| Breast lesion removal (open) (19120) |
$1,340.24 |
$1,523 |
0.3× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$777.04 |
$883 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,602.04 |
$1,820.50 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,497.76 |
$1,702 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,926.32 |
$2,189 |
2.0× |
| Colonoscopy with biopsy (45380) |
$1,810.60 |
$2,057.50 |
1.5× |
| Colonoscopy with lesion removal (45385) |
$1,829.08 |
$2,078.50 |
1.5× |
| Laparoscopic gallbladder removal (47562) |
$3,520.44 |
$4,000.50 |
0.6× |
| Inguinal hernia repair (age 5+) (49505) |
$1,393.04 |
$1,583 |
0.4× |
| Obstetric care, vaginal delivery (global) (59400) |
$6,364.16 |
$7,232 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$7,069.04 |
$8,033 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$6,666 |
$7,575 |
— |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,274.24 |
$1,448 |
2.2× |
| Cataract removal with lens insertion (66984) |
$4,385.92 |
$4,984 |
1.8× |
| CT head/brain without contrast (70450) |
$486.64 |
$553 |
4.5× |
| MRI brain without contrast (70551) |
$814 |
$925 |
3.3× |
| MRI brain with contrast (70552) |
$1,072.72 |
$1,219 |
3.0× |
| MRI brain without and with contrast (70553) |
$1,234.20 |
$1,402.50 |
3.4× |
| X-ray lower spine, 4+ views (72110) |
$207.68 |
$236 |
1.9× |
| MRI lumbar spine without contrast (72148) |
$836.44 |
$950.50 |
3.4× |
| CT pelvis with contrast (72193) |
$599.28 |
$681 |
3.3× |
| MRI lower-extremity joint without contrast (73721) |
$938.96 |
$1,067 |
3.8× |
| CT abdomen and pelvis with contrast (74177) |
$1,192.84 |
$1,355.50 |
3.3× |
| Ultrasound, abdomen complete (76700) |
$374 |
$425 |
3.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$353.32 |
$401.50 |
3.3× |
| Ultrasound, transvaginal (76830) |
$267.52 |
$304 |
2.5× |
| Mammography, one breast (diagnostic) (77065) |
$249.48 |
$283.50 |
2.9× |
| Mammography, both breasts (diagnostic) (77066) |
$304.92 |
$346.50 |
2.8× |
| Mammography, screening (bilateral) (77067) |
$263.56 |
$299.50 |
2.9× |
| Basic metabolic panel (80048) |
$110.88 |
$126 |
13.1× |
| Comprehensive metabolic panel (80053) |
$136.40 |
$155 |
12.9× |
| Lipid panel (80061) |
$111.76 |
$127 |
8.3× |
| Renal function panel (80069) |
$138.16 |
$157 |
15.9× |
| Hepatic function panel (80076) |
$125.84 |
$143 |
15.4× |
| PSA, total (84153) |
$121.44 |
$138 |
6.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$133.76 |
$152 |
8.0× |
| CBC with automated differential (85025) |
$95.92 |
$109 |
12.3× |
| CBC, automated (85027) |
$91.52 |
$104 |
14.1× |
| Prothrombin time (PT) (85610) |
$61.60 |
$70 |
14.4× |
| Partial thromboplastin time (PTT) (85730) |
$79.20 |
$90 |
13.2× |
| Psychotherapy, 30 minutes (90832) |
$169.84 |
$193 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$216.48 |
$246 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$277.20 |
$315 |
1.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$193.60 |
$220 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$257.84 |
$293 |
1.4× |
| Group psychotherapy (90853) |
$316.80 |
$360 |
3.0× |
| Sleep study (attended polysomnography) (95810) |
$3,923.92 |
$4,459 |
4.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$134.64 |
$153 |
4.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$189.20 |
$215 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$302.72 |
$344 |
2.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$411.84 |
$468 |
3.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$220 |
$250 |
1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$308 |
$350 |
2.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$295.68 |
$336 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$341.44 |
$388 |
— |