| Breast lesion removal (open) (19120) |
$4,816.40 |
$6,020.50 |
1.1× |
| Shoulder arthroscopy with decompression (29826) |
$2,404 |
$3,005 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,889.60 |
$7,362 |
1.6× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$1,722.40 |
$2,153 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,830.40 |
$4,788 |
3.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$4,496.80 |
$5,621 |
4.4× |
| Diagnostic colonoscopy (45378) |
$3,818.40 |
$4,773 |
3.7× |
| Colonoscopy with biopsy (45380) |
$3,720 |
$4,650 |
2.8× |
| Colonoscopy with lesion removal (45385) |
$4,212 |
$5,265 |
3.2× |
| Laparoscopic gallbladder removal (47562) |
$11,315.60 |
$14,144.50 |
1.7× |
| Inguinal hernia repair (age 5+) (49505) |
$7,465.60 |
$9,332 |
1.9× |
| Obstetric care, vaginal delivery (global) (59400) |
$7,677.60 |
$9,597 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$7,677.60 |
$9,597 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,825.60 |
$2,282 |
1.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$5,000.80 |
$6,251 |
5.1× |
| CT head/brain without contrast (70450) |
$1,647.60 |
$2,059.50 |
14.1× |
| MRI brain without contrast (70551) |
$3,731.60 |
$4,664.50 |
14.0× |
| MRI brain with contrast (70552) |
$4,294 |
$5,367.50 |
11.0× |
| MRI brain without and with contrast (70553) |
$5,152.80 |
$6,441 |
13.3× |
| X-ray lower spine, 4+ views (72110) |
$588 |
$735 |
5.0× |
| MRI lumbar spine without contrast (72148) |
$3,321.60 |
$4,152 |
12.5× |
| CT pelvis with contrast (72193) |
$2,545.60 |
$3,182 |
13.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,722.80 |
$3,403.50 |
10.2× |
| CT abdomen and pelvis with contrast (74177) |
$3,527.60 |
$4,409.50 |
9.1× |
| Ultrasound, abdomen complete (76700) |
$1,098 |
$1,372.50 |
9.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$807.20 |
$1,009 |
6.9× |
| Ultrasound, transvaginal (76830) |
$754 |
$942.50 |
6.5× |
| Mammography, one breast (diagnostic) (77065) |
$396.40 |
$495.50 |
4.6× |
| Mammography, both breasts (diagnostic) (77066) |
$484 |
$605 |
4.4× |
| Mammography, screening (bilateral) (77067) |
$358 |
$447.50 |
3.9× |
| Basic metabolic panel (80048) |
$192 |
$240 |
22.7× |
| Comprehensive metabolic panel (80053) |
$212 |
$265 |
20.1× |
| Lipid panel (80061) |
$213.60 |
$267 |
16.0× |
| Renal function panel (80069) |
$178.40 |
$223 |
20.6× |
| Hepatic function panel (80076) |
$156 |
$195 |
19.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$92.80 |
$116 |
23.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$84 |
$105 |
24.1× |
| PSA, total (84153) |
$71.20 |
$89 |
3.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$154.40 |
$193 |
9.2× |
| CBC with automated differential (85025) |
$125.60 |
$157 |
16.2× |
| CBC, automated (85027) |
$115.20 |
$144 |
17.8× |
| Prothrombin time (PT) (85610) |
$104 |
$130 |
24.2× |
| Partial thromboplastin time (PTT) (85730) |
$136 |
$170 |
22.6× |
| Psychotherapy, 30 minutes (90832) |
$112 |
$140 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$160.80 |
$201 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$205.60 |
$257 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$128.96 |
$161.20 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$142.12 |
$177.65 |
0.7× |
| Group psychotherapy (90853) |
$40.36 |
$50.46 |
0.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$179.20 |
$224 |
6.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$223.49 |
$279.36 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$326.40 |
$408 |
2.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$428.66 |
$535.82 |
2.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$354.40 |
$443 |
2.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$527.20 |
$659 |
3.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$448.80 |
$561 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$486.40 |
$608 |
— |