| Breast lesion removal (open) (19120) |
$1,367.18 |
$1,953.12 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$543.20 |
$776 |
0.6× |
| 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× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,236.50 |
$3,195 |
2.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,761.90 |
$2,517 |
1.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$779.10 |
$1,113 |
1.4× |
| 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) |
$4,942.70 |
$7,061 |
13.6× |
| MRI brain without and with contrast (70553) |
$3,312.40 |
$4,732 |
9.1× |
| X-ray lower spine, 4+ views (72110) |
$1,289.40 |
$1,842 |
11.8× |
| MRI lumbar spine without contrast (72148) |
$2,172.45 |
$3,103.50 |
8.7× |
| CT pelvis with contrast (72193) |
$3,828.30 |
$5,469 |
20.9× |
| MRI lower-extremity joint without contrast (73721) |
$4,160.80 |
$5,944 |
16.7× |
| CT abdomen and pelvis with contrast (74177) |
$3,521.81 |
$5,031.16 |
9.7× |
| Ultrasound, abdomen complete (76700) |
$770.58 |
$1,100.82 |
7.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$674.80 |
$964 |
6.2× |
| Ultrasound, transvaginal (76830) |
$821.80 |
$1,174 |
7.5× |
| Mammography, one breast (diagnostic) (77065) |
$1,435 |
$2,050 |
16.7× |
| Mammography, both breasts (diagnostic) (77066) |
$406 |
$580 |
3.7× |
| Mammography, screening (bilateral) (77067) |
$406 |
$580 |
4.5× |
| Basic metabolic panel (80048) |
$82.60 |
$118 |
9.8× |
| Comprehensive metabolic panel (80053) |
$732.90 |
$1,047 |
69.4× |
| Lipid panel (80061) |
$231 |
$330 |
17.3× |
| Renal function panel (80069) |
$11.90 |
$17 |
1.4× |
| Hepatic function panel (80076) |
$348.60 |
$498 |
42.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$84 |
$120 |
24.1× |
| PSA, total (84153) |
$123.90 |
$177 |
6.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$160.30 |
$229 |
9.5× |
| CBC with automated differential (85025) |
$238 |
$340 |
30.6× |
| Prothrombin time (PT) (85610) |
$127.40 |
$182 |
29.7× |
| Partial thromboplastin time (PTT) (85730) |
$157.50 |
$225 |
26.2× |
| Psychotherapy, 30 minutes (90832) |
$137.55 |
$196.50 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$228.90 |
$327 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$254.80 |
$364 |
1.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$304.15 |
$434.50 |
1.6× |
| Group psychotherapy (90853) |
$752.85 |
$1,075.50 |
7.1× |
| Sleep study (attended polysomnography) (95810) |
$5,639.90 |
$8,057 |
6.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$162.40 |
$232 |
5.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$336 |
$480 |
2.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$468.65 |
$669.50 |
3.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$557.55 |
$796.50 |
4.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$333.90 |
$477 |
2.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$518 |
$740 |
3.7× |
| Preventive visit, new patient (age 40–64) (99386) |
$460.60 |
$658 |
— |