| Breast lesion removal (open) (19120) |
$1,020.85 |
$1,201 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$1,517.25 |
$1,785 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,474.75 |
$1,735 |
0.4× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$601.38 |
$707.50 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$550.38 |
$647.50 |
0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$641.75 |
$755 |
0.6× |
| Diagnostic colonoscopy (45378) |
$777.75 |
$915 |
0.8× |
| Colonoscopy with biopsy (45380) |
$888.25 |
$1,045 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$990.25 |
$1,165 |
0.7× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,496 |
$1,760 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,066.75 |
$1,255 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,180.30 |
$4,918 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,094.02 |
$4,816.50 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$3,712.38 |
$4,367.50 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$210.80 |
$248 |
0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,561.45 |
$1,837 |
1.6× |
| CT head/brain without contrast (70450) |
$1,848.75 |
$2,175 |
15.9× |
| MRI brain without contrast (70551) |
$3,289.50 |
$3,870 |
12.4× |
| MRI brain with contrast (70552) |
$3,774 |
$4,440 |
9.7× |
| MRI brain without and with contrast (70553) |
$4,879 |
$5,740 |
12.5× |
| X-ray lower spine, 4+ views (72110) |
$884 |
$1,040 |
7.6× |
| MRI lumbar spine without contrast (72148) |
$3,289.50 |
$3,870 |
12.4× |
| CT pelvis with contrast (72193) |
$2,779.50 |
$3,270 |
14.2× |
| MRI lower-extremity joint without contrast (73721) |
$3,633.75 |
$4,275 |
13.7× |
| CT abdomen and pelvis with contrast (74177) |
$5,448.50 |
$6,410 |
14.0× |
| Ultrasound, abdomen complete (76700) |
$473.45 |
$557 |
4.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$303.88 |
$357.50 |
2.6× |
| Ultrasound, transvaginal (76830) |
$283.90 |
$334 |
2.4× |
| Mammography, one breast (diagnostic) (77065) |
$436.90 |
$514 |
5.1× |
| Mammography, both breasts (diagnostic) (77066) |
$543.15 |
$639 |
4.9× |
| Mammography, screening (bilateral) (77067) |
$320.02 |
$376.50 |
3.5× |
| Basic metabolic panel (80048) |
$69.70 |
$82 |
8.2× |
| Comprehensive metabolic panel (80053) |
$120.70 |
$142 |
11.4× |
| Lipid panel (80061) |
$49.30 |
$58 |
3.7× |
| Renal function panel (80069) |
$141.95 |
$167 |
16.4× |
| Hepatic function panel (80076) |
$76.50 |
$90 |
9.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$52.70 |
$62 |
13.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$41.65 |
$49 |
12.0× |
| PSA, total (84153) |
$77.35 |
$91 |
4.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$115.60 |
$136 |
6.9× |
| CBC with automated differential (85025) |
$57.78 |
$67.98 |
7.4× |
| CBC, automated (85027) |
$47.60 |
$56 |
7.4× |
| Prothrombin time (PT) (85610) |
$56.10 |
$66 |
13.1× |
| Partial thromboplastin time (PTT) (85730) |
$79.05 |
$93 |
13.2× |
| Psychotherapy, 30 minutes (90832) |
$142.80 |
$168 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$182.75 |
$215 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$276.25 |
$325 |
1.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$168.30 |
$198 |
0.9× |
| Electrocardiogram (ECG), complete (93000) |
$70.98 |
$83.50 |
1.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$105.40 |
$124 |
3.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$225.25 |
$265 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$348.50 |
$410 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$397.80 |
$468 |
2.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$210.38 |
$247.50 |
1.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$316.62 |
$372.50 |
2.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$242.25 |
$285 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$276.25 |
$325 |
— |