| Shoulder arthroscopy with decompression (29826) |
$231.83 |
$239 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$712.95 |
$735 |
0.2× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$388.97 |
$401 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$251.72 |
$259.50 |
0.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$349.20 |
$360 |
0.4× |
| Diagnostic colonoscopy (45378) |
$423.89 |
$437 |
0.4× |
| Colonoscopy with biopsy (45380) |
$398.67 |
$411 |
0.3× |
| Colonoscopy with lesion removal (45385) |
$570.36 |
$588 |
0.5× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$843.90 |
$870 |
0.1× |
| Inguinal hernia repair (age 5+) (49505) |
$670.27 |
$691 |
0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,205.78 |
$2,274 |
2.4× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$688.70 |
$710 |
1.2× |
| Cataract removal with lens insertion (66984) |
$2,453.13 |
$2,529 |
1.0× |
| CT head/brain without contrast (70450) |
$2,057.37 |
$2,121 |
19.1× |
| MRI brain without contrast (70551) |
$3,623.92 |
$3,736 |
14.7× |
| MRI brain without and with contrast (70553) |
$4,763.18 |
$4,910.50 |
13.2× |
| X-ray lower spine, 4+ views (72110) |
$894.34 |
$922 |
8.3× |
| MRI lumbar spine without contrast (72148) |
$3,623.92 |
$3,736 |
14.7× |
| CT pelvis with contrast (72193) |
$2,491.93 |
$2,569 |
13.8× |
| MRI lower-extremity joint without contrast (73721) |
$3,623.92 |
$3,736 |
14.7× |
| CT abdomen and pelvis with contrast (74177) |
$4,591.01 |
$4,733 |
12.8× |
| Ultrasound, abdomen complete (76700) |
$934.11 |
$963 |
8.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$670.27 |
$691 |
6.2× |
| Ultrasound, transvaginal (76830) |
$902.10 |
$930 |
8.4× |
| Mammography, one breast (diagnostic) (77065) |
$522.83 |
$539 |
6.1× |
| Mammography, both breasts (diagnostic) (77066) |
$550.96 |
$568 |
5.0× |
| Mammography, screening (bilateral) (77067) |
$517.01 |
$533 |
5.7× |
| Basic metabolic panel (80048) |
$212.43 |
$219 |
25.1× |
| Comprehensive metabolic panel (80053) |
$281.30 |
$290 |
26.6× |
| Lipid panel (80061) |
$208.55 |
$215 |
15.6× |
| Renal function panel (80069) |
$233.77 |
$241 |
26.9× |
| Hepatic function panel (80076) |
$208.55 |
$215 |
25.5× |
| PSA, total (84153) |
$168.78 |
$174 |
9.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$237.16 |
$244.50 |
14.1× |
| CBC with automated differential (85025) |
$127.56 |
$131.50 |
16.4× |
| CBC, automated (85027) |
$160.05 |
$165 |
24.7× |
| Prothrombin time (PT) (85610) |
$144.53 |
$149 |
33.7× |
| Partial thromboplastin time (PTT) (85730) |
$142.59 |
$147 |
23.7× |
| Sleep study (attended polysomnography) (95810) |
$5,599.81 |
$5,773 |
6.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$160.05 |
$165 |
5.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$353.56 |
$364.50 |
2.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$365.20 |
$376.50 |
2.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$207.58 |
$214 |
1.5× |