| Breast lesion removal (open) (19120) |
$5,433.75 |
$7,245 |
1.4× |
| Shoulder arthroscopy with decompression (29826) |
$834 |
$1,112 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$991.50 |
$1,322 |
0.3× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$774 |
$1,032 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$866.25 |
$1,155 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$825 |
$1,100 |
0.9× |
| Diagnostic colonoscopy (45378) |
$872.62 |
$1,163.50 |
0.9× |
| Colonoscopy with biopsy (45380) |
$977.25 |
$1,303 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$989.25 |
$1,319 |
0.8× |
| Laparoscopic gallbladder removal (47562) |
$3,937.50 |
$5,250 |
0.6× |
| Inguinal hernia repair (age 5+) (49505) |
$5,040 |
$6,720 |
1.4× |
| Obstetric care, vaginal delivery (global) (59400) |
$2,676 |
$3,568 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$2,768.25 |
$3,691 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,299.75 |
$1,733 |
1.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$765 |
$1,020 |
1.4× |
| Cataract removal with lens insertion (66984) |
$967.50 |
$1,290 |
0.4× |
| CT head/brain without contrast (70450) |
$996.75 |
$1,329 |
9.5× |
| MRI brain without contrast (70551) |
$1,575 |
$2,100 |
6.6× |
| MRI brain with contrast (70552) |
$1,650 |
$2,200 |
4.7× |
| MRI brain without and with contrast (70553) |
$1,725 |
$2,300 |
4.9× |
| X-ray lower spine, 4+ views (72110) |
$281.25 |
$375 |
2.7× |
| MRI lumbar spine without contrast (72148) |
$1,500 |
$2,000 |
6.3× |
| CT pelvis with contrast (72193) |
$1,374.75 |
$1,833 |
7.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,575 |
$2,100 |
6.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,446.50 |
$3,262 |
7.0× |
| Ultrasound, abdomen complete (76700) |
$562.50 |
$750 |
5.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$233.25 |
$311 |
2.2× |
| Ultrasound, transvaginal (76830) |
$337.50 |
$450 |
3.2× |
| Mammography, one breast (diagnostic) (77065) |
$240 |
$320 |
2.8× |
| Mammography, both breasts (diagnostic) (77066) |
$300 |
$400 |
2.7× |
| Mammography, screening (bilateral) (77067) |
$281.25 |
$375 |
3.1× |
| Basic metabolic panel (80048) |
$129 |
$172 |
15.2× |
| Comprehensive metabolic panel (80053) |
$153 |
$204 |
14.5× |
| Obstetric panel (80055) |
$207 |
$276 |
4.3× |
| Lipid panel (80061) |
$121.12 |
$161.50 |
9.0× |
| Renal function panel (80069) |
$138.75 |
$185 |
16.0× |
| Hepatic function panel (80076) |
$120 |
$160 |
14.7× |
| PSA, total (84153) |
$86.25 |
$115 |
4.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$80.25 |
$107 |
4.8× |
| CBC with automated differential (85025) |
$54.75 |
$73 |
7.0× |
| CBC, automated (85027) |
$54 |
$72 |
8.3× |
| Prothrombin time (PT) (85610) |
$49.50 |
$66 |
11.5× |
| Partial thromboplastin time (PTT) (85730) |
$54.75 |
$73 |
9.1× |
| Sleep study (attended polysomnography) (95810) |
$1,167.75 |
$1,557 |
1.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$37.50 |
$50 |
1.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$67.50 |
$90 |
0.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$187.50 |
$250 |
1.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$206.25 |
$275 |
1.5× |