| Breast lesion removal (open) (19120) |
$1,003.80 |
$1,434 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$438.20 |
$626 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,327.20 |
$1,896 |
0.4× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$691.60 |
$988 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$329 |
$470 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$368.90 |
$527 |
0.4× |
| Diagnostic colonoscopy (45378) |
$536.90 |
$767 |
0.6× |
| Colonoscopy with biopsy (45380) |
$641.20 |
$916 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$763 |
$1,090 |
0.6× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,614.20 |
$2,306 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,273.30 |
$1,819 |
0.4× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,951.10 |
$7,073 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$6,592.60 |
$9,418 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$5,723.88 |
$8,176.98 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$974.75 |
$1,392.50 |
1.1× |
| CT head/brain without contrast (70450) |
$1,711.50 |
$2,445 |
16.3× |
| MRI brain without contrast (70551) |
$3,952.90 |
$5,647 |
16.5× |
| MRI brain with contrast (70552) |
$2,842.70 |
$4,061 |
8.1× |
| MRI brain without and with contrast (70553) |
$5,228.30 |
$7,469 |
14.9× |
| X-ray lower spine, 4+ views (72110) |
$680.40 |
$972 |
6.5× |
| MRI lumbar spine without contrast (72148) |
$4,322.50 |
$6,175 |
18.0× |
| CT pelvis with contrast (72193) |
$1,866.90 |
$2,667 |
10.6× |
| MRI lower-extremity joint without contrast (73721) |
$3,826.20 |
$5,466 |
16.0× |
| CT abdomen and pelvis with contrast (74177) |
$5,948.60 |
$8,498 |
17.0× |
| Ultrasound, abdomen complete (76700) |
$1,171.80 |
$1,674 |
11.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$379.40 |
$542 |
3.6× |
| Ultrasound, transvaginal (76830) |
$915.60 |
$1,308 |
8.7× |
| Mammography, one breast (diagnostic) (77065) |
$393.40 |
$562 |
4.6× |
| Mammography, both breasts (diagnostic) (77066) |
$498.40 |
$712 |
4.5× |
| Mammography, screening (bilateral) (77067) |
$336 |
$480 |
3.7× |
| Basic metabolic panel (80048) |
$129.50 |
$185 |
15.3× |
| Comprehensive metabolic panel (80053) |
$195.30 |
$279 |
18.5× |
| Lipid panel (80061) |
$100.10 |
$143 |
7.5× |
| Renal function panel (80069) |
$147.70 |
$211 |
17.0× |
| Hepatic function panel (80076) |
$129.50 |
$185 |
15.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$41.67 |
$59.52 |
12.0× |
| PSA, total (84153) |
$150.50 |
$215 |
8.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$147.70 |
$211 |
8.8× |
| CBC with automated differential (85025) |
$92.40 |
$132 |
11.9× |
| CBC, automated (85027) |
$88.20 |
$126 |
13.6× |
| Prothrombin time (PT) (85610) |
$77.70 |
$111 |
18.1× |
| Partial thromboplastin time (PTT) (85730) |
$105.70 |
$151 |
17.6× |
| Psychotherapy, 30 minutes (90832) |
$198.30 |
$283.29 |
1.1× |
| Psychotherapy, 45 minutes (90834) |
$263.24 |
$376.05 |
1.5× |
| Psychotherapy, 60 minutes (90837) |
$329.92 |
$471.32 |
1.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$197.40 |
$282 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$197.40 |
$282 |
1.1× |
| Group psychotherapy (90853) |
$180.25 |
$257.50 |
1.8× |
| Electrocardiogram (ECG), complete (93000) |
$52.65 |
$75.21 |
0.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$121.45 |
$173.50 |
4.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$185.80 |
$265.43 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$219.86 |
$314.08 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$315.88 |
$451.26 |
2.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$173.73 |
$248.19 |
1.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$258.85 |
$369.78 |
1.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$183.39 |
$261.98 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$212.35 |
$303.35 |
— |