| Breast lesion removal (open) (19120) |
$768.10 |
$768.10 |
0.2× |
| Knee arthroscopy with meniscectomy (29881) |
$2,773.20 |
$2,773.20 |
0.9× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$540.25 |
$540.25 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$597.45 |
$597.45 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$691.95 |
$691.95 |
0.8× |
| Diagnostic colonoscopy (45378) |
$840 |
$840 |
1.0× |
| Colonoscopy with biopsy (45380) |
$905.10 |
$905.10 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$1,165.50 |
$1,165.50 |
1.1× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,364.50 |
$1,364.50 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,010.65 |
$1,010.65 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,937.50 |
$3,937.50 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,368 |
$4,368 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$655.48 |
$655.48 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,022.62 |
$1,022.62 |
1.3× |
| CT head/brain without contrast (70450) |
$934.95 |
$934.95 |
9.7× |
| MRI brain without contrast (70551) |
$1,542.15 |
$1,542.15 |
7.0× |
| MRI brain with contrast (70552) |
$1,717.47 |
$1,717.47 |
5.4× |
| MRI brain without and with contrast (70553) |
$1,841.25 |
$1,841.25 |
5.7× |
| X-ray lower spine, 4+ views (72110) |
$225.65 |
$225.65 |
2.3× |
| MRI lumbar spine without contrast (72148) |
$1,565.84 |
$1,565.84 |
7.1× |
| CT pelvis with contrast (72193) |
$1,132.14 |
$1,132.14 |
7.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,238.60 |
$2,238.60 |
10.2× |
| CT abdomen and pelvis with contrast (74177) |
$2,080.05 |
$2,080.05 |
6.5× |
| Ultrasound, abdomen complete (76700) |
$393.28 |
$393.28 |
4.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$386.05 |
$386.05 |
4.0× |
| Ultrasound, transvaginal (76830) |
$298.09 |
$298.09 |
3.1× |
| Mammography, one breast (diagnostic) (77065) |
$157.36 |
$157.36 |
1.8× |
| Mammography, both breasts (diagnostic) (77066) |
$207.40 |
$207.40 |
1.9× |
| Mammography, screening (bilateral) (77067) |
$193.69 |
$193.69 |
2.1× |
| Basic metabolic panel (80048) |
$39.11 |
$39.11 |
4.6× |
| Comprehensive metabolic panel (80053) |
$100.28 |
$100.28 |
9.5× |
| Lipid panel (80061) |
$94.24 |
$94.24 |
7.0× |
| Renal function panel (80069) |
$42.52 |
$42.52 |
4.9× |
| Hepatic function panel (80076) |
$70.88 |
$70.88 |
8.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$29.66 |
$29.66 |
8.5× |
| PSA, total (84153) |
$105.64 |
$105.64 |
5.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$174.30 |
$174.30 |
10.4× |
| CBC with automated differential (85025) |
$70.88 |
$70.88 |
9.1× |
| CBC, automated (85027) |
$49.09 |
$49.09 |
7.6× |
| Prothrombin time (PT) (85610) |
$41.58 |
$41.58 |
9.7× |
| Partial thromboplastin time (PTT) (85730) |
$77.20 |
$77.20 |
12.8× |
| Psychotherapy, 30 minutes (90832) |
$243.25 |
$243.25 |
1.5× |
| Psychotherapy, 45 minutes (90834) |
$282.52 |
$282.52 |
1.7× |
| Psychotherapy, 60 minutes (90837) |
$339.65 |
$339.65 |
2.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$297.65 |
$297.65 |
1.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$305 |
$305 |
1.9× |
| Group psychotherapy (90853) |
$425 |
$425 |
4.5× |
| Electrocardiogram (ECG), complete (93000) |
$67.72 |
$67.72 |
1.2× |
| Sleep study (attended polysomnography) (95810) |
$256.13 |
$256.13 |
0.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$78.75 |
$78.75 |
2.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$152.62 |
$152.62 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$197.12 |
$197.12 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$237.30 |
$237.30 |
1.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$179 |
$179 |
1.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$242 |
$242 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$294 |
$294 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$315 |
$315 |
— |