| Breast lesion removal (open) (19120) |
$1,620.06 |
$2,418 |
0.4× |
| Shoulder arthroscopy with decompression (29826) |
$2,732.26 |
$4,078 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,558.37 |
$5,311 |
1.0× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$1,273 |
$1,900 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,320.24 |
$1,970.50 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,340.34 |
$2,000.50 |
1.4× |
| Diagnostic colonoscopy (45378) |
$1,522.91 |
$2,273 |
1.5× |
| Colonoscopy with biopsy (45380) |
$1,701.13 |
$2,539 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,931.61 |
$2,883 |
1.5× |
| Laparoscopic gallbladder removal (47562) |
$3,368.09 |
$5,027 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$2,032.11 |
$3,033 |
0.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$949.39 |
$1,417 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,685.05 |
$2,515 |
1.8× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$967.14 |
$1,443.50 |
1.7× |
| Cataract removal with lens insertion (66984) |
$3,811.63 |
$5,689 |
1.6× |
| Basic metabolic panel (80048) |
$61.64 |
$92 |
7.3× |
| Comprehensive metabolic panel (80053) |
$71.02 |
$106 |
6.7× |
| Lipid panel (80061) |
$93.80 |
$140 |
7.0× |
| Renal function panel (80069) |
$64.32 |
$96 |
7.4× |
| Hepatic function panel (80076) |
$71.02 |
$106 |
8.7× |
| PSA, total (84153) |
$103.85 |
$155 |
5.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$96.48 |
$144 |
5.7× |
| CBC with automated differential (85025) |
$47.57 |
$71 |
6.1× |
| CBC, automated (85027) |
$36.18 |
$54 |
5.6× |
| Prothrombin time (PT) (85610) |
$28.81 |
$43 |
6.7× |
| Partial thromboplastin time (PTT) (85730) |
$38.86 |
$58 |
6.5× |
| Psychotherapy, 30 minutes (90832) |
$133.33 |
$199 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$237.85 |
$355 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$351.75 |
$525 |
1.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$251.92 |
$376 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$310.88 |
$464 |
1.7× |
| Group psychotherapy (90853) |
$125.96 |
$188 |
1.2× |
| Electrocardiogram (ECG), complete (93000) |
$78.06 |
$116.50 |
1.2× |
| Sleep study (attended polysomnography) (95810) |
$2,368.45 |
$3,535 |
2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$71.02 |
$106 |
2.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$231.15 |
$345 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$248.24 |
$370.50 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$294.13 |
$439 |
2.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$340.36 |
$508 |
2.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$340.70 |
$508.50 |
2.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$282.07 |
$421 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$296.14 |
$442 |
— |