| Breast lesion removal (open) (19120) |
$801.50 |
$1,145 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$1,204 |
$1,720 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,141 |
$1,630 |
0.4× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$520.10 |
$743 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,190 |
$1,700 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,364.30 |
$1,949 |
1.7× |
| Diagnostic colonoscopy (45378) |
$1,444.10 |
$2,063 |
1.7× |
| Colonoscopy with biopsy (45380) |
$1,538.60 |
$2,198 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$1,572.20 |
$2,246 |
1.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$567 |
$810 |
0.5× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,302 |
$1,860 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$906.50 |
$1,295 |
0.3× |
Laparoscopic radical prostatectomy (55866)
unusually low: confirm this is the full procedure |
$3,545.50 |
$5,065 |
0.4× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,297 |
$4,710 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$3,731 |
$5,330 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$3,472 |
$4,960 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$169.40 |
$242 |
0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$189 |
$270 |
0.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$511 |
$730 |
1.0× |
| Cataract removal with lens insertion (66984) |
$1,242.50 |
$1,775 |
0.6× |
| CT head/brain without contrast (70450) |
$782.60 |
$1,118 |
8.3× |
| MRI brain without contrast (70551) |
$1,495.90 |
$2,137 |
6.9× |
| MRI brain with contrast (70552) |
$1,495.90 |
$2,137 |
4.7× |
| MRI brain without and with contrast (70553) |
$1,894.90 |
$2,707 |
6.0× |
| X-ray lower spine, 4+ views (72110) |
$191.10 |
$273 |
2.0× |
| MRI lumbar spine without contrast (72148) |
$1,495.90 |
$2,137 |
6.9× |
| CT pelvis with contrast (72193) |
$968.80 |
$1,384 |
6.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,495.90 |
$2,137 |
6.9× |
| Ultrasound, abdomen complete (76700) |
$312.90 |
$447 |
3.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$303.10 |
$433 |
3.2× |
| Ultrasound, transvaginal (76830) |
$248.50 |
$355 |
2.6× |
| Mammography, both breasts (diagnostic) (77066) |
$303.80 |
$434 |
2.7× |
| Mammography, screening (bilateral) (77067) |
$70 |
$100 |
0.8× |
| Basic metabolic panel (80048) |
$165.20 |
$236 |
19.5× |
| Comprehensive metabolic panel (80053) |
$242.20 |
$346 |
22.9× |
| Lipid panel (80061) |
$156.10 |
$223 |
11.7× |
| Renal function panel (80069) |
$136.50 |
$195 |
15.7× |
| Hepatic function panel (80076) |
$175.70 |
$251 |
21.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$31.50 |
$45 |
7.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$11.20 |
$16 |
3.2× |
| PSA, total (84153) |
$107.10 |
$153 |
5.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$115.50 |
$165 |
6.9× |
| CBC with automated differential (85025) |
$98 |
$140 |
12.6× |
| CBC, automated (85027) |
$83.30 |
$119 |
12.9× |
| Prothrombin time (PT) (85610) |
$65.10 |
$93 |
15.2× |
| Partial thromboplastin time (PTT) (85730) |
$91 |
$130 |
15.1× |
| Psychotherapy, 30 minutes (90832) |
$175 |
$250 |
1.1× |
| Psychotherapy, 45 minutes (90834) |
$210 |
$300 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$280 |
$400 |
1.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$175 |
$250 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$245 |
$350 |
1.5× |
| Group psychotherapy (90853) |
$140 |
$200 |
1.5× |
| Electrocardiogram (ECG), complete (93000) |
$144.90 |
$207 |
2.7× |
| Sleep study (attended polysomnography) (95810) |
$2,377.20 |
$3,396 |
3.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$44.10 |
$63 |
1.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$80.50 |
$115 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$135.80 |
$194 |
1.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$133.70 |
$191 |
1.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$245 |
$350 |
2.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$360.50 |
$515 |
3.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$269.50 |
$385 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$395.50 |
$565 |
— |