Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$875.91 |
$903 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,068.94 |
$1,102 |
1.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$770.66 |
$794.50 |
0.8× |
| Diagnostic colonoscopy (45378) |
$1,329.87 |
$1,371 |
1.4× |
| Colonoscopy with biopsy (45380) |
$1,559.76 |
$1,608 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,735.33 |
$1,789 |
1.4× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$791.52 |
$816 |
0.1× |
| Inguinal hernia repair (age 5+) (49505) |
$2,456.04 |
$2,532 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,306.24 |
$3,408.50 |
3.6× |
| CT head/brain without contrast (70450) |
$2,613.18 |
$2,694 |
24.2× |
| MRI brain without contrast (70551) |
$3,813.07 |
$3,931 |
15.5× |
| MRI brain without and with contrast (70553) |
$4,501.28 |
$4,640.50 |
12.5× |
| X-ray lower spine, 4+ views (72110) |
$826.44 |
$852 |
7.7× |
| MRI lumbar spine without contrast (72148) |
$3,813.07 |
$3,931 |
15.5× |
| CT pelvis with contrast (72193) |
$1,811.96 |
$1,868 |
10.0× |
| MRI lower-extremity joint without contrast (73721) |
$3,813.07 |
$3,931 |
15.5× |
| CT abdomen and pelvis with contrast (74177) |
$4,666.67 |
$4,811 |
13.0× |
| Ultrasound, abdomen complete (76700) |
$934.11 |
$963 |
8.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$638.26 |
$658 |
5.9× |
| Ultrasound, transvaginal (76830) |
$830.32 |
$856 |
7.7× |
| Mammography, screening (bilateral) (77067) |
$547.08 |
$564 |
6.0× |
| Basic metabolic panel (80048) |
$201.76 |
$208 |
23.8× |
| Comprehensive metabolic panel (80053) |
$235.71 |
$243 |
22.3× |
| Lipid panel (80061) |
$228.92 |
$236 |
17.1× |
| Renal function panel (80069) |
$227.95 |
$235 |
26.3× |
| Hepatic function panel (80076) |
$210.49 |
$217 |
25.8× |
| PSA, total (84153) |
$130.95 |
$135 |
7.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$148.41 |
$153 |
8.8× |
| CBC with automated differential (85025) |
$149.38 |
$154 |
19.2× |
| CBC, automated (85027) |
$120.28 |
$124 |
18.6× |
| Prothrombin time (PT) (85610) |
$113.49 |
$117 |
26.5× |
| Partial thromboplastin time (PTT) (85730) |
$113.49 |
$117 |
18.9× |
| Psychotherapy, 30 minutes (90832) |
$176.54 |
$182 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$176.54 |
$182 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$176.54 |
$182 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$205.64 |
$212 |
1.1× |
| Sleep study (attended polysomnography) (95810) |
$5,205.02 |
$5,366 |
5.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$145.02 |
$149.50 |
5.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$132.89 |
$137 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$132.89 |
$137 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$519.92 |
$536 |
3.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$217.28 |
$224 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$251.23 |
$259 |
— |