| Breast lesion removal (open) (19120) |
$1,748.03 |
$2,056.51 |
0.4× |
| Shoulder arthroscopy with decompression (29826) |
$407.11 |
$478.95 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,496.94 |
$1,761.11 |
0.4× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$1,053.15 |
$1,239 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$848.56 |
$998.31 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,813.45 |
$2,133.47 |
1.9× |
| Diagnostic colonoscopy (45378) |
$1,548.78 |
$1,822.10 |
1.6× |
| Colonoscopy with biopsy (45380) |
$1,245.34 |
$1,465.10 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,245.34 |
$1,465.10 |
1.0× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,472.58 |
$1,732.45 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,753.93 |
$2,063.45 |
0.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$721.78 |
$849.14 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,724.74 |
$2,029.10 |
1.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,303.62 |
$1,533.67 |
2.3× |
| CT head/brain without contrast (70450) |
$1,687.25 |
$1,985 |
15.6× |
| MRI brain without contrast (70551) |
$2,643.08 |
$3,109.50 |
10.7× |
| MRI brain with contrast (70552) |
$2,785.55 |
$3,277.12 |
7.7× |
| MRI brain without and with contrast (70553) |
$2,965.91 |
$3,489.30 |
8.2× |
| X-ray lower spine, 4+ views (72110) |
$373.33 |
$439.21 |
3.5× |
| MRI lumbar spine without contrast (72148) |
$2,634.16 |
$3,099.01 |
10.7× |
| CT pelvis with contrast (72193) |
$2,141.15 |
$2,519 |
11.8× |
| MRI lower-extremity joint without contrast (73721) |
$2,578.05 |
$3,033 |
10.5× |
| CT abdomen and pelvis with contrast (74177) |
$3,157.08 |
$3,714.21 |
8.8× |
| Ultrasound, abdomen complete (76700) |
$885.53 |
$1,041.80 |
8.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$756.59 |
$890.10 |
7.0× |
| Ultrasound, transvaginal (76830) |
$765.60 |
$900.70 |
7.1× |
| Mammography, one breast (diagnostic) (77065) |
$406.70 |
$478.47 |
4.7× |
| Mammography, both breasts (diagnostic) (77066) |
$511.30 |
$601.53 |
4.6× |
| Mammography, screening (bilateral) (77067) |
$439.16 |
$516.66 |
4.8× |
| Basic metabolic panel (80048) |
$166.60 |
$196 |
19.7× |
| Comprehensive metabolic panel (80053) |
$219.30 |
$258 |
20.8× |
| Lipid panel (80061) |
$138.98 |
$163.50 |
10.4× |
| Renal function panel (80069) |
$153.85 |
$181 |
17.7× |
| Hepatic function panel (80076) |
$148.75 |
$175 |
18.2× |
| PSA, total (84153) |
$162.35 |
$191 |
8.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$139.40 |
$164 |
8.3× |
| CBC with automated differential (85025) |
$130.05 |
$153 |
16.7× |
| CBC, automated (85027) |
$100.30 |
$118 |
15.5× |
| Prothrombin time (PT) (85610) |
$68 |
$80 |
15.9× |
| Partial thromboplastin time (PTT) (85730) |
$85 |
$100 |
14.1× |
| Psychotherapy, 30 minutes (90832) |
$161.50 |
$190 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$199.75 |
$235 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$236.73 |
$278.51 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$193.94 |
$228.17 |
1.1× |
| Sleep study (attended polysomnography) (95810) |
$2,482.48 |
$2,920.56 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$117.68 |
$138.45 |
4.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$281.35 |
$331 |
2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$401.28 |
$472.10 |
2.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$494.62 |
$581.90 |
3.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$177.20 |
$208.46 |
1.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$252.04 |
$296.52 |
1.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$285.86 |
$336.31 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$284.95 |
$335.24 |
— |