| Breast lesion removal (open) (19120) |
$494.48 |
$3,532 |
0.1× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,750.16 |
$19,644 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,193.36 |
$8,524 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$653.94 |
$4,671 |
0.8× |
| Diagnostic colonoscopy (45378) |
$914.76 |
$6,534 |
1.0× |
| Colonoscopy with biopsy (45380) |
$907.76 |
$6,484 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$963.06 |
$6,879 |
0.9× |
| Colonoscopy with endoscopic ultrasound (45391) |
$332.78 |
$2,377 |
0.3× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,294.02 |
$9,243 |
0.2× |
Laparoscopic radical prostatectomy (55866)
unusually low: confirm this is the full procedure |
$4,816.70 |
$34,405 |
0.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$289.80 |
$2,070 |
0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$346.22 |
$2,473 |
0.4× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$241.64 |
$1,726 |
0.5× |
| CT head/brain without contrast (70450) |
$655.76 |
$4,684 |
6.7× |
| MRI brain without contrast (70551) |
$1,128.68 |
$8,062 |
5.0× |
| MRI brain with contrast (70552) |
$1,245.86 |
$8,899 |
3.8× |
| MRI brain without and with contrast (70553) |
$1,446.20 |
$10,330 |
4.4× |
| X-ray lower spine, 4+ views (72110) |
$323.96 |
$2,314 |
3.3× |
| MRI lumbar spine without contrast (72148) |
$1,263.50 |
$9,025 |
5.6× |
| CT pelvis with contrast (72193) |
$866.88 |
$6,192 |
5.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,084.02 |
$7,743 |
4.8× |
| CT abdomen and pelvis with contrast (74177) |
$1,838.62 |
$13,133 |
5.6× |
| Ultrasound, abdomen complete (76700) |
$296.66 |
$2,119 |
3.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$173.74 |
$1,241 |
1.8× |
| Ultrasound, transvaginal (76830) |
$158.06 |
$1,129 |
1.6× |
| Mammography, one breast (diagnostic) (77065) |
$85.12 |
$608 |
1.0× |
| Mammography, both breasts (diagnostic) (77066) |
$137.34 |
$981 |
1.2× |
| Mammography, screening (bilateral) (77067) |
$70.14 |
$501 |
0.8× |
| Basic metabolic panel (80048) |
$97.93 |
$699.50 |
11.6× |
| Comprehensive metabolic panel (80053) |
$205.10 |
$1,465 |
19.4× |
| Obstetric panel (80055) |
$45.50 |
$325 |
1.0× |
| Lipid panel (80061) |
$69.02 |
$493 |
5.2× |
| Renal function panel (80069) |
$121.24 |
$866 |
14.0× |
| Hepatic function panel (80076) |
$160.02 |
$1,143 |
19.6× |
| Urinalysis, non-automated, with microscopy (81000) |
$7.56 |
$54 |
1.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$7.42 |
$53 |
2.1× |
| PSA, total (84153) |
$70.84 |
$506 |
3.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$68.67 |
$490.50 |
4.1× |
| CBC with automated differential (85025) |
$14.28 |
$102 |
1.8× |
| CBC, automated (85027) |
$59.36 |
$424 |
9.2× |
| Prothrombin time (PT) (85610) |
$25.41 |
$181.50 |
5.9× |
| Partial thromboplastin time (PTT) (85730) |
$50.26 |
$359 |
8.4× |
| Psychotherapy, 30 minutes (90832) |
$32.48 |
$232 |
0.2× |
| Psychotherapy, 45 minutes (90834) |
$44.94 |
$321 |
0.3× |
| Psychotherapy, 60 minutes (90837) |
$44.94 |
$321 |
0.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$59.78 |
$427 |
0.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$60.48 |
$432 |
0.4× |
| Group psychotherapy (90853) |
$23.94 |
$171 |
0.3× |
| Electrocardiogram (ECG), complete (93000) |
$9.66 |
$69 |
0.2× |
| Left heart catheterization (93452) |
$2,886.66 |
$20,619 |
0.9× |
| Sleep study (attended polysomnography) (95810) |
$712.74 |
$5,091 |
0.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$37.94 |
$271 |
1.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$35.14 |
$251 |
0.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$44.66 |
$319 |
0.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$64.68 |
$462 |
0.5× |