| Breast lesion removal (open) (19120) |
$1,882.42 |
$1,882.42 |
0.4× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$1,232.65 |
$1,232.65 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,288.29 |
$3,288.29 |
3.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,288.29 |
$3,288.29 |
3.0× |
| Diagnostic colonoscopy (45378) |
$3,224.78 |
$3,224.78 |
2.9× |
| Colonoscopy with biopsy (45380) |
$4,213.56 |
$4,213.56 |
2.9× |
| Colonoscopy with lesion removal (45385) |
$4,213.56 |
$4,213.56 |
2.9× |
| Laparoscopic gallbladder removal (47562) |
$3,867.92 |
$3,867.92 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$2,679.12 |
$2,679.12 |
0.6× |
| Laparoscopic radical prostatectomy (55866) |
$6,487.50 |
$6,487.50 |
0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$4,470.16 |
$4,470.16 |
4.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$3,971.52 |
$3,971.52 |
6.0× |
| Cataract removal with lens insertion (66984) |
$5,464.83 |
$5,464.83 |
2.0× |
| CT head/brain without contrast (70450) |
$827 |
$827 |
6.6× |
| MRI brain without and with contrast (70553) |
$2,504 |
$2,504 |
6.0× |
| X-ray lower spine, 4+ views (72110) |
$567 |
$567 |
4.5× |
| CT pelvis with contrast (72193) |
$2,192 |
$2,192 |
10.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,619 |
$1,619 |
5.7× |
| CT abdomen and pelvis with contrast (74177) |
$2,778 |
$2,778 |
6.6× |
| Ultrasound, abdomen complete (76700) |
$378 |
$378 |
3.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$420 |
$420 |
3.4× |
| Ultrasound, transvaginal (76830) |
$413 |
$413 |
3.3× |
| Mammography, one breast (diagnostic) (77065) |
$407 |
$407 |
4.7× |
| Mammography, both breasts (diagnostic) (77066) |
$521 |
$521 |
4.7× |
| Mammography, screening (bilateral) (77067) |
$430 |
$430 |
4.7× |
| Basic metabolic panel (80048) |
$205 |
$205 |
24.2× |
| Comprehensive metabolic panel (80053) |
$364 |
$364 |
34.5× |
| Lipid panel (80061) |
$82 |
$82 |
6.1× |
| Hepatic function panel (80076) |
$189 |
$189 |
23.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$38.40 |
$38.40 |
11.0× |
| PSA, total (84153) |
$97 |
$97 |
5.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$67 |
$67 |
4.0× |
| CBC with automated differential (85025) |
$37.85 |
$37.85 |
4.9× |
| CBC, automated (85027) |
$39 |
$39 |
6.0× |
| Prothrombin time (PT) (85610) |
$27.79 |
$27.79 |
6.5× |
| Partial thromboplastin time (PTT) (85730) |
$57.50 |
$57.50 |
9.6× |
| Psychotherapy, 30 minutes (90832) |
$194.91 |
$194.91 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$266.09 |
$266.09 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$389.82 |
$389.82 |
1.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$302.22 |
$302.22 |
1.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$302.22 |
$302.22 |
1.4× |
| Group psychotherapy (90853) |
$152.21 |
$152.21 |
1.2× |
| Sleep study (attended polysomnography) (95810) |
$5,287.76 |
$5,287.76 |
5.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$123.12 |
$123.12 |
4.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$191.80 |
$191.80 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$318.25 |
$318.25 |
2.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$423.80 |
$423.80 |
2.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$313.60 |
$313.60 |
2.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$441.88 |
$441.88 |
2.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$280 |
$280 |
— |