| Breast lesion removal (open) (19120) |
$1,006.85 |
$1,549 |
0.2× |
| Knee arthroscopy with meniscectomy (29881) |
$1,695.20 |
$2,608 |
0.5× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$427.05 |
$657 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,994.20 |
$3,068 |
2.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,385.15 |
$2,131 |
1.4× |
| Diagnostic colonoscopy (45378) |
$1,335.42 |
$2,054.50 |
1.3× |
| Colonoscopy with biopsy (45380) |
$1,674.08 |
$2,575.50 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,564.55 |
$2,407 |
1.2× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$2,345.20 |
$3,608 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,152.45 |
$1,773 |
0.3× |
Laparoscopic radical prostatectomy (55866)
likely a partial charge, not the full procedure |
$812.50 |
$1,250 |
0.1× |
| Obstetric care, vaginal delivery (global) (59400) |
$2,873 |
$4,420 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$3,008.20 |
$4,628 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$519.35 |
$799 |
0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$898.95 |
$1,383 |
0.9× |
| CT head/brain without contrast (70450) |
$1,831.70 |
$2,818 |
15.7× |
| MRI brain without contrast (70551) |
$732.55 |
$1,127 |
2.8× |
| MRI brain with contrast (70552) |
$558.35 |
$859 |
1.4× |
| MRI brain without and with contrast (70553) |
$1,064.05 |
$1,637 |
2.7× |
| X-ray lower spine, 4+ views (72110) |
$1,628.90 |
$2,506 |
14.0× |
| MRI lumbar spine without contrast (72148) |
$937.95 |
$1,443 |
3.5× |
| CT pelvis with contrast (72193) |
$3,097.25 |
$4,765 |
15.8× |
| MRI lower-extremity joint without contrast (73721) |
$686.40 |
$1,056 |
2.6× |
| CT abdomen and pelvis with contrast (74177) |
$5,583.50 |
$8,590 |
14.4× |
| Ultrasound, abdomen complete (76700) |
$748.80 |
$1,152 |
6.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$686.40 |
$1,056 |
5.9× |
| Ultrasound, transvaginal (76830) |
$522.92 |
$804.50 |
4.5× |
| Mammography, one breast (diagnostic) (77065) |
$326.30 |
$502 |
3.8× |
| Mammography, both breasts (diagnostic) (77066) |
$674.38 |
$1,037.50 |
6.1× |
| Mammography, screening (bilateral) (77067) |
$339.30 |
$522 |
3.7× |
| Basic metabolic panel (80048) |
$141.70 |
$218 |
16.7× |
| Comprehensive metabolic panel (80053) |
$234.65 |
$361 |
22.2× |
| Obstetric panel (80055) |
$98.15 |
$151 |
2.1× |
| Lipid panel (80061) |
$222.95 |
$343 |
16.7× |
| Renal function panel (80069) |
$99.45 |
$153 |
11.5× |
| Hepatic function panel (80076) |
$77.35 |
$119 |
9.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$92.95 |
$143 |
26.7× |
| PSA, total (84153) |
$308.75 |
$475 |
16.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$78.65 |
$121 |
4.7× |
| CBC with automated differential (85025) |
$118.95 |
$183 |
15.3× |
| CBC, automated (85027) |
$100.75 |
$155 |
15.6× |
| Prothrombin time (PT) (85610) |
$33.48 |
$51.50 |
7.8× |
| Partial thromboplastin time (PTT) (85730) |
$68.90 |
$106 |
11.5× |
| Psychotherapy, 30 minutes (90832) |
$89.70 |
$138 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$120.25 |
$185 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$176.15 |
$271 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$144.30 |
$222 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$148.20 |
$228 |
0.7× |
| Electrocardiogram (ECG), complete (93000) |
$30.55 |
$47 |
0.5× |
| Left heart catheterization (93452) |
$13,075.08 |
$20,115.50 |
3.6× |
| Sleep study (attended polysomnography) (95810) |
$2,737.48 |
$4,211.50 |
2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$121.22 |
$186.50 |
4.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$157.30 |
$242 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$187.20 |
$288 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$221.65 |
$341 |
1.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$144.30 |
$222 |
1.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$166.40 |
$256 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$213.20 |
$328 |
— |