| Breast lesion removal (open) (19120) |
$891 |
$990 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$594.50 |
$660.50 |
0.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$718.50 |
$798 |
0.8× |
| Diagnostic colonoscopy (45378) |
$775.50 |
$861.50 |
0.8× |
| Colonoscopy with biopsy (45380) |
$854 |
$949 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$1,061 |
$1,178.50 |
0.9× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,580 |
$1,756 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$914 |
$1,015.50 |
0.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,254 |
$3,615 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$3,586 |
$3,984 |
— |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$710 |
$789 |
1.2× |
| CT head/brain without contrast (70450) |
$1,922 |
$2,136 |
17.7× |
| MRI brain without contrast (70551) |
$3,461 |
$3,846 |
14.0× |
| MRI brain without and with contrast (70553) |
$3,941 |
$4,379 |
10.9× |
| X-ray lower spine, 4+ views (72110) |
$505 |
$561 |
4.7× |
| MRI lumbar spine without contrast (72148) |
$3,216 |
$3,573 |
13.0× |
| CT pelvis with contrast (72193) |
$2,206 |
$2,451 |
12.1× |
| MRI lower-extremity joint without contrast (73721) |
$2,352 |
$2,613 |
9.5× |
| CT abdomen and pelvis with contrast (74177) |
$4,165 |
$4,628 |
11.5× |
| Ultrasound, abdomen complete (76700) |
$818 |
$909 |
7.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$635 |
$705 |
5.8× |
| Ultrasound, transvaginal (76830) |
$536 |
$596 |
4.9× |
| Mammography, one breast (diagnostic) (77065) |
$308 |
$342 |
3.6× |
| Mammography, both breasts (diagnostic) (77066) |
$377 |
$419 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$322 |
$357.50 |
3.5× |
| Basic metabolic panel (80048) |
$110.50 |
$122.50 |
13.1× |
| Comprehensive metabolic panel (80053) |
$131 |
$145 |
12.4× |
| Obstetric panel (80055) |
$160 |
$178 |
3.3× |
| Lipid panel (80061) |
$88 |
$98 |
6.6× |
| Renal function panel (80069) |
$112.50 |
$125 |
13.0× |
| Hepatic function panel (80076) |
$108.50 |
$120.50 |
13.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$35 |
$39 |
8.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$19 |
$21 |
5.5× |
| PSA, total (84153) |
$107 |
$118.50 |
5.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$83 |
$92 |
4.9× |
| CBC with automated differential (85025) |
$55 |
$61 |
7.1× |
| CBC, automated (85027) |
$69.50 |
$77 |
10.7× |
| Prothrombin time (PT) (85610) |
$38 |
$42 |
8.9× |
| Partial thromboplastin time (PTT) (85730) |
$72.50 |
$80.50 |
12.1× |
| Sleep study (attended polysomnography) (95810) |
$3,791 |
$4,212 |
4.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$106.50 |
$118 |
3.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$158 |
$175 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$263 |
$292 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$328 |
$364.50 |
2.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$270 |
$300 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$238 |
$264 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$263 |
$292 |
— |