| Breast lesion removal (open) (19120) |
$2,153 |
$4,306 |
0.6× |
| Shoulder arthroscopy with decompression (29826) |
$1,070 |
$2,140 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,055 |
$2,110 |
0.3× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$428.50 |
$857 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$370.50 |
$741 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$407 |
$814 |
0.5× |
| Diagnostic colonoscopy (45378) |
$528 |
$1,056 |
0.6× |
| Colonoscopy with biopsy (45380) |
$580 |
$1,160 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$656.50 |
$1,313 |
0.6× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,059 |
$2,118 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$588 |
$1,176 |
0.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$1,951.50 |
$3,903 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$2,163 |
$4,326 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$2,049.50 |
$4,099 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$346.50 |
$693 |
0.4× |
| CT head/brain without contrast (70450) |
$247.36 |
$494.70 |
2.6× |
| X-ray lower spine, 4+ views (72110) |
$109.80 |
$219.60 |
1.1× |
| CT pelvis with contrast (72193) |
$394.78 |
$789.57 |
2.4× |
| CT abdomen and pelvis with contrast (74177) |
$710.91 |
$1,421.82 |
2.2× |
| Ultrasound, abdomen complete (76700) |
$148.08 |
$296.15 |
1.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$166.50 |
$333 |
1.7× |
| Ultrasound, transvaginal (76830) |
$150.50 |
$301 |
1.6× |
| Mammography, one breast (diagnostic) (77065) |
$132.50 |
$264.98 |
1.5× |
| Mammography, both breasts (diagnostic) (77066) |
$165.42 |
$330.82 |
1.5× |
| Mammography, screening (bilateral) (77067) |
$130 |
$260 |
1.4× |
| Basic metabolic panel (80048) |
$76.50 |
$153 |
9.0× |
| Comprehensive metabolic panel (80053) |
$86 |
$172 |
8.1× |
| Lipid panel (80061) |
$67.50 |
$135 |
5.0× |
| Renal function panel (80069) |
$219 |
$438 |
25.2× |
| Hepatic function panel (80076) |
$81.75 |
$163.50 |
10.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$6.50 |
$13 |
1.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$10.50 |
$21 |
3.0× |
| PSA, total (84153) |
$73.50 |
$147 |
4.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$30 |
$60 |
1.8× |
| CBC with automated differential (85025) |
$24.25 |
$48.50 |
3.1× |
| CBC, automated (85027) |
$31.50 |
$63 |
4.9× |
| Prothrombin time (PT) (85610) |
$14.12 |
$28.24 |
3.3× |
| Partial thromboplastin time (PTT) (85730) |
$26.06 |
$52.12 |
4.3× |
| Psychotherapy, 30 minutes (90832) |
$64 |
$128 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$95 |
$190 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$142.50 |
$285 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$90 |
$180 |
0.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$111.50 |
$223 |
0.7× |
| Group psychotherapy (90853) |
$32 |
$64 |
0.3× |
| Electrocardiogram (ECG), complete (93000) |
$26 |
$52 |
0.5× |
| Left heart catheterization (93452) |
$804.25 |
$1,608.50 |
0.3× |
| Sleep study (attended polysomnography) (95810) |
$116.50 |
$233 |
0.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$52 |
$104 |
1.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$121.50 |
$243 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$159.50 |
$319 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$190 |
$380 |
1.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$93.50 |
$187 |
0.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$138.50 |
$277 |
1.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$86.50 |
$173 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$101 |
$202 |
— |