| Breast lesion removal (open) (19120) |
$853.22 |
$1,153 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$675.62 |
$913 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$663.78 |
$897 |
0.8× |
| Diagnostic colonoscopy (45378) |
$921.30 |
$1,245 |
1.1× |
| Colonoscopy with biopsy (45380) |
$1,013.06 |
$1,369 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,302.40 |
$1,760 |
1.2× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,285.38 |
$1,737 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,272.06 |
$1,719 |
0.4× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,850.96 |
$5,204 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$6,395.82 |
$8,643 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$3,850.96 |
$5,204 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$762.20 |
$1,030 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$887.26 |
$1,199 |
1.1× |
| CT head/brain without contrast (70450) |
$821.03 |
$1,109.50 |
8.5× |
| MRI brain without contrast (70551) |
$1,575.46 |
$2,129 |
7.2× |
| MRI brain with contrast (70552) |
$1,791.54 |
$2,421 |
5.6× |
| MRI brain without and with contrast (70553) |
$1,963.96 |
$2,654 |
6.1× |
| X-ray lower spine, 4+ views (72110) |
$113.96 |
$154 |
1.2× |
| MRI lumbar spine without contrast (72148) |
$1,602.10 |
$2,165 |
7.3× |
| CT pelvis with contrast (72193) |
$1,034.15 |
$1,397.50 |
6.4× |
| MRI lower-extremity joint without contrast (73721) |
$2,165.98 |
$2,927 |
9.9× |
| CT abdomen and pelvis with contrast (74177) |
$1,627.63 |
$2,199.50 |
5.1× |
| Ultrasound, abdomen complete (76700) |
$535.02 |
$723 |
5.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$199.06 |
$269 |
2.1× |
| Ultrasound, transvaginal (76830) |
$273.43 |
$369.50 |
2.8× |
| Mammography, one breast (diagnostic) (77065) |
$196.10 |
$265 |
2.3× |
| Mammography, both breasts (diagnostic) (77066) |
$298.96 |
$404 |
2.7× |
| Mammography, screening (bilateral) (77067) |
$319.68 |
$432 |
3.5× |
| Basic metabolic panel (80048) |
$32.93 |
$44.50 |
3.9× |
| Comprehensive metabolic panel (80053) |
$48.84 |
$66 |
4.6× |
| Obstetric panel (80055) |
$189.44 |
$256 |
4.0× |
| Lipid panel (80061) |
$62.16 |
$84 |
4.6× |
| Renal function panel (80069) |
$96.57 |
$130.50 |
11.1× |
| Hepatic function panel (80076) |
$39.22 |
$53 |
4.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$58.46 |
$79 |
14.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$22.94 |
$31 |
6.6× |
| PSA, total (84153) |
$133.20 |
$180 |
7.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$98.05 |
$132.50 |
5.8× |
| CBC with automated differential (85025) |
$93.24 |
$126 |
12.0× |
| CBC, automated (85027) |
$84.36 |
$114 |
13.0× |
| Prothrombin time (PT) (85610) |
$69.56 |
$94 |
16.2× |
| Partial thromboplastin time (PTT) (85730) |
$91.76 |
$124 |
15.3× |
| Psychotherapy, 30 minutes (90832) |
$310.80 |
$420 |
1.9× |
| Psychotherapy, 45 minutes (90834) |
$333 |
$450 |
2.0× |
| Psychotherapy, 60 minutes (90837) |
$351.50 |
$475 |
2.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$344.10 |
$465 |
2.1× |
| Group psychotherapy (90853) |
$310.80 |
$420 |
3.3× |
| Electrocardiogram (ECG), complete (93000) |
$68.82 |
$93 |
1.3× |
| Sleep study (attended polysomnography) (95810) |
$2,610.72 |
$3,528 |
3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$80.66 |
$109 |
2.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$202.76 |
$274 |
1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$261.96 |
$354 |
2.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$308.95 |
$417.50 |
2.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$207.94 |
$281 |
1.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$269.36 |
$364 |
2.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$248.64 |
$336 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$286.38 |
$387 |
— |