| Breast lesion removal (open) (19120) |
$929.26 |
$1,161.57 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$267.10 |
$333.87 |
0.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$301.73 |
$377.16 |
0.4× |
| Diagnostic colonoscopy (45378) |
$402.65 |
$503.31 |
0.5× |
| Colonoscopy with biopsy (45380) |
$438.26 |
$547.83 |
0.4× |
| Colonoscopy with lesion removal (45385) |
$555.31 |
$694.14 |
0.5× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,420.85 |
$1,776.06 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,127.18 |
$1,408.98 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,732.73 |
$5,915.91 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,227.32 |
$6,534.15 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$978.59 |
$1,223.24 |
1.2× |
| CT head/brain without contrast (70450) |
$962.63 |
$1,203.29 |
10.1× |
| MRI brain without contrast (70551) |
$1,303.63 |
$1,629.54 |
6.0× |
| MRI brain with contrast (70552) |
$2,023.58 |
$2,529.48 |
6.4× |
| MRI brain without and with contrast (70553) |
$2,077.08 |
$2,596.35 |
6.5× |
| X-ray lower spine, 4+ views (72110) |
$213.76 |
$267.20 |
2.2× |
| MRI lumbar spine without contrast (72148) |
$1,303.63 |
$1,629.54 |
6.0× |
| CT pelvis with contrast (72193) |
$1,120.98 |
$1,401.23 |
7.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,303.63 |
$1,629.54 |
6.0× |
| CT abdomen and pelvis with contrast (74177) |
$736.86 |
$921.08 |
2.3× |
| Ultrasound, abdomen complete (76700) |
$414.53 |
$518.16 |
4.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$299.30 |
$374.12 |
3.1× |
| Ultrasound, transvaginal (76830) |
$324.38 |
$405.48 |
3.4× |
| Mammography, one breast (diagnostic) (77065) |
$226.56 |
$283.21 |
2.6× |
| Mammography, both breasts (diagnostic) (77066) |
$282.76 |
$353.45 |
2.6× |
| Mammography, screening (bilateral) (77067) |
$228.92 |
$286.15 |
2.5× |
| Basic metabolic panel (80048) |
$100.80 |
$126 |
11.9× |
| Comprehensive metabolic panel (80053) |
$157.60 |
$197 |
14.9× |
| Lipid panel (80061) |
$122.40 |
$153 |
9.1× |
| Renal function panel (80069) |
$100.80 |
$126 |
11.6× |
| Hepatic function panel (80076) |
$140.80 |
$176 |
17.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$14.30 |
$17.88 |
3.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$24 |
$30 |
6.9× |
| PSA, total (84153) |
$44.26 |
$55.32 |
2.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$141.80 |
$177.25 |
8.4× |
| CBC with automated differential (85025) |
$49.60 |
$62 |
6.4× |
| CBC, automated (85027) |
$44.13 |
$55.16 |
6.8× |
| Prothrombin time (PT) (85610) |
$37.92 |
$47.40 |
8.8× |
| Partial thromboplastin time (PTT) (85730) |
$54.92 |
$68.65 |
9.1× |
| Psychotherapy, 30 minutes (90832) |
$245.90 |
$307.38 |
1.5× |
| Psychotherapy, 45 minutes (90834) |
$291.40 |
$364.25 |
1.8× |
| Psychotherapy, 60 minutes (90837) |
$302.23 |
$377.79 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$72 |
$90 |
2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$184.10 |
$230.13 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$280 |
$350 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$359.20 |
$449 |
3.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$176.42 |
$220.53 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$213.74 |
$267.18 |
— |