| Breast lesion removal (open) (19120) |
$9,878.47 |
$14,527.16 |
2.5× |
| Shoulder arthroscopy with decompression (29826) |
$18,653.25 |
$27,431.25 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$15,397.38 |
$22,643.20 |
4.7× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$27,668.11 |
$40,688.40 |
4.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,651.58 |
$2,428.80 |
1.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,651.58 |
$2,428.80 |
1.8× |
| Diagnostic colonoscopy (45378) |
$3,238.09 |
$4,761.90 |
3.5× |
| Colonoscopy with biopsy (45380) |
$5,641.06 |
$8,295.68 |
4.7× |
| Colonoscopy with lesion removal (45385) |
$3,058.26 |
$4,497.44 |
2.5× |
| Laparoscopic gallbladder removal (47562) |
$10,323.30 |
$15,181.32 |
1.7× |
| Inguinal hernia repair (age 5+) (49505) |
$25,309.89 |
$37,220.43 |
7.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,125.17 |
$3,125.25 |
2.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,393.11 |
$2,048.69 |
1.6× |
| Cataract removal with lens insertion (66984) |
$8,482.97 |
$12,474.96 |
3.7× |
| CT head/brain without contrast (70450) |
$3,056.60 |
$4,495 |
29.1× |
| MRI brain without contrast (70551) |
$3,417.68 |
$5,026 |
14.3× |
| MRI brain with contrast (70552) |
$3,973.24 |
$5,843 |
11.3× |
| MRI brain without and with contrast (70553) |
$6,093.48 |
$8,961 |
17.4× |
| X-ray lower spine, 4+ views (72110) |
$732.36 |
$1,077 |
7.0× |
| MRI lumbar spine without contrast (72148) |
$4,242.52 |
$6,239 |
17.7× |
| CT pelvis with contrast (72193) |
$3,085.84 |
$4,538 |
17.5× |
| MRI lower-extremity joint without contrast (73721) |
$2,656.76 |
$3,907 |
11.1× |
| CT abdomen and pelvis with contrast (74177) |
$5,385.60 |
$7,920 |
15.4× |
| Ultrasound, abdomen complete (76700) |
$1,086.64 |
$1,598 |
10.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,124.72 |
$1,654 |
10.7× |
| Ultrasound, transvaginal (76830) |
$665.04 |
$978 |
6.3× |
| Mammography, one breast (diagnostic) (77065) |
$328.44 |
$483 |
3.8× |
| Mammography, both breasts (diagnostic) (77066) |
$456.96 |
$672 |
4.1× |
| Mammography, screening (bilateral) (77067) |
$348.16 |
$512 |
3.8× |
| Basic metabolic panel (80048) |
$337.28 |
$496 |
39.9× |
| Comprehensive metabolic panel (80053) |
$449.48 |
$661 |
42.6× |
| Lipid panel (80061) |
$297.84 |
$438 |
22.2× |
| Renal function panel (80069) |
$329.12 |
$484 |
37.9× |
| Hepatic function panel (80076) |
$492.40 |
$724.12 |
60.3× |
| PSA, total (84153) |
$154.36 |
$227 |
8.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$341.36 |
$502 |
20.3× |
| CBC with automated differential (85025) |
$263.16 |
$387 |
33.9× |
| CBC, automated (85027) |
$165.24 |
$243 |
25.5× |
| Prothrombin time (PT) (85610) |
$125.12 |
$184 |
29.2× |
| Partial thromboplastin time (PTT) (85730) |
$149.60 |
$220 |
24.9× |
| Psychotherapy, 30 minutes (90832) |
$191.08 |
$281 |
1.1× |
| Psychotherapy, 45 minutes (90834) |
$247.52 |
$364 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$282.88 |
$416 |
1.6× |
| Group psychotherapy (90853) |
$310.08 |
$456 |
3.0× |
| Sleep study (attended polysomnography) (95810) |
$4,112.64 |
$6,048 |
4.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$103.36 |
$152 |
3.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$279.48 |
$411 |
2.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$331.84 |
$488 |
2.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$405.28 |
$596 |
3.0× |