| Breast lesion removal (open) (19120) |
$892.01 |
$991.12 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$1,109.20 |
$1,232.44 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,055.60 |
$1,172.89 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$606.42 |
$673.80 |
0.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$703.82 |
$782.02 |
0.7× |
| Diagnostic colonoscopy (45378) |
$800.36 |
$889.29 |
0.8× |
| Colonoscopy with biopsy (45380) |
$965.36 |
$1,072.62 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$1,086.48 |
$1,207.20 |
0.8× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,419.71 |
$1,577.45 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$979.76 |
$1,088.63 |
0.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$382.32 |
$424.80 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$917.26 |
$1,019.18 |
0.9× |
| CT head/brain without contrast (70450) |
$1,056.02 |
$1,173.36 |
9.1× |
| MRI brain without contrast (70551) |
$2,155.49 |
$2,394.99 |
8.1× |
| MRI brain with contrast (70552) |
$3,158.23 |
$3,509.14 |
8.1× |
| MRI brain without and with contrast (70553) |
$3,757.84 |
$4,175.38 |
9.7× |
| X-ray lower spine, 4+ views (72110) |
$432.05 |
$480.06 |
3.7× |
| MRI lumbar spine without contrast (72148) |
$2,354.94 |
$2,616.60 |
8.9× |
| CT pelvis with contrast (72193) |
$1,253.95 |
$1,393.28 |
6.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,998.99 |
$2,221.10 |
7.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,513.73 |
$2,793.03 |
6.5× |
| Ultrasound, abdomen complete (76700) |
$774.84 |
$860.93 |
6.7× |
| Ultrasound, transvaginal (76830) |
$519.99 |
$577.77 |
4.5× |
| Mammography, one breast (diagnostic) (77065) |
$220.28 |
$244.75 |
2.6× |
| Mammography, screening (bilateral) (77067) |
$366.08 |
$406.75 |
4.0× |
| Basic metabolic panel (80048) |
$103.43 |
$114.92 |
12.2× |
| Comprehensive metabolic panel (80053) |
$121.06 |
$134.51 |
11.5× |
| Lipid panel (80061) |
$123.44 |
$137.15 |
9.2× |
| Renal function panel (80069) |
$74.66 |
$82.95 |
8.6× |
| Hepatic function panel (80076) |
$133.20 |
$148 |
16.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$22.80 |
$25.33 |
5.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$21.69 |
$24.10 |
6.2× |
| PSA, total (84153) |
$157.01 |
$174.46 |
8.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$38.06 |
$42.30 |
2.3× |
| CBC with automated differential (85025) |
$98.47 |
$109.41 |
12.7× |
| CBC, automated (85027) |
$70.85 |
$78.72 |
11.0× |
| Prothrombin time (PT) (85610) |
$47.69 |
$52.99 |
11.1× |
| Partial thromboplastin time (PTT) (85730) |
$111.87 |
$124.30 |
18.6× |
| Psychotherapy, 30 minutes (90832) |
$150.80 |
$167.55 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$104.88 |
$116.52 |
0.5× |
| Psychotherapy, 60 minutes (90837) |
$154.66 |
$171.85 |
0.8× |
| Electrocardiogram (ECG), complete (93000) |
$91.68 |
$101.86 |
1.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$105.35 |
$117.06 |
3.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$152.02 |
$168.91 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$207.66 |
$230.73 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$374.69 |
$416.32 |
2.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$249.71 |
$277.46 |
1.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$357.88 |
$397.64 |
2.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$142.71 |
$158.56 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$159.39 |
$177.10 |
— |