| Breast lesion removal (open) (19120) |
$1,367.18 |
$1,953.12 |
0.3× |
| Diagnostic colonoscopy (45378) |
$462.70 |
$661 |
0.5× |
Laparoscopic gallbladder removal (47562) likely a partial charge, not the full procedure |
$1,505.50 |
$2,150.72 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,728.69 |
$2,469.56 |
0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,719.20 |
$2,456 |
1.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$735 |
$1,050 |
1.3× |
| Cataract removal with lens insertion (66984) |
$1,606.50 |
$2,295 |
0.7× |
| CT head/brain without contrast (70450) |
$310.80 |
$444 |
2.8× |
| MRI brain without contrast (70551) |
$571.20 |
$816 |
2.3× |
| MRI brain with contrast (70552) |
$4,822.30 |
$6,889 |
13.2× |
| MRI brain without and with contrast (70553) |
$3,242.75 |
$4,632.50 |
8.9× |
| X-ray lower spine, 4+ views (72110) |
$1,258.60 |
$1,798 |
11.5× |
| MRI lumbar spine without contrast (72148) |
$3,696 |
$5,280 |
14.8× |
| CT pelvis with contrast (72193) |
$3,734.50 |
$5,335 |
20.4× |
| MRI lower-extremity joint without contrast (73721) |
$2,063.50 |
$2,947.85 |
8.3× |
| CT abdomen and pelvis with contrast (74177) |
$3,437.11 |
$4,910.16 |
9.4× |
| Ultrasound, abdomen complete (76700) |
$753.42 |
$1,076.32 |
6.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$659.40 |
$942 |
6.0× |
| Ultrasound, transvaginal (76830) |
$801.50 |
$1,145 |
7.3× |
| Basic metabolic panel (80048) |
$244.30 |
$349 |
28.9× |
| Comprehensive metabolic panel (80053) |
$714.70 |
$1,021 |
67.7× |
| Lipid panel (80061) |
$225.40 |
$322 |
16.8× |
| Renal function panel (80069) |
$11.90 |
$17 |
1.4× |
| Hepatic function panel (80076) |
$340.20 |
$486 |
41.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$82.60 |
$118 |
23.7× |
| PSA, total (84153) |
$120.40 |
$172 |
6.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$156.80 |
$224 |
9.3× |
| CBC with automated differential (85025) |
$233.10 |
$333 |
30.0× |
| Prothrombin time (PT) (85610) |
$141.05 |
$201.50 |
32.9× |
| Partial thromboplastin time (PTT) (85730) |
$153.30 |
$219 |
25.5× |
| Psychotherapy, 30 minutes (90832) |
$55.30 |
$79 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$72.80 |
$104 |
0.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$92.40 |
$132 |
0.5× |
| Left heart catheterization (93452) |
$9,364.60 |
$13,378 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$161 |
$230 |
5.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$428.40 |
$612 |
3.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$460.95 |
$658.50 |
3.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$557.55 |
$796.50 |
4.0× |