| Breast lesion removal (open) (19120) |
$1,813.50 |
$2,418 |
0.4× |
| Shoulder arthroscopy with decompression (29826) |
$3,058.50 |
$4,078 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,983.25 |
$5,311 |
1.2× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$1,425 |
$1,900 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,539 |
$2,052 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,411.88 |
$1,882.50 |
1.5× |
| Diagnostic colonoscopy (45378) |
$1,539.75 |
$2,053 |
1.6× |
| Colonoscopy with biopsy (45380) |
$1,578.38 |
$2,104.50 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,933.50 |
$2,578 |
1.5× |
| Laparoscopic gallbladder removal (47562) |
$3,770.25 |
$5,027 |
0.6× |
| Inguinal hernia repair (age 5+) (49505) |
$2,274.75 |
$3,033 |
0.6× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,062.75 |
$1,417 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,886.25 |
$2,515 |
2.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,082.62 |
$1,443.50 |
1.9× |
| Cataract removal with lens insertion (66984) |
$4,266.75 |
$5,689 |
1.8× |
| Basic metabolic panel (80048) |
$69 |
$92 |
8.2× |
| Comprehensive metabolic panel (80053) |
$79.50 |
$106 |
7.5× |
| Lipid panel (80061) |
$105 |
$140 |
7.8× |
| Renal function panel (80069) |
$72 |
$96 |
8.3× |
| Hepatic function panel (80076) |
$79.50 |
$106 |
9.7× |
| PSA, total (84153) |
$116.25 |
$155 |
6.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$108 |
$144 |
6.4× |
| CBC with automated differential (85025) |
$53.25 |
$71 |
6.9× |
| CBC, automated (85027) |
$40.50 |
$54 |
6.3× |
| Prothrombin time (PT) (85610) |
$32.25 |
$43 |
7.5× |
| Partial thromboplastin time (PTT) (85730) |
$43.50 |
$58 |
7.2× |
| Psychotherapy, 30 minutes (90832) |
$149.25 |
$199 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$266.25 |
$355 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$393.75 |
$525 |
2.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$282 |
$376 |
1.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$348 |
$464 |
1.9× |
| Group psychotherapy (90853) |
$141 |
$188 |
1.3× |
| Electrocardiogram (ECG), complete (93000) |
$87.38 |
$116.50 |
1.4× |
| Sleep study (attended polysomnography) (95810) |
$2,651.25 |
$3,535 |
2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$79.50 |
$106 |
2.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$258.75 |
$345 |
1.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$277.88 |
$370.50 |
2.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$329.25 |
$439 |
2.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$381 |
$508 |
2.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$381.38 |
$508.50 |
2.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$315.75 |
$421 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$331.50 |
$442 |
— |