| Breast lesion removal (open) (19120) |
$896.64 |
$1,401 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$553.60 |
$865 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$669.44 |
$1,046 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$342.40 |
$535 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$544 |
$850 |
0.6× |
| Diagnostic colonoscopy (45378) |
$645.12 |
$1,008 |
0.7× |
| Colonoscopy with biopsy (45380) |
$645.12 |
$1,008 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$675.20 |
$1,055 |
0.5× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,062.40 |
$1,660 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,193.60 |
$1,865 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,584 |
$5,600 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,160 |
$6,500 |
— |
| CT head/brain without contrast (70450) |
$761.60 |
$1,190 |
7.1× |
| MRI brain without contrast (70551) |
$1,229.44 |
$1,921 |
5.0× |
| MRI brain without and with contrast (70553) |
$1,744 |
$2,725 |
4.8× |
| X-ray lower spine, 4+ views (72110) |
$105.62 |
$165.04 |
1.0× |
| MRI lumbar spine without contrast (72148) |
$1,373.44 |
$2,146 |
5.6× |
| CT pelvis with contrast (72193) |
$912 |
$1,425 |
5.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,572.48 |
$2,457 |
6.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,473.28 |
$2,302 |
4.1× |
| Ultrasound, abdomen complete (76700) |
$456.32 |
$713 |
4.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$471.68 |
$737 |
4.4× |
| Ultrasound, transvaginal (76830) |
$206.72 |
$323 |
1.9× |
| Mammography, one breast (diagnostic) (77065) |
$279.68 |
$437 |
3.2× |
| Mammography, both breasts (diagnostic) (77066) |
$343.04 |
$536 |
3.1× |
| Mammography, screening (bilateral) (77067) |
$247.04 |
$386 |
2.7× |
| Basic metabolic panel (80048) |
$57.60 |
$90 |
6.8× |
| Comprehensive metabolic panel (80053) |
$76.80 |
$120 |
7.3× |
| Lipid panel (80061) |
$53.76 |
$84 |
4.0× |
| Renal function panel (80069) |
$42.88 |
$67 |
4.9× |
| Hepatic function panel (80076) |
$29.76 |
$46.50 |
3.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$19.20 |
$30 |
5.5× |
| PSA, total (84153) |
$48.64 |
$76 |
2.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$60.16 |
$94 |
3.6× |
| CBC with automated differential (85025) |
$60.10 |
$93.90 |
7.7× |
| CBC, automated (85027) |
$51.20 |
$80 |
7.9× |
| Prothrombin time (PT) (85610) |
$26.88 |
$42 |
6.3× |
| Partial thromboplastin time (PTT) (85730) |
$39.04 |
$61 |
6.5× |
| Psychotherapy, 30 minutes (90832) |
$112 |
$175 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$160 |
$250 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$176 |
$275 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$176 |
$275 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$204.16 |
$319 |
1.1× |
| Electrocardiogram (ECG), complete (93000) |
$80.74 |
$126.15 |
1.3× |
| Sleep study (attended polysomnography) (95810) |
$2,393.60 |
$3,740 |
2.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$83.20 |
$130 |
2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$120.96 |
$189 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$185.60 |
$290 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$218.24 |
$341 |
1.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$211.20 |
$330 |
1.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$163.20 |
$255 |
1.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$106.88 |
$167 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$264.32 |
$413 |
— |