| Breast lesion removal (open) (19120) |
$1,854 |
$1,854 |
0.4× |
| Shoulder arthroscopy with decompression (29826) |
$743 |
$743 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$2,367 |
$2,367 |
0.7× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$1,283 |
$1,283 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,387 |
$1,387 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$751 |
$751 |
0.8× |
| Diagnostic colonoscopy (45378) |
$1,541 |
$1,541 |
1.6× |
| Colonoscopy with biopsy (45380) |
$1,138 |
$1,138 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,346 |
$1,346 |
1.1× |
| Laparoscopic gallbladder removal (47562) |
$3,204 |
$3,204 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$3,333.50 |
$3,333.50 |
0.9× |
| Obstetric care, vaginal delivery (global) (59400) |
$7,308 |
$7,308 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$8,101 |
$8,101 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$521 |
$521 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,052 |
$1,052 |
1.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,744.50 |
$1,744.50 |
3.0× |
| Cataract removal with lens insertion (66984) |
$2,946 |
$2,946 |
1.2× |
| CT head/brain without contrast (70450) |
$1,315 |
$1,315 |
11.9× |
| MRI brain without contrast (70551) |
$2,372.50 |
$2,372.50 |
9.4× |
| MRI brain with contrast (70552) |
$2,830.50 |
$2,830.50 |
7.7× |
| MRI brain without and with contrast (70553) |
$3,474 |
$3,474 |
9.4× |
| X-ray lower spine, 4+ views (72110) |
$504.50 |
$504.50 |
4.6× |
| MRI lumbar spine without contrast (72148) |
$2,373.50 |
$2,373.50 |
9.4× |
| CT pelvis with contrast (72193) |
$1,980 |
$1,980 |
10.7× |
| MRI lower-extremity joint without contrast (73721) |
$2,355 |
$2,355 |
9.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,078.50 |
$2,078.50 |
5.6× |
| Ultrasound, abdomen complete (76700) |
$713 |
$713 |
6.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$673 |
$673 |
6.1× |
| Ultrasound, transvaginal (76830) |
$708.50 |
$708.50 |
6.4× |
| Mammography, one breast (diagnostic) (77065) |
$404 |
$404 |
4.7× |
| Mammography, both breasts (diagnostic) (77066) |
$519 |
$519 |
4.7× |
| Mammography, screening (bilateral) (77067) |
$407 |
$407 |
4.5× |
| Basic metabolic panel (80048) |
$163 |
$163 |
19.3× |
| Comprehensive metabolic panel (80053) |
$202 |
$202 |
19.1× |
| Lipid panel (80061) |
$208 |
$208 |
15.5× |
| Renal function panel (80069) |
$179 |
$179 |
20.6× |
| Hepatic function panel (80076) |
$168 |
$168 |
20.6× |
| Urinalysis, non-automated, with microscopy (81000) |
$63 |
$63 |
15.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$34 |
$34 |
9.8× |
| PSA, total (84153) |
$123 |
$123 |
6.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$305 |
$305 |
18.2× |
| CBC with automated differential (85025) |
$148 |
$148 |
19.0× |
| CBC, automated (85027) |
$119 |
$119 |
18.4× |
| Prothrombin time (PT) (85610) |
$52.50 |
$52.50 |
12.2× |
| Partial thromboplastin time (PTT) (85730) |
$126 |
$126 |
21.0× |
| Psychotherapy, 30 minutes (90832) |
$272 |
$272 |
1.5× |
| Psychotherapy, 45 minutes (90834) |
$362 |
$362 |
1.9× |
| Psychotherapy, 60 minutes (90837) |
$607 |
$607 |
3.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$424 |
$424 |
2.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$456 |
$456 |
2.4× |
| Group psychotherapy (90853) |
$107 |
$107 |
1.0× |
| Sleep study (attended polysomnography) (95810) |
$2,692.50 |
$2,692.50 |
3.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$134 |
$134 |
4.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$188 |
$188 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$288.50 |
$288.50 |
2.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$356.50 |
$356.50 |
2.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$213.50 |
$213.50 |
1.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$315 |
$315 |
2.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$274.50 |
$274.50 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$264.50 |
$264.50 |
— |