| Breast lesion removal (open) (19120) |
$1,019.85 |
$1,569 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$517.40 |
$796 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,210.95 |
$1,863 |
0.4× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$727.35 |
$1,119 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$360.75 |
$555 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$412.75 |
$635 |
0.4× |
| Diagnostic colonoscopy (45378) |
$561.60 |
$864 |
0.6× |
| Colonoscopy with biopsy (45380) |
$613.60 |
$944 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$787.15 |
$1,211 |
0.6× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,803.10 |
$2,774 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,370.85 |
$2,109 |
0.4× |
| Obstetric care, vaginal delivery (global) (59400) |
$6,297.85 |
$9,689 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$6,954.35 |
$10,699 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$763.10 |
$1,174 |
0.8× |
| CT head/brain without contrast (70450) |
$1,200.55 |
$1,847 |
11.1× |
| MRI brain without contrast (70551) |
$1,833.65 |
$2,821 |
7.4× |
| MRI brain without and with contrast (70553) |
$2,388.10 |
$3,674 |
6.6× |
| X-ray lower spine, 4+ views (72110) |
$354.25 |
$545 |
3.3× |
| MRI lumbar spine without contrast (72148) |
$1,833.65 |
$2,821 |
7.4× |
| CT pelvis with contrast (72193) |
$1,361.75 |
$2,095 |
7.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,833.65 |
$2,821 |
7.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,700.10 |
$4,154 |
7.5× |
| Ultrasound, abdomen complete (76700) |
$757.25 |
$1,165 |
7.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$612.30 |
$942 |
5.7× |
| Ultrasound, transvaginal (76830) |
$599.95 |
$923 |
5.6× |
| Mammography, one breast (diagnostic) (77065) |
$284.05 |
$437 |
3.3× |
| Mammography, both breasts (diagnostic) (77066) |
$335.40 |
$516 |
3.0× |
| Mammography, screening (bilateral) (77067) |
$241.15 |
$371 |
2.6× |
| Basic metabolic panel (80048) |
$102.70 |
$158 |
12.1× |
| Comprehensive metabolic panel (80053) |
$150.15 |
$231 |
14.2× |
| Obstetric panel (80055) |
$477.75 |
$735 |
10.0× |
| Lipid panel (80061) |
$144.30 |
$222 |
10.8× |
| Renal function panel (80069) |
$95.55 |
$147 |
11.0× |
| Hepatic function panel (80076) |
$89.70 |
$138 |
11.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$34.45 |
$53 |
9.9× |
| PSA, total (84153) |
$194.35 |
$299 |
10.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$156.65 |
$241 |
9.3× |
| CBC with automated differential (85025) |
$111.15 |
$171 |
14.3× |
| CBC, automated (85027) |
$71.50 |
$110 |
11.1× |
| Prothrombin time (PT) (85610) |
$43.55 |
$67 |
10.2× |
| Partial thromboplastin time (PTT) (85730) |
$97.50 |
$150 |
16.2× |
| Psychotherapy, 30 minutes (90832) |
$177.45 |
$273 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$233.35 |
$359 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$344.50 |
$530 |
1.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$250.25 |
$385 |
1.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$260.65 |
$401 |
1.4× |
| Electrocardiogram (ECG), complete (93000) |
$201.50 |
$310 |
3.3× |
| Sleep study (attended polysomnography) (95810) |
$1,736.80 |
$2,672 |
2.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$85.80 |
$132 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$140.40 |
$216 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$247.65 |
$381 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$364.65 |
$561 |
2.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$187.20 |
$288 |
1.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$280.15 |
$431 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$200.20 |
$308 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$243.10 |
$374 |
— |