| Breast lesion removal (open) (19120) |
$1,428 |
$1,785 |
0.4× |
| Shoulder arthroscopy with decompression (29826) |
$820.80 |
$1,026 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,057.60 |
$6,322 |
1.7× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$1,304 |
$1,630 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$722.40 |
$903 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$785.60 |
$982 |
1.0× |
| Diagnostic colonoscopy (45378) |
$941.60 |
$1,177 |
1.1× |
| Colonoscopy with biopsy (45380) |
$1,197.60 |
$1,497 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,420.80 |
$1,776 |
1.3× |
| Laparoscopic gallbladder removal (47562) |
$3,288.80 |
$4,111 |
0.6× |
| Inguinal hernia repair (age 5+) (49505) |
$2,280 |
$2,850 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,204 |
$1,505 |
1.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,943.20 |
$2,429 |
3.9× |
| CT head/brain without contrast (70450) |
$1,401.60 |
$1,752 |
14.8× |
| MRI brain without contrast (70551) |
$1,930.80 |
$2,413.50 |
8.9× |
| MRI brain with contrast (70552) |
$2,667.20 |
$3,334 |
8.4× |
| MRI brain without and with contrast (70553) |
$3,158.40 |
$3,948 |
10.0× |
| X-ray lower spine, 4+ views (72110) |
$581.60 |
$727 |
6.1× |
| MRI lumbar spine without contrast (72148) |
$2,135.20 |
$2,669 |
9.9× |
| CT pelvis with contrast (72193) |
$1,953.60 |
$2,442 |
12.3× |
| MRI lower-extremity joint without contrast (73721) |
$2,344 |
$2,930 |
10.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,164 |
$2,705 |
6.9× |
| Ultrasound, abdomen complete (76700) |
$728.80 |
$911 |
7.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$727.20 |
$909 |
7.7× |
| Ultrasound, transvaginal (76830) |
$671.20 |
$839 |
7.1× |
| Mammography, screening (bilateral) (77067) |
$239.20 |
$299 |
2.6× |
| Basic metabolic panel (80048) |
$196 |
$245 |
23.2× |
| Comprehensive metabolic panel (80053) |
$235.20 |
$294 |
22.3× |
| Lipid panel (80061) |
$170.40 |
$213 |
12.7× |
| Renal function panel (80069) |
$189.60 |
$237 |
21.8× |
| Hepatic function panel (80076) |
$182.40 |
$228 |
22.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$48.80 |
$61 |
14.0× |
| PSA, total (84153) |
$195.20 |
$244 |
10.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$176 |
$220 |
10.5× |
| CBC, automated (85027) |
$113.60 |
$142 |
17.6× |
| Prothrombin time (PT) (85610) |
$117.60 |
$147 |
27.4× |
| Partial thromboplastin time (PTT) (85730) |
$160.80 |
$201 |
26.8× |
| Psychotherapy, 30 minutes (90832) |
$237.79 |
$297.24 |
1.5× |
| Psychotherapy, 45 minutes (90834) |
$208.97 |
$261.22 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$279.20 |
$349 |
1.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$150.40 |
$188 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$189.60 |
$237 |
1.2× |
| Group psychotherapy (90853) |
$55.60 |
$69.50 |
0.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$119.20 |
$149 |
4.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$253.94 |
$317.43 |
2.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$272 |
$340 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$322.45 |
$403.06 |
2.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$253.94 |
$317.43 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$253.94 |
$317.43 |
— |