| Breast lesion removal (open) (19120) |
$1,010.80 |
$1,444 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$569.10 |
$813 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,372 |
$1,960 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$803.60 |
$1,148 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$897.40 |
$1,282 |
1.1× |
| Diagnostic colonoscopy (45378) |
$665 |
$950 |
0.8× |
| Colonoscopy with biopsy (45380) |
$1,060.50 |
$1,515 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$888.30 |
$1,269 |
0.8× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,300.60 |
$1,858 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,033.20 |
$1,476 |
0.3× |
| Obstetric care, cesarean delivery (global) (59510) |
$5,141.50 |
$7,345 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,102.50 |
$1,575 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,854.30 |
$2,649 |
2.3× |
| CT head/brain without contrast (70450) |
$1,122.10 |
$1,603 |
11.7× |
| MRI brain without contrast (70551) |
$1,826.30 |
$2,609 |
8.3× |
| MRI brain without and with contrast (70553) |
$2,506 |
$3,580 |
7.8× |
| X-ray lower spine, 4+ views (72110) |
$364 |
$520 |
3.8× |
| MRI lumbar spine without contrast (72148) |
$1,992.90 |
$2,847 |
9.1× |
| CT pelvis with contrast (72193) |
$1,255.10 |
$1,793 |
7.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,779.40 |
$2,542 |
8.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,472.10 |
$2,103 |
4.6× |
| Ultrasound, abdomen complete (76700) |
$639.80 |
$914 |
6.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$463.40 |
$662 |
4.8× |
| Mammography, one breast (diagnostic) (77065) |
$250.60 |
$358 |
2.9× |
| Mammography, both breasts (diagnostic) (77066) |
$316.40 |
$452 |
2.9× |
| Mammography, screening (bilateral) (77067) |
$295.40 |
$422 |
3.2× |
| Basic metabolic panel (80048) |
$73.50 |
$105 |
8.7× |
| Comprehensive metabolic panel (80053) |
$91 |
$130 |
8.6× |
| Lipid panel (80061) |
$88.20 |
$126 |
6.6× |
| Renal function panel (80069) |
$85.40 |
$122 |
9.8× |
| Hepatic function panel (80076) |
$123.90 |
$177 |
15.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$16.10 |
$23 |
4.6× |
| PSA, total (84153) |
$99.40 |
$142 |
5.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$201.60 |
$288 |
12.0× |
| CBC with automated differential (85025) |
$77 |
$110 |
9.9× |
| CBC, automated (85027) |
$56 |
$80 |
8.7× |
| Prothrombin time (PT) (85610) |
$18.20 |
$26 |
4.2× |
| Partial thromboplastin time (PTT) (85730) |
$25.90 |
$37 |
4.3× |
| Electrocardiogram (ECG), complete (93000) |
$14 |
$20 |
0.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$68.60 |
$98 |
2.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$160.65 |
$229.50 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$284.20 |
$406 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$367.50 |
$525 |
3.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$224 |
$320 |
1.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$270.20 |
$386 |
2.2× |