| Breast lesion removal (open) (19120) |
$887.84 |
$1,432 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$345.96 |
$558 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$760.74 |
$1,227 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$399.28 |
$644 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$660.92 |
$1,066 |
0.7× |
| Diagnostic colonoscopy (45378) |
$755.16 |
$1,218 |
0.7× |
| Colonoscopy with biopsy (45380) |
$726.64 |
$1,172 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$871.72 |
$1,406 |
0.7× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,271 |
$2,050 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$944.26 |
$1,523 |
0.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$852.19 |
$1,374.50 |
0.9× |
| CT head/brain without contrast (70450) |
$1,186.06 |
$1,913 |
10.2× |
| MRI brain without contrast (70551) |
$1,143.90 |
$1,845 |
4.3× |
| MRI brain with contrast (70552) |
$1,571.08 |
$2,534 |
4.0× |
| MRI brain without and with contrast (70553) |
$1,858.76 |
$2,998 |
4.8× |
| X-ray lower spine, 4+ views (72110) |
$572.88 |
$924 |
4.9× |
| MRI lumbar spine without contrast (72148) |
$1,466.92 |
$2,366 |
5.5× |
| CT pelvis with contrast (72193) |
$1,782.50 |
$2,875 |
9.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,539.15 |
$2,482.50 |
5.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,252.46 |
$3,633 |
5.8× |
| Ultrasound, abdomen complete (76700) |
$662.16 |
$1,068 |
5.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$659.68 |
$1,064 |
5.7× |
| Ultrasound, transvaginal (76830) |
$556.76 |
$898 |
4.8× |
| Mammography, one breast (diagnostic) (77065) |
$374.48 |
$604 |
4.3× |
| Mammography, both breasts (diagnostic) (77066) |
$453.84 |
$732 |
4.1× |
| Mammography, screening (bilateral) (77067) |
$398.04 |
$642 |
4.4× |
| Basic metabolic panel (80048) |
$63.86 |
$103 |
7.5× |
| Comprehensive metabolic panel (80053) |
$68.82 |
$111 |
6.5× |
| Lipid panel (80061) |
$87.42 |
$141 |
6.5× |
| Renal function panel (80069) |
$127.41 |
$205.50 |
14.7× |
| Hepatic function panel (80076) |
$83.70 |
$135 |
10.2× |
| PSA, total (84153) |
$143.84 |
$232 |
7.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$114.08 |
$184 |
6.8× |
| CBC with automated differential (85025) |
$48.98 |
$79 |
6.3× |
| CBC, automated (85027) |
$60.14 |
$97 |
9.3× |
| Prothrombin time (PT) (85610) |
$48.36 |
$78 |
11.3× |
| Partial thromboplastin time (PTT) (85730) |
$74.40 |
$120 |
12.4× |
| Psychotherapy, 30 minutes (90832) |
$98.58 |
$159 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$120.28 |
$194 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$143.84 |
$232 |
0.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$109.74 |
$177 |
0.6× |
| Electrocardiogram (ECG), complete (93000) |
$214.52 |
$346 |
3.3× |
| Sleep study (attended polysomnography) (95810) |
$3,179.36 |
$5,128 |
3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$97.96 |
$158 |
3.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$197.16 |
$318 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$272.80 |
$440 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$345.34 |
$557 |
2.3× |
| Office consultation (low complexity, ~30 min) (99243) |
$178.56 |
$288 |
1.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$231.88 |
$374 |
1.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$205.22 |
$331 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$222.58 |
$359 |
— |