| Breast lesion removal (open) (19120) |
$927.75 |
$1,237 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$558 |
$744 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,347.75 |
$1,797 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,756.12 |
$2,341.50 |
1.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,665 |
$2,220 |
1.7× |
| Diagnostic colonoscopy (45378) |
$2,246.62 |
$2,995.50 |
2.3× |
| Colonoscopy with biopsy (45380) |
$2,635.50 |
$3,514 |
2.1× |
| Colonoscopy with lesion removal (45385) |
$2,748 |
$3,664 |
2.2× |
Laparoscopic gallbladder removal (47562)
likely a partial charge — not the full procedure |
$1,710.75 |
$2,281 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,266.75 |
$1,689 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,612 |
$4,816 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,009.50 |
$5,346 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$3,520.50 |
$4,694 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,101.75 |
$1,469 |
1.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,838.25 |
$2,451 |
2.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,026 |
$1,368 |
1.8× |
| Cataract removal with lens insertion (66984) |
$5,776.12 |
$7,701.50 |
2.4× |
| CT head/brain without contrast (70450) |
$1,137.38 |
$1,516.50 |
10.3× |
| MRI brain without contrast (70551) |
$1,420.12 |
$1,893.50 |
5.6× |
| MRI brain with contrast (70552) |
$1,940.62 |
$2,587.50 |
5.3× |
| MRI brain without and with contrast (70553) |
$2,322.75 |
$3,097 |
6.3× |
| X-ray lower spine, 4+ views (72110) |
$651.75 |
$869 |
5.9× |
| MRI lumbar spine without contrast (72148) |
$2,248.50 |
$2,998 |
8.9× |
| CT pelvis with contrast (72193) |
$1,419 |
$1,892 |
7.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,530 |
$2,040 |
6.1× |
| CT abdomen and pelvis with contrast (74177) |
$2,287.88 |
$3,050.50 |
6.2× |
| Ultrasound, abdomen complete (76700) |
$924.75 |
$1,233 |
8.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$517.50 |
$690 |
4.7× |
| Ultrasound, transvaginal (76830) |
$754.50 |
$1,006 |
6.8× |
| Mammography, one breast (diagnostic) (77065) |
$280.50 |
$374 |
3.3× |
| Mammography, both breasts (diagnostic) (77066) |
$340.12 |
$453.50 |
3.1× |
| Mammography, screening (bilateral) (77067) |
$435.75 |
$581 |
4.8× |
| Basic metabolic panel (80048) |
$120 |
$160 |
14.2× |
| Comprehensive metabolic panel (80053) |
$130.50 |
$174 |
12.4× |
| Lipid panel (80061) |
$165 |
$220 |
12.3× |
| Renal function panel (80069) |
$82.50 |
$110 |
9.5× |
| Hepatic function panel (80076) |
$156 |
$208 |
19.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$20.25 |
$27 |
5.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$18 |
$24 |
5.2× |
| PSA, total (84153) |
$160.50 |
$214 |
8.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$130.50 |
$174 |
7.8× |
| CBC with automated differential (85025) |
$80.25 |
$107 |
10.3× |
| CBC, automated (85027) |
$77.25 |
$103 |
11.9× |
| Prothrombin time (PT) (85610) |
$57.75 |
$77 |
13.5× |
| Partial thromboplastin time (PTT) (85730) |
$85.50 |
$114 |
14.2× |
| Psychotherapy, 30 minutes (90832) |
$177.75 |
$237 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$234 |
$312 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$347.25 |
$463 |
1.9× |
| Electrocardiogram (ECG), complete (93000) |
$226.50 |
$302 |
3.6× |
| Sleep study (attended polysomnography) (95810) |
$2,283 |
$3,044 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$87.75 |
$117 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$276.75 |
$369 |
2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$361.50 |
$482 |
2.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$428.25 |
$571 |
3.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$183.38 |
$244.50 |
1.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$518.25 |
$691 |
3.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$252.75 |
$337 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$294 |
$392 |
— |