| Breast lesion removal (open) (19120) |
$5,223.75 |
$6,965 |
1.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,526.62 |
$2,035.50 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,515 |
$2,020 |
1.4× |
| Diagnostic colonoscopy (45378) |
$2,783.25 |
$3,711 |
2.5× |
| Colonoscopy with biopsy (45380) |
$1,853.25 |
$2,471 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,947.75 |
$2,597 |
1.4× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$515.25 |
$687 |
0.1× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,225.25 |
$6,967 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,916.75 |
$7,889 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,842.75 |
$2,457 |
1.7× |
| CT head/brain without contrast (70450) |
$1,611.75 |
$2,149 |
12.9× |
| MRI brain without contrast (70551) |
$2,116.50 |
$2,822 |
7.4× |
| MRI brain with contrast (70552) |
$2,450.25 |
$3,267 |
5.9× |
| MRI brain without and with contrast (70553) |
$2,818.50 |
$3,758 |
6.7× |
| X-ray lower spine, 4+ views (72110) |
$651.75 |
$869 |
5.2× |
| MRI lumbar spine without contrast (72148) |
$2,144.25 |
$2,859 |
7.5× |
| CT pelvis with contrast (72193) |
$2,313.75 |
$3,085 |
11.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,168.25 |
$2,891 |
7.6× |
| CT abdomen and pelvis with contrast (74177) |
$4,253.25 |
$5,671 |
10.2× |
| Ultrasound, abdomen complete (76700) |
$1,267.50 |
$1,690 |
10.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$431.62 |
$575.50 |
3.4× |
| Ultrasound, transvaginal (76830) |
$1,251.75 |
$1,669 |
10.0× |
| Mammography, one breast (diagnostic) (77065) |
$564 |
$752 |
6.5× |
| Mammography, both breasts (diagnostic) (77066) |
$720 |
$960 |
6.5× |
| Mammography, screening (bilateral) (77067) |
$610.50 |
$814 |
6.7× |
| Basic metabolic panel (80048) |
$156.75 |
$209 |
18.5× |
| Comprehensive metabolic panel (80053) |
$217.50 |
$290 |
20.6× |
| Lipid panel (80061) |
$132.75 |
$177 |
9.9× |
| Renal function panel (80069) |
$175.50 |
$234 |
20.2× |
| Hepatic function panel (80076) |
$140.25 |
$187 |
17.2× |
| PSA, total (84153) |
$167.25 |
$223 |
9.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$141 |
$188 |
8.4× |
| CBC with automated differential (85025) |
$116.25 |
$155 |
15.0× |
| CBC, automated (85027) |
$117 |
$156 |
18.1× |
| Prothrombin time (PT) (85610) |
$65.25 |
$87 |
15.2× |
| Partial thromboplastin time (PTT) (85730) |
$78 |
$104 |
13.0× |
| Psychotherapy, 30 minutes (90832) |
$227.62 |
$303.50 |
1.1× |
| Psychotherapy, 45 minutes (90834) |
$279.75 |
$373 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$421.50 |
$562 |
2.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$292.12 |
$389.50 |
1.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$126.75 |
$169 |
4.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$136.50 |
$182 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$286.12 |
$381.50 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$378 |
$504 |
2.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$125.62 |
$167.50 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$125.62 |
$167.50 |
— |