| Breast lesion removal (open) (19120) |
$673.32 |
$1,086 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$1,106.08 |
$1,784 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$830.80 |
$1,340 |
0.2× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$453.22 |
$731 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$955.42 |
$1,541 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$964.10 |
$1,555 |
1.0× |
| Diagnostic colonoscopy (45378) |
$1,084.38 |
$1,749 |
1.1× |
| Colonoscopy with biopsy (45380) |
$1,216.44 |
$1,962 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,254.88 |
$2,024 |
1.0× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,060.20 |
$1,710 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,479.32 |
$2,386 |
0.4× |
| Obstetric care, vaginal delivery (global) (59400) |
$2,751.56 |
$4,438 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$3,111.78 |
$5,019 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$2,898.50 |
$4,675 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$900.24 |
$1,452 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,806.68 |
$2,914 |
2.0× |
| CT head/brain without contrast (70450) |
$439.27 |
$708.50 |
4.1× |
| MRI brain without contrast (70551) |
$748.65 |
$1,207.50 |
3.0× |
| MRI brain with contrast (70552) |
$777.48 |
$1,254 |
2.2× |
| MRI brain without and with contrast (70553) |
$960.07 |
$1,548.50 |
2.7× |
| X-ray lower spine, 4+ views (72110) |
$157.17 |
$253.50 |
1.5× |
| MRI lumbar spine without contrast (72148) |
$760.74 |
$1,227 |
3.1× |
| CT pelvis with contrast (72193) |
$500.65 |
$807.50 |
2.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,349.12 |
$2,176 |
5.5× |
| CT abdomen and pelvis with contrast (74177) |
$1,025.79 |
$1,654.50 |
2.8× |
| Ultrasound, abdomen complete (76700) |
$301.32 |
$486 |
2.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$261.02 |
$421 |
2.4× |
| Ultrasound, transvaginal (76830) |
$183.52 |
$296 |
1.7× |
| Mammography, one breast (diagnostic) (77065) |
$92.69 |
$149.50 |
1.1× |
| Mammography, both breasts (diagnostic) (77066) |
$112.84 |
$182 |
1.0× |
| Mammography, screening (bilateral) (77067) |
$193.13 |
$311.50 |
2.1× |
| Basic metabolic panel (80048) |
$68.20 |
$110 |
8.1× |
| Comprehensive metabolic panel (80053) |
$101.68 |
$164 |
9.6× |
| Lipid panel (80061) |
$68.20 |
$110 |
5.1× |
| Renal function panel (80069) |
$102.92 |
$166 |
11.9× |
| Hepatic function panel (80076) |
$100.44 |
$162 |
12.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$17.36 |
$28 |
4.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$17.98 |
$29 |
5.2× |
| PSA, total (84153) |
$123.38 |
$199 |
6.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$141.67 |
$228.50 |
8.4× |
| CBC with automated differential (85025) |
$69.44 |
$112 |
8.9× |
| CBC, automated (85027) |
$50.22 |
$81 |
7.8× |
| Prothrombin time (PT) (85610) |
$25.42 |
$41 |
5.9× |
| Partial thromboplastin time (PTT) (85730) |
$44.64 |
$72 |
7.4× |
| Psychotherapy, 30 minutes (90832) |
$89.28 |
$144 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$114.70 |
$185 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$168.02 |
$271 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$112.22 |
$181 |
0.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$139.50 |
$225 |
0.8× |
| Group psychotherapy (90853) |
$33.48 |
$54 |
0.3× |
| Sleep study (attended polysomnography) (95810) |
$1,912.08 |
$3,084 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$82.46 |
$133 |
2.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$96.41 |
$155.50 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$148.49 |
$239.50 |
1.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$203.36 |
$328 |
1.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$174.22 |
$281 |
1.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$248.62 |
$401 |
1.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$143.84 |
$232 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$166.78 |
$269 |
— |