| Breast lesion removal (open) (19120) |
$1,528.15 |
$2,351 |
0.4× |
| Shoulder arthroscopy with decompression (29826) |
$43,584.66 |
$67,053.33 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$17,633.01 |
$27,127.70 |
5.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$7,404.39 |
$11,391.37 |
7.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$9,428.19 |
$14,504.90 |
9.7× |
| Diagnostic colonoscopy (45378) |
$7,660.97 |
$11,786.10 |
7.7× |
| Colonoscopy with biopsy (45380) |
$9,949.02 |
$15,306.19 |
7.8× |
| Colonoscopy with lesion removal (45385) |
$10,342.32 |
$15,911.26 |
8.1× |
| Laparoscopic gallbladder removal (47562) |
$27,487.03 |
$42,287.74 |
4.3× |
| Inguinal hernia repair (age 5+) (49505) |
$24,990.82 |
$38,447.42 |
6.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,090.05 |
$1,677 |
1.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$6,256.62 |
$9,625.57 |
6.6× |
| CT head/brain without contrast (70450) |
$2,355.60 |
$3,624 |
21.1× |
| MRI brain without contrast (70551) |
$2,857.40 |
$4,396 |
11.2× |
| MRI brain without and with contrast (70553) |
$4,138.55 |
$6,367 |
11.1× |
| X-ray lower spine, 4+ views (72110) |
$657.15 |
$1,011 |
5.9× |
| MRI lumbar spine without contrast (72148) |
$3,077.75 |
$4,735 |
12.1× |
| CT pelvis with contrast (72193) |
$1,278.55 |
$1,967 |
6.8× |
| MRI lower-extremity joint without contrast (73721) |
$2,062.45 |
$3,173 |
8.1× |
| CT abdomen and pelvis with contrast (74177) |
$2,954.25 |
$4,545 |
7.9× |
| Ultrasound, abdomen complete (76700) |
$882.05 |
$1,357 |
7.9× |
| Ultrasound, transvaginal (76830) |
$755.30 |
$1,162 |
6.8× |
| Mammography, one breast (diagnostic) (77065) |
$352.30 |
$542 |
4.1× |
| Mammography, both breasts (diagnostic) (77066) |
$490.75 |
$755 |
4.4× |
| Mammography, screening (bilateral) (77067) |
$333.45 |
$513 |
3.7× |
| Basic metabolic panel (80048) |
$274.30 |
$422 |
32.4× |
| Comprehensive metabolic panel (80053) |
$413.40 |
$636 |
39.1× |
| Lipid panel (80061) |
$191.75 |
$295 |
14.3× |
| Renal function panel (80069) |
$299 |
$460 |
34.4× |
| Hepatic function panel (80076) |
$230.75 |
$355 |
28.2× |
| PSA, total (84153) |
$123.50 |
$190 |
6.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$256.10 |
$394 |
15.2× |
| CBC with automated differential (85025) |
$141.70 |
$218 |
18.2× |
| CBC, automated (85027) |
$107.90 |
$166 |
16.7× |
| Prothrombin time (PT) (85610) |
$82.55 |
$127 |
19.2× |
| Partial thromboplastin time (PTT) (85730) |
$143 |
$220 |
23.8× |
| Psychotherapy, 30 minutes (90832) |
$161.85 |
$249 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$213.85 |
$329 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$312.65 |
$481 |
1.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$185.25 |
$285 |
1.0× |
| Electrocardiogram (ECG), complete (93000) |
$403 |
$620 |
6.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$84.50 |
$130 |
2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$418.60 |
$644 |
2.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$386.14 |
$594.06 |
2.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,186.90 |
$1,826 |
8.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$288.60 |
$444 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$335.40 |
$516 |
— |