| Breast lesion removal (open) (19120) |
$644.40 |
$1,432 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$264.15 |
$587 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$838.35 |
$1,863 |
0.2× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$449.10 |
$998 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$187.20 |
$416 |
0.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$210.60 |
$468 |
0.2× |
| Diagnostic colonoscopy (45378) |
$281.70 |
$626 |
0.3× |
| Colonoscopy with biopsy (45380) |
$305.55 |
$679 |
0.2× |
| Colonoscopy with lesion removal (45385) |
$388.35 |
$863 |
0.3× |
| Colonoscopy with endoscopic ultrasound (45391) |
$393.30 |
$874 |
0.3× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,022.40 |
$2,272 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$810.45 |
$1,801 |
0.2× |
Laparoscopic radical prostatectomy (55866)
likely a partial charge, not the full procedure |
$2,191.05 |
$4,869 |
0.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,676.50 |
$8,170 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,053.15 |
$9,007 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$3,837.60 |
$8,528 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$413.10 |
$918 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,420 |
$7,600 |
3.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,579.05 |
$3,509 |
2.7× |
| Cataract removal with lens insertion (66984) |
$2,747.25 |
$6,105 |
1.1× |
| CT head/brain without contrast (70450) |
$2,218.60 |
$5,329 |
19.9× |
| MRI brain without contrast (70551) |
$1,395.82 |
$3,922 |
5.5× |
| MRI brain with contrast (70552) |
$1,924.62 |
$5,429.50 |
5.2× |
| MRI brain without and with contrast (70553) |
$2,280.62 |
$6,393 |
6.1× |
| X-ray lower spine, 4+ views (72110) |
$645.30 |
$1,434 |
5.8× |
| MRI lumbar spine without contrast (72148) |
$1,365.45 |
$3,826.50 |
5.4× |
| CT pelvis with contrast (72193) |
$2,051.70 |
$5,582 |
11.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,436.10 |
$4,049 |
5.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,813.32 |
$7,714.50 |
7.6× |
| Ultrasound, abdomen complete (76700) |
$1,047.60 |
$2,328 |
9.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$603.85 |
$1,266 |
5.4× |
| Ultrasound, transvaginal (76830) |
$774.90 |
$1,722 |
6.9× |
| Mammography, one breast (diagnostic) (77065) |
$702.45 |
$1,561 |
8.2× |
| Mammography, both breasts (diagnostic) (77066) |
$885.15 |
$1,967 |
8.0× |
| Mammography, screening (bilateral) (77067) |
$1,111.28 |
$2,469.50 |
12.2× |
| Basic metabolic panel (80048) |
$183.60 |
$408 |
21.7× |
| Comprehensive metabolic panel (80053) |
$205.40 |
$618 |
19.5× |
| Obstetric panel (80055) |
$215.10 |
$478 |
4.5× |
| Lipid panel (80061) |
$114.50 |
$315 |
8.6× |
| Renal function panel (80069) |
$41.62 |
$92.50 |
4.8× |
| Hepatic function panel (80076) |
$116.75 |
$322.50 |
14.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$87.30 |
$194 |
21.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$87.30 |
$194 |
25.1× |
| PSA, total (84153) |
$70.62 |
$168.50 |
3.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$134.32 |
$298.50 |
8.0× |
| CBC with automated differential (85025) |
$89.52 |
$232 |
11.5× |
| CBC, automated (85027) |
$70.62 |
$168.50 |
10.9× |
| Prothrombin time (PT) (85610) |
$76 |
$195 |
17.7× |
| Partial thromboplastin time (PTT) (85730) |
$74.25 |
$165 |
12.4× |
| Psychotherapy, 30 minutes (90832) |
$347.85 |
$773 |
1.8× |
| Psychotherapy, 45 minutes (90834) |
$423.45 |
$941 |
2.2× |
| Psychotherapy, 60 minutes (90837) |
$635.85 |
$1,413 |
3.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$492.75 |
$1,095 |
2.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$533.25 |
$1,185 |
2.8× |
| Group psychotherapy (90853) |
$126 |
$280 |
1.2× |
| Electrocardiogram (ECG), complete (93000) |
$168.75 |
$375 |
2.7× |
| Left heart catheterization (93452) |
$4,877.55 |
$10,839 |
1.4× |
| Sleep study (attended polysomnography) (95810) |
$3,142.80 |
$6,984 |
3.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$156.60 |
$348 |
5.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$385.65 |
$857 |
2.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$653.40 |
$1,452 |
4.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$852.75 |
$1,895 |
6.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$448.20 |
$996 |
3.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$684 |
$1,520 |
4.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$492.75 |
$1,095 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$597.15 |
$1,327 |
— |