| Breast lesion removal (open) (19120) |
$17,866.80 |
$44,667 |
4.6× |
| Shoulder arthroscopy with decompression (29826) |
$11,562.80 |
$28,907 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$11,354.40 |
$28,386 |
3.5× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$12,553.60 |
$31,384 |
2.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$19,755.73 |
$49,389.33 |
21.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,617.80 |
$6,544.50 |
2.9× |
| Diagnostic colonoscopy (45378) |
$2,187.60 |
$5,469 |
2.4× |
| Colonoscopy with biopsy (45380) |
$2,955.20 |
$7,388 |
2.5× |
| Colonoscopy with lesion removal (45385) |
$2,772.60 |
$6,931.50 |
2.3× |
| Laparoscopic gallbladder removal (47562) |
$19,970.40 |
$49,926 |
3.3× |
| Inguinal hernia repair (age 5+) (49505) |
$19,165.80 |
$47,914.50 |
5.4× |
| Cataract removal with lens insertion (66984) |
$10,212.40 |
$25,531 |
4.4× |
| CT head/brain without contrast (70450) |
$1,656 |
$4,140 |
15.9× |
| MRI brain without contrast (70551) |
$4,447.80 |
$11,119.50 |
18.7× |
| MRI brain with contrast (70552) |
$4,884 |
$12,210 |
14.1× |
| MRI brain without and with contrast (70553) |
$5,608.80 |
$14,022 |
16.1× |
| X-ray lower spine, 4+ views (72110) |
$503.60 |
$1,259 |
4.8× |
| MRI lumbar spine without contrast (72148) |
$3,422 |
$8,555 |
14.4× |
| CT pelvis with contrast (72193) |
$2,211.60 |
$5,529 |
12.7× |
| MRI lower-extremity joint without contrast (73721) |
$2,564.40 |
$6,411 |
10.8× |
| CT abdomen and pelvis with contrast (74177) |
$4,774.40 |
$11,936 |
13.7× |
| Ultrasound, abdomen complete (76700) |
$795.20 |
$1,988 |
7.6× |
| Ultrasound, transvaginal (76830) |
$823.20 |
$2,058 |
7.9× |
| Mammography, one breast (diagnostic) (77065) |
$260 |
$650 |
3.0× |
| Mammography, both breasts (diagnostic) (77066) |
$303.20 |
$758 |
2.7× |
| Mammography, screening (bilateral) (77067) |
$265.20 |
$663 |
2.9× |
| Basic metabolic panel (80048) |
$223.60 |
$559 |
26.4× |
| Comprehensive metabolic panel (80053) |
$379.20 |
$948 |
35.9× |
| Lipid panel (80061) |
$175.20 |
$438 |
13.1× |
| Renal function panel (80069) |
$268 |
$670 |
30.9× |
| Hepatic function panel (80076) |
$214.80 |
$537 |
26.3× |
| PSA, total (84153) |
$46 |
$115 |
2.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$76.80 |
$192 |
4.6× |
| CBC with automated differential (85025) |
$69.60 |
$174 |
9.0× |
| CBC, automated (85027) |
$47.20 |
$118 |
7.3× |
| Prothrombin time (PT) (85610) |
$56.40 |
$141 |
13.1× |
| Partial thromboplastin time (PTT) (85730) |
$69.60 |
$174 |
11.6× |
| Left heart catheterization (93452) |
$15,124 |
$37,810 |
4.7× |
| Sleep study (attended polysomnography) (95810) |
$2,700.40 |
$6,751 |
3.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$113.80 |
$284.50 |
3.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$173.60 |
$434 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$214.80 |
$537 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$335.20 |
$838 |
2.5× |