| Breast lesion removal (open) (19120) |
$7,038 |
$14,076 |
1.9× |
| Knee arthroscopy with meniscectomy (29881) |
$11,662 |
$23,324 |
3.7× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$9,746.50 |
$19,493 |
1.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,000 |
$4,000 |
2.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$958.34 |
$1,916.66 |
1.1× |
| Diagnostic colonoscopy (45378) |
$3,000 |
$6,000 |
3.4× |
| Colonoscopy with biopsy (45380) |
$1,333.33 |
$2,666.66 |
1.2× |
| Colonoscopy with lesion removal (45385) |
$3,666.67 |
$7,333.34 |
3.2× |
| Laparoscopic gallbladder removal (47562) |
$13,618.88 |
$27,237.75 |
2.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$1,840 |
$3,680 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,465.50 |
$2,931 |
1.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,229.50 |
$4,459 |
2.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,208.50 |
$2,417 |
2.3× |
| CT head/brain without contrast (70450) |
$282.50 |
$565 |
2.8× |
| MRI brain without contrast (70551) |
$981.50 |
$1,963 |
4.3× |
| MRI brain with contrast (70552) |
$1,299 |
$2,598 |
3.9× |
| MRI brain without and with contrast (70553) |
$1,388.75 |
$2,777.50 |
4.1× |
| X-ray lower spine, 4+ views (72110) |
$275.25 |
$550.50 |
2.7× |
| MRI lumbar spine without contrast (72148) |
$999.50 |
$1,999 |
4.4× |
| CT pelvis with contrast (72193) |
$625 |
$1,250 |
3.7× |
| MRI lower-extremity joint without contrast (73721) |
$563 |
$1,126 |
2.5× |
| CT abdomen and pelvis with contrast (74177) |
$955.50 |
$1,911 |
2.9× |
| Ultrasound, abdomen complete (76700) |
$279 |
$558 |
2.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$413.50 |
$827 |
4.1× |
| Ultrasound, transvaginal (76830) |
$269 |
$538 |
2.7× |
| Mammography, one breast (diagnostic) (77065) |
$303 |
$606 |
3.5× |
| Mammography, both breasts (diagnostic) (77066) |
$366.75 |
$733.50 |
3.3× |
| Mammography, screening (bilateral) (77067) |
$320.50 |
$641 |
3.5× |
| Basic metabolic panel (80048) |
$46.75 |
$93.50 |
5.5× |
| Comprehensive metabolic panel (80053) |
$51.25 |
$102.50 |
4.9× |
| Obstetric panel (80055) |
$301.50 |
$603 |
6.3× |
| Lipid panel (80061) |
$72 |
$144 |
5.4× |
| Renal function panel (80069) |
$44.50 |
$89 |
5.1× |
| Hepatic function panel (80076) |
$57 |
$114 |
7.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$8 |
$16 |
2.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$13.50 |
$27 |
3.9× |
| PSA, total (84153) |
$108 |
$216 |
5.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$96 |
$192 |
5.7× |
| CBC with automated differential (85025) |
$43 |
$86 |
5.5× |
| CBC, automated (85027) |
$35.25 |
$70.50 |
5.4× |
| Prothrombin time (PT) (85610) |
$22 |
$44 |
5.1× |
| Partial thromboplastin time (PTT) (85730) |
$46.75 |
$93.50 |
7.8× |
| Electrocardiogram (ECG), complete (93000) |
$23.50 |
$47 |
0.4× |
| Sleep study (attended polysomnography) (95810) |
$2,204.25 |
$4,408.50 |
2.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$93 |
$186 |
3.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$134.50 |
$269 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$215 |
$430 |
1.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$108.50 |
$217 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$116.50 |
$233 |
— |