| Breast lesion removal (open) (19120) |
$1,108.40 |
$1,108.40 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$1,508.05 |
$1,508.05 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,771.85 |
$1,771.85 |
0.6× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$843 |
$843 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$597.70 |
$597.70 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$685.90 |
$685.90 |
0.8× |
| Diagnostic colonoscopy (45378) |
$843.80 |
$843.80 |
1.0× |
| Colonoscopy with biopsy (45380) |
$989.30 |
$989.30 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,219.40 |
$1,219.40 |
1.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$615 |
$615 |
0.6× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,128.40 |
$1,128.40 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$856.50 |
$856.50 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,151.50 |
$4,151.50 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,278.50 |
$4,278.50 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$5,013.60 |
$5,013.60 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$866.95 |
$866.95 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$405.90 |
$405.90 |
0.5× |
| CT head/brain without contrast (70450) |
$2,702.50 |
$2,702.50 |
28.1× |
| MRI brain without contrast (70551) |
$4,269.60 |
$4,269.60 |
19.5× |
| MRI brain with contrast (70552) |
$4,269.60 |
$4,269.60 |
13.3× |
| MRI brain without and with contrast (70553) |
$5,657.70 |
$5,657.70 |
17.6× |
| X-ray lower spine, 4+ views (72110) |
$1,012.80 |
$1,012.80 |
10.5× |
| MRI lumbar spine without contrast (72148) |
$2,642.30 |
$2,642.30 |
12.0× |
| CT pelvis with contrast (72193) |
$2,702.50 |
$2,702.50 |
16.8× |
| MRI lower-extremity joint without contrast (73721) |
$3,917 |
$3,917 |
17.9× |
| CT abdomen and pelvis with contrast (74177) |
$2,702.50 |
$2,702.50 |
8.4× |
| Ultrasound, abdomen complete (76700) |
$1,682.90 |
$1,682.90 |
17.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$343.50 |
$343.50 |
3.6× |
| Ultrasound, transvaginal (76830) |
$451.80 |
$451.80 |
4.7× |
| Mammography, one breast (diagnostic) (77065) |
$590.50 |
$590.50 |
6.9× |
| Mammography, both breasts (diagnostic) (77066) |
$736.70 |
$736.70 |
6.7× |
| Mammography, screening (bilateral) (77067) |
$358.60 |
$358.60 |
3.9× |
| Basic metabolic panel (80048) |
$120.40 |
$120.40 |
14.2× |
| Comprehensive metabolic panel (80053) |
$205.30 |
$205.30 |
19.4× |
| Obstetric panel (80055) |
$250 |
$250 |
5.2× |
| Lipid panel (80061) |
$180.50 |
$180.50 |
13.5× |
| Renal function panel (80069) |
$77.30 |
$77.30 |
8.9× |
| Hepatic function panel (80076) |
$142.80 |
$142.80 |
17.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$10.50 |
$10.50 |
3.0× |
| PSA, total (84153) |
$180.30 |
$180.30 |
9.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$105.40 |
$105.40 |
6.3× |
| CBC with automated differential (85025) |
$37 |
$37 |
4.8× |
| CBC, automated (85027) |
$93 |
$93 |
14.4× |
| Prothrombin time (PT) (85610) |
$40.40 |
$40.40 |
9.4× |
| Partial thromboplastin time (PTT) (85730) |
$91.50 |
$91.50 |
15.2× |
| Psychotherapy, 30 minutes (90832) |
$198 |
$198 |
1.2× |
| Psychotherapy, 45 minutes (90834) |
$174.20 |
$174.20 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$531.65 |
$531.65 |
3.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$516.60 |
$516.60 |
3.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$251.90 |
$251.90 |
1.5× |
| Group psychotherapy (90853) |
$85.60 |
$85.60 |
0.9× |
| Electrocardiogram (ECG), complete (93000) |
$77.35 |
$77.35 |
1.4× |
| Left heart catheterization (93452) |
$16,305.50 |
$16,305.50 |
5.5× |
| Sleep study (attended polysomnography) (95810) |
$5,169.10 |
$5,169.10 |
6.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$130.85 |
$130.85 |
4.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$194.70 |
$194.70 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$296.60 |
$296.60 |
2.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$383.60 |
$383.60 |
3.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$250.90 |
$250.90 |
2.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$350.50 |
$350.50 |
2.9× |