| Breast lesion removal (open) (19120) |
$742.90 |
$2,185 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$2,049.86 |
$6,029 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$2,015.18 |
$5,927 |
0.6× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$661.30 |
$1,945 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$478.04 |
$1,406 |
0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$539.92 |
$1,588 |
0.6× |
| Diagnostic colonoscopy (45378) |
$722.16 |
$2,124 |
0.8× |
| Colonoscopy with biopsy (45380) |
$846.26 |
$2,489 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$1,126.08 |
$3,312 |
0.9× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$2,346.68 |
$6,902 |
0.4× |
| Inguinal hernia repair (age 5+) (49505) |
$1,050.94 |
$3,091 |
0.3× |
Laparoscopic radical prostatectomy (55866)
likely a partial charge, not the full procedure |
$1,935.28 |
$5,692 |
0.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,098.76 |
$9,114 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$3,068.84 |
$9,026 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$2,555.44 |
$7,516 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$123.08 |
$362 |
0.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,289.56 |
$6,734 |
2.5× |
| CT head/brain without contrast (70450) |
$1,627.92 |
$4,788 |
15.1× |
| MRI brain without contrast (70551) |
$1,844.84 |
$5,426 |
7.5× |
| MRI brain with contrast (70552) |
$1,844.84 |
$5,426 |
5.1× |
| MRI brain without and with contrast (70553) |
$1,844.84 |
$5,426 |
5.1× |
| X-ray lower spine, 4+ views (72110) |
$633.08 |
$1,862 |
5.9× |
| MRI lumbar spine without contrast (72148) |
$1,844.84 |
$5,426 |
7.5× |
| CT pelvis with contrast (72193) |
$1,726.86 |
$5,079 |
9.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,844.84 |
$5,426 |
7.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,576.18 |
$7,577 |
7.2× |
| Ultrasound, abdomen complete (76700) |
$456.28 |
$1,342 |
4.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$548.42 |
$1,613 |
5.1× |
| Ultrasound, transvaginal (76830) |
$178.84 |
$526 |
1.7× |
| Mammography, one breast (diagnostic) (77065) |
$212.50 |
$625 |
2.5× |
| Mammography, both breasts (diagnostic) (77066) |
$212.50 |
$625 |
1.9× |
| Mammography, screening (bilateral) (77067) |
$212.50 |
$625 |
2.3× |
| Basic metabolic panel (80048) |
$65.28 |
$192 |
7.7× |
| Comprehensive metabolic panel (80053) |
$72.76 |
$214 |
6.9× |
| Obstetric panel (80055) |
$73.44 |
$216 |
1.5× |
| Lipid panel (80061) |
$64.60 |
$190 |
4.8× |
| Renal function panel (80069) |
$71.40 |
$210 |
8.2× |
| Hepatic function panel (80076) |
$134.30 |
$395 |
16.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$10.88 |
$32 |
3.1× |
| PSA, total (84153) |
$97.58 |
$287 |
5.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$60.86 |
$179 |
3.6× |
| CBC with automated differential (85025) |
$47.43 |
$139.50 |
6.1× |
| CBC, automated (85027) |
$44.20 |
$130 |
6.8× |
| Prothrombin time (PT) (85610) |
$39.10 |
$115 |
9.1× |
| Partial thromboplastin time (PTT) (85730) |
$64.94 |
$191 |
10.8× |
| Psychotherapy, 30 minutes (90832) |
$101.32 |
$298 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$142.80 |
$420 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$210.80 |
$620 |
1.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$140.42 |
$413 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$174.08 |
$512 |
1.0× |
| Group psychotherapy (90853) |
$75.48 |
$222 |
0.7× |
| Electrocardiogram (ECG), complete (93000) |
$86.36 |
$254 |
1.4× |
| Sleep study (attended polysomnography) (95810) |
$92.48 |
$272 |
0.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$42.50 |
$125 |
1.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$130.22 |
$383 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$174.59 |
$513.50 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$268.60 |
$790 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$90.78 |
$267 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$98.60 |
$290 |
— |