| Breast lesion removal (open) (19120) |
$1,353.60 |
$1,504 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$512.10 |
$569 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,800 |
$2,000 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$782.10 |
$869 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,015.20 |
$1,128 |
1.1× |
| Diagnostic colonoscopy (45378) |
$915.30 |
$1,017 |
0.9× |
| Colonoscopy with biopsy (45380) |
$1,163.70 |
$1,293 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,214.10 |
$1,349 |
1.0× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,467.90 |
$1,631 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,181.70 |
$1,313 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,094.90 |
$5,661 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,630.40 |
$6,256 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$5,296.50 |
$5,885 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$356.40 |
$396 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,423.14 |
$1,581.26 |
1.5× |
| CT head/brain without contrast (70450) |
$1,768.82 |
$1,965.36 |
16.3× |
| MRI brain without contrast (70551) |
$2,393.17 |
$2,659.08 |
9.7× |
| MRI brain with contrast (70552) |
$2,754.35 |
$3,060.39 |
7.6× |
| MRI brain without and with contrast (70553) |
$4,758.09 |
$5,286.77 |
13.1× |
| X-ray lower spine, 4+ views (72110) |
$299.85 |
$333.16 |
2.8× |
| MRI lumbar spine without contrast (72148) |
$3,871.09 |
$4,301.21 |
15.6× |
| CT pelvis with contrast (72193) |
$2,917.67 |
$3,241.85 |
16.0× |
| MRI lower-extremity joint without contrast (73721) |
$4,589.81 |
$5,099.79 |
18.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,869.87 |
$3,188.74 |
7.9× |
| Ultrasound, abdomen complete (76700) |
$1,080.76 |
$1,200.84 |
10.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$653.42 |
$726.02 |
6.0× |
| Ultrasound, transvaginal (76830) |
$909.78 |
$1,010.87 |
8.4× |
| Mammography, one breast (diagnostic) (77065) |
$439.82 |
$488.69 |
5.1× |
| Mammography, both breasts (diagnostic) (77066) |
$562.91 |
$625.46 |
5.1× |
| Mammography, screening (bilateral) (77067) |
$464.74 |
$516.38 |
5.1× |
| Basic metabolic panel (80048) |
$110.59 |
$122.88 |
13.1× |
| Comprehensive metabolic panel (80053) |
$117.52 |
$130.58 |
11.1× |
| Lipid panel (80061) |
$84.88 |
$94.32 |
6.3× |
| Renal function panel (80069) |
$158.57 |
$176.19 |
18.3× |
| Hepatic function panel (80076) |
$96.36 |
$107.06 |
11.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$10.80 |
$12 |
2.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$9.90 |
$11 |
2.8× |
| PSA, total (84153) |
$92.18 |
$102.42 |
5.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$88.96 |
$98.84 |
5.3× |
| CBC with automated differential (85025) |
$77.74 |
$86.37 |
10.0× |
| CBC, automated (85027) |
$70.94 |
$78.82 |
11.0× |
| Prothrombin time (PT) (85610) |
$49.44 |
$54.94 |
11.5× |
| Partial thromboplastin time (PTT) (85730) |
$67.42 |
$74.92 |
11.2× |
| Psychotherapy, 30 minutes (90832) |
$166.50 |
$185 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$219.60 |
$244 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$323.10 |
$359 |
1.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$206.10 |
$229 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$213.30 |
$237 |
1.2× |
| Group psychotherapy (90853) |
$59.40 |
$66 |
0.6× |
| Electrocardiogram (ECG), complete (93000) |
$31.50 |
$35 |
0.5× |
| Sleep study (attended polysomnography) (95810) |
$2,827.44 |
$3,141.60 |
3.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$100.66 |
$111.84 |
3.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$199.80 |
$222 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$301.50 |
$335 |
2.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$401.40 |
$446 |
2.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$204.30 |
$227 |
1.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$306.90 |
$341 |
2.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$239.40 |
$266 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$278.10 |
$309 |
— |