| Breast lesion removal (open) (19120) |
$667.27 |
$834.09 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$1,025.45 |
$1,281.81 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$964.32 |
$1,205.40 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$458.91 |
$573.64 |
0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$526.94 |
$658.67 |
0.6× |
| Diagnostic colonoscopy (45378) |
$602.70 |
$753.38 |
0.6× |
| Colonoscopy with biopsy (45380) |
$719.80 |
$899.75 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$810.20 |
$1,012.75 |
0.7× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,192.25 |
$1,490.32 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$746.49 |
$933.11 |
0.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$2,758.65 |
$3,448.31 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$3,122.85 |
$3,903.56 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$2,904.15 |
$3,630.19 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$193.30 |
$241.62 |
0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$170.40 |
$213 |
0.2× |
| CT head/brain without contrast (70450) |
$1,012.58 |
$1,265.72 |
9.7× |
| MRI brain without contrast (70551) |
$1,079.72 |
$1,349.65 |
4.5× |
| MRI brain with contrast (70552) |
$1,147.61 |
$1,434.52 |
3.3× |
| MRI brain without and with contrast (70553) |
$1,471.45 |
$1,839.32 |
4.2× |
| X-ray lower spine, 4+ views (72110) |
$74.90 |
$93.63 |
0.7× |
| MRI lumbar spine without contrast (72148) |
$1,222.84 |
$1,528.56 |
5.1× |
| CT pelvis with contrast (72193) |
$853.82 |
$1,067.28 |
4.9× |
| MRI lower-extremity joint without contrast (73721) |
$971.29 |
$1,214.12 |
4.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,845.82 |
$2,307.28 |
5.3× |
| Ultrasound, abdomen complete (76700) |
$461.25 |
$576.56 |
4.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$228.82 |
$286.02 |
2.2× |
| Ultrasound, transvaginal (76830) |
$211.65 |
$264.56 |
2.0× |
| Mammography, one breast (diagnostic) (77065) |
$170.40 |
$213 |
2.0× |
| Mammography, both breasts (diagnostic) (77066) |
$226.44 |
$283.05 |
2.0× |
| Mammography, screening (bilateral) (77067) |
$166.64 |
$208.30 |
1.8× |
| Basic metabolic panel (80048) |
$227.30 |
$284.13 |
26.9× |
| Comprehensive metabolic panel (80053) |
$264.33 |
$330.41 |
25.0× |
| Lipid panel (80061) |
$142.93 |
$178.66 |
10.7× |
| Renal function panel (80069) |
$220.42 |
$275.52 |
25.4× |
| Hepatic function panel (80076) |
$173.06 |
$216.33 |
21.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$7.56 |
$9.45 |
2.2× |
| PSA, total (84153) |
$124.32 |
$155.40 |
6.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$217.83 |
$272.29 |
13.0× |
| CBC with automated differential (85025) |
$127.43 |
$159.29 |
16.4× |
| CBC, automated (85027) |
$127.43 |
$159.29 |
19.7× |
| Prothrombin time (PT) (85610) |
$52.01 |
$65.01 |
12.1× |
| Partial thromboplastin time (PTT) (85730) |
$123.48 |
$154.35 |
20.5× |
| Psychotherapy, 30 minutes (90832) |
$122.62 |
$153.28 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$127.10 |
$158.88 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$186.96 |
$233.70 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$136.94 |
$171.18 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$169.74 |
$212.18 |
1.0× |
| Group psychotherapy (90853) |
$48.38 |
$60.48 |
0.5× |
| Electrocardiogram (ECG), complete (93000) |
$53.60 |
$67 |
0.9× |
| Sleep study (attended polysomnography) (95810) |
$3,833.76 |
$4,792.20 |
4.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$111.93 |
$139.91 |
3.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$160.72 |
$200.90 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$218.94 |
$273.68 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$148.01 |
$185.02 |
1.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$20.50 |
$25.63 |
0.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$20.50 |
$25.63 |
0.2× |