (85025) |
$96.75 |
$129 |
12.5× |
| CBC, automated (85027) |
$80.25 |
$107 |
12.4× |
| Prothrombin time (PT) (85610) |
$48.75 |
$65 |
11.4× |
| Partial thromboplastin time (PTT) (85730) |
$74.25 |
$99 |
12.4× |
| Sleep study (attended polysomnography) (95810) |
$3,633.75 |
$4,845 |
4.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$150 |
$200 |
5.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$351.75 |
$469 |
2.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$466.50 |
$622 |
3.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$638.25 |
$851 |
5.1× |