| Breast lesion removal (open) (19120) |
$1,180.26 |
$1,422 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$864.86 |
$1,042 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,478.64 |
$1,781.50 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,578.66 |
$1,902 |
1.7× |
| Diagnostic colonoscopy (45378) |
$622.50 |
$750 |
0.6× |
| Colonoscopy with biopsy (45380) |
$1,044.97 |
$1,259 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$1,087.30 |
$1,310 |
0.9× |
| Colonoscopy with endoscopic ultrasound (45391) |
$596.77 |
$719 |
0.5× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,477.40 |
$1,780 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,173.62 |
$1,414 |
0.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$558.18 |
$672.50 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$847.02 |
$1,020.50 |
0.9× |
| CT head/brain without contrast (70450) |
$1,908.17 |
$2,299 |
17.6× |
| MRI brain without contrast (70551) |
$2,890.06 |
$3,482 |
11.7× |
| MRI brain with contrast (70552) |
$3,211.27 |
$3,869 |
8.9× |
| MRI brain without and with contrast (70553) |
$4,013.88 |
$4,836 |
11.1× |
| X-ray lower spine, 4+ views (72110) |
$279.71 |
$337 |
2.6× |
| MRI lumbar spine without contrast (72148) |
$3,116.65 |
$3,755 |
12.6× |
| CT pelvis with contrast (72193) |
$2,642.72 |
$3,184 |
14.5× |
| MRI lower-extremity joint without contrast (73721) |
$2,490.83 |
$3,001 |
10.1× |
| CT abdomen and pelvis with contrast (74177) |
$5,103.67 |
$6,149 |
14.1× |
| Ultrasound, abdomen complete (76700) |
$887.27 |
$1,069 |
8.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$857.80 |
$1,033.50 |
7.9× |
| Ultrasound, transvaginal (76830) |
$646.57 |
$779 |
6.0× |
| Mammography, one breast (diagnostic) (77065) |
$316.23 |
$381 |
3.7× |
| Mammography, both breasts (diagnostic) (77066) |
$357.73 |
$431 |
3.2× |
| Mammography, screening (bilateral) (77067) |
$411.68 |
$496 |
4.5× |
| Basic metabolic panel (80048) |
$77.60 |
$93.50 |
9.2× |
| Comprehensive metabolic panel (80053) |
$85.08 |
$102.50 |
8.1× |
| Obstetric panel (80055) |
$124.50 |
$150 |
2.6× |
| Lipid panel (80061) |
$38.18 |
$46 |
2.9× |
| Renal function panel (80069) |
$73.04 |
$88 |
8.4× |
| Hepatic function panel (80076) |
$78.85 |
$95 |
9.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$8.30 |
$10 |
2.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$14.94 |
$18 |
4.3× |
| PSA, total (84153) |
$84.66 |
$102 |
4.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$80.10 |
$96.50 |
4.8× |
| CBC with automated differential (85025) |
$64.32 |
$77.50 |
8.3× |
| CBC, automated (85027) |
$53.12 |
$64 |
8.2× |
| Prothrombin time (PT) (85610) |
$50.63 |
$61 |
11.8× |
| Partial thromboplastin time (PTT) (85730) |
$78.02 |
$94 |
13.0× |
| Sleep study (attended polysomnography) (95810) |
$3,563.19 |
$4,293 |
4.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$80.92 |
$97.50 |
2.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$266.84 |
$321.50 |
1.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$405.04 |
$488 |
2.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$516.68 |
$622.50 |
3.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$218.29 |
$263 |
1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$327.02 |
$394 |
2.4× |