| Breast lesion removal (open) (19120) |
$1,921.42 |
$2,260.50 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,399.10 |
$1,646 |
1.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,521.50 |
$1,790 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,412.28 |
$1,661.50 |
1.5× |
| Colonoscopy with biopsy (45380) |
$1,879.35 |
$2,211 |
1.5× |
| Colonoscopy with lesion removal (45385) |
$1,526.18 |
$1,795.50 |
1.2× |
| Colonoscopy with endoscopic ultrasound (45391) |
$611.15 |
$719 |
0.5× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,513 |
$1,780 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,201.90 |
$1,414 |
0.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$842.35 |
$991 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,002.15 |
$1,179 |
1.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$731 |
$860 |
1.3× |
| CT head/brain without contrast (70450) |
$2,176 |
$2,560 |
20.0× |
| MRI brain without contrast (70551) |
$4,866.25 |
$5,725 |
19.6× |
| MRI brain with contrast (70552) |
$5,092.35 |
$5,991 |
14.1× |
| MRI brain without and with contrast (70553) |
$4,505.85 |
$5,301 |
12.4× |
| X-ray lower spine, 4+ views (72110) |
$351.48 |
$413.50 |
3.2× |
| MRI lumbar spine without contrast (72148) |
$3,965.25 |
$4,665 |
16.0× |
| CT pelvis with contrast (72193) |
$2,513.45 |
$2,957 |
13.8× |
| MRI lower-extremity joint without contrast (73721) |
$2,966.50 |
$3,490 |
12.0× |
| CT abdomen and pelvis with contrast (74177) |
$5,948.30 |
$6,998 |
16.4× |
| Ultrasound, abdomen complete (76700) |
$976.65 |
$1,149 |
9.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$858.08 |
$1,009.50 |
7.9× |
| Ultrasound, transvaginal (76830) |
$729.30 |
$858 |
6.7× |
| Mammography, one breast (diagnostic) (77065) |
$226.52 |
$266.50 |
2.6× |
| Mammography, both breasts (diagnostic) (77066) |
$261.80 |
$308 |
2.4× |
| Mammography, screening (bilateral) (77067) |
$284.75 |
$335 |
3.1× |
| Basic metabolic panel (80048) |
$127.92 |
$150.50 |
15.1× |
| Comprehensive metabolic panel (80053) |
$162.78 |
$191.50 |
15.4× |
| Obstetric panel (80055) |
$117.30 |
$138 |
2.5× |
| Lipid panel (80061) |
$34.85 |
$41 |
2.6× |
| Renal function panel (80069) |
$166.18 |
$195.50 |
19.1× |
| Hepatic function panel (80076) |
$139.82 |
$164.50 |
17.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$34.85 |
$41 |
8.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$35.70 |
$42 |
10.3× |
| PSA, total (84153) |
$117.72 |
$138.50 |
6.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$96.48 |
$113.50 |
5.7× |
| CBC with automated differential (85025) |
$88.82 |
$104.50 |
11.4× |
| CBC, automated (85027) |
$68.42 |
$80.50 |
10.6× |
| Prothrombin time (PT) (85610) |
$73.95 |
$87 |
17.2× |
| Partial thromboplastin time (PTT) (85730) |
$65.88 |
$77.50 |
11.0× |
| Psychotherapy, 30 minutes (90832) |
$294.95 |
$347 |
1.6× |
| Psychotherapy, 45 minutes (90834) |
$294.95 |
$347 |
1.6× |
| Psychotherapy, 60 minutes (90837) |
$294.95 |
$347 |
1.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$294.95 |
$347 |
1.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$294.95 |
$347 |
1.6× |
| Group psychotherapy (90853) |
$294.95 |
$347 |
2.8× |
| Sleep study (attended polysomnography) (95810) |
$4,548.35 |
$5,351 |
5.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$85.85 |
$101 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$288.15 |
$339 |
2.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$434.78 |
$511.50 |
3.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$555.48 |
$653.50 |
4.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$223.55 |
$263 |
1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$334.90 |
$394 |
2.4× |