| Breast lesion removal (open) (19120) |
$1,621 |
$1,621 |
0.5× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$1,316 |
$1,316 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,146 |
$1,146 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,346 |
$1,346 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,531 |
$1,531 |
1.8× |
| Colonoscopy with biopsy (45380) |
$1,778 |
$1,778 |
1.6× |
| Colonoscopy with lesion removal (45385) |
$2,151 |
$2,151 |
2.0× |
| Laparoscopic gallbladder removal (47562) |
$4,108 |
$4,108 |
0.8× |
| Inguinal hernia repair (age 5+) (49505) |
$2,570 |
$2,570 |
0.8× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,501 |
$3,501 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,112 |
$4,112 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$4,244 |
$4,244 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,048 |
$1,048 |
1.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,843 |
$1,843 |
2.3× |
| CT head/brain without contrast (70450) |
$2,618 |
$2,618 |
27.7× |
| MRI brain without contrast (70551) |
$3,556 |
$3,556 |
16.5× |
| MRI brain with contrast (70552) |
$3,819.50 |
$3,819.50 |
12.1× |
| MRI brain without and with contrast (70553) |
$3,859 |
$3,859 |
12.2× |
| X-ray lower spine, 4+ views (72110) |
$963 |
$963 |
10.2× |
| MRI lumbar spine without contrast (72148) |
$3,698.50 |
$3,698.50 |
17.1× |
| CT pelvis with contrast (72193) |
$3,262.50 |
$3,262.50 |
20.5× |
| MRI lower-extremity joint without contrast (73721) |
$2,616 |
$2,616 |
12.1× |
| CT abdomen and pelvis with contrast (74177) |
$6,310.50 |
$6,310.50 |
20.0× |
| Ultrasound, abdomen complete (76700) |
$1,352.50 |
$1,352.50 |
14.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$594 |
$594 |
6.3× |
| Ultrasound, transvaginal (76830) |
$697 |
$697 |
7.4× |
| Mammography, one breast (diagnostic) (77065) |
$306 |
$306 |
3.6× |
| Mammography, both breasts (diagnostic) (77066) |
$378 |
$378 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$303.50 |
$303.50 |
3.3× |
| Basic metabolic panel (80048) |
$278 |
$278 |
32.9× |
| Comprehensive metabolic panel (80053) |
$344 |
$344 |
32.6× |
| Obstetric panel (80055) |
$133 |
$133 |
2.8× |
| Lipid panel (80061) |
$262 |
$262 |
19.6× |
| Renal function panel (80069) |
$289 |
$289 |
33.3× |
| Hepatic function panel (80076) |
$161 |
$161 |
19.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$36.50 |
$36.50 |
9.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$77.50 |
$77.50 |
22.3× |
| PSA, total (84153) |
$161.50 |
$161.50 |
8.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$253 |
$253 |
15.1× |
| CBC with automated differential (85025) |
$178 |
$178 |
22.9× |
| CBC, automated (85027) |
$156 |
$156 |
24.1× |
| Prothrombin time (PT) (85610) |
$50.50 |
$50.50 |
11.8× |
| Partial thromboplastin time (PTT) (85730) |
$101 |
$101 |
16.8× |
| Psychotherapy, 30 minutes (90832) |
$376 |
$376 |
2.3× |
| Psychotherapy, 45 minutes (90834) |
$376 |
$376 |
2.3× |
| Psychotherapy, 60 minutes (90837) |
$376 |
$376 |
2.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$376 |
$376 |
2.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$376 |
$376 |
2.3× |
| Group psychotherapy (90853) |
$212.50 |
$212.50 |
2.3× |
| Electrocardiogram (ECG), complete (93000) |
$76 |
$76 |
1.4× |
| Left heart catheterization (93452) |
$1,584 |
$1,584 |
0.5× |
| Sleep study (attended polysomnography) (95810) |
$2,432 |
$2,432 |
3.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$175 |
$175 |
6.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$258 |
$258 |
2.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$542 |
$542 |
4.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$562 |
$562 |
4.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$413.50 |
$413.50 |
3.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$555 |
$555 |
4.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$520 |
$520 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$520 |
$520 |
— |