| Breast lesion removal (open) (19120) |
$1,202.73 |
$1,718.18 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$495.60 |
$708 |
— |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$1,197 |
$1,710 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$740.11 |
$1,057.30 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$858.04 |
$1,225.77 |
1.0× |
| Diagnostic colonoscopy (45378) |
$973.51 |
$1,390.73 |
1.1× |
| Colonoscopy with biopsy (45380) |
$1,173.35 |
$1,676.22 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,324.99 |
$1,892.84 |
1.1× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$2,204.67 |
$3,149.53 |
0.4× |
| Inguinal hernia repair (age 5+) (49505) |
$1,589.51 |
$2,270.73 |
0.4× |
Laparoscopic radical prostatectomy (55866)
likely a partial charge, not the full procedure |
$2,053.10 |
$2,933 |
0.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,559.94 |
$6,514.20 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,985.47 |
$7,122.10 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$4,559.94 |
$6,514.20 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$503.30 |
$719 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,533.12 |
$2,190.17 |
1.8× |
| CT head/brain without contrast (70450) |
$1,116.50 |
$1,595 |
10.8× |
| MRI brain without contrast (70551) |
$1,987.30 |
$2,839 |
8.4× |
| MRI brain without and with contrast (70553) |
$2,982.70 |
$4,261 |
8.7× |
| X-ray lower spine, 4+ views (72110) |
$436.10 |
$623 |
4.2× |
| MRI lumbar spine without contrast (72148) |
$1,789.12 |
$2,555.88 |
7.6× |
| CT pelvis with contrast (72193) |
$1,565.37 |
$2,236.24 |
9.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,468.60 |
$2,098 |
6.2× |
| CT abdomen and pelvis with contrast (74177) |
$2,232.30 |
$3,189 |
6.5× |
| Ultrasound, abdomen complete (76700) |
$616.70 |
$881 |
6.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$567.18 |
$810.25 |
5.5× |
| Ultrasound, transvaginal (76830) |
$486.50 |
$695 |
4.7× |
| Basic metabolic panel (80048) |
$80.50 |
$115 |
9.5× |
| Comprehensive metabolic panel (80053) |
$105.70 |
$151 |
10.0× |
| Lipid panel (80061) |
$88.90 |
$127 |
6.6× |
| Renal function panel (80069) |
$85.40 |
$122 |
9.8× |
| Hepatic function panel (80076) |
$93.80 |
$134 |
11.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$43.75 |
$62.50 |
10.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$23.56 |
$33.65 |
6.8× |
| PSA, total (84153) |
$106.75 |
$152.50 |
5.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$108.50 |
$155 |
6.5× |
| CBC with automated differential (85025) |
$60.20 |
$86 |
7.7× |
| CBC, automated (85027) |
$52.50 |
$75 |
8.1× |
| Prothrombin time (PT) (85610) |
$31.59 |
$45.12 |
7.4× |
| Partial thromboplastin time (PTT) (85730) |
$69.65 |
$99.50 |
11.6× |
| Psychotherapy, 30 minutes (90832) |
$115.29 |
$164.70 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$146.49 |
$209.27 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$219.77 |
$313.95 |
1.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$187.43 |
$267.75 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$150.68 |
$215.25 |
0.9× |
| Electrocardiogram (ECG), complete (93000) |
$105 |
$150 |
1.8× |
| Sleep study (attended polysomnography) (95810) |
$3,474.47 |
$4,963.53 |
4.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$76.30 |
$109 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$192.60 |
$275.14 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$274.72 |
$392.46 |
2.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$366.72 |
$523.90 |
2.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$194.44 |
$277.77 |
1.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$286.41 |
$409.16 |
2.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$282.72 |
$403.89 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$325.91 |
$465.58 |
— |