| Breast lesion removal (open) (19120) |
$328.05 |
$468.64 |
0.1× |
| Shoulder arthroscopy with decompression (29826) |
$202.30 |
$289 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$698.60 |
$998 |
0.2× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$200.78 |
$286.83 |
0.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$347 |
$495.70 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$386.98 |
$552.84 |
0.4× |
| Diagnostic colonoscopy (45378) |
$259.72 |
$371.03 |
0.3× |
| Colonoscopy with biopsy (45380) |
$700.70 |
$1,001 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$590.27 |
$843.24 |
0.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$202.14 |
$288.77 |
0.2× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,037.13 |
$1,481.62 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$711.55 |
$1,016.50 |
0.2× |
Laparoscopic radical prostatectomy (55866)
likely a partial charge, not the full procedure |
$1,191.85 |
$1,702.64 |
0.1× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,007.90 |
$4,297 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$3,275.30 |
$4,679 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$1,516.19 |
$2,165.98 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,711.80 |
$3,874 |
3.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$522.90 |
$747 |
0.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$225.51 |
$322.16 |
0.4× |
| Cataract removal with lens insertion (66984) |
$1,753.72 |
$2,505.31 |
0.8× |
| CT head/brain without contrast (70450) |
$740.56 |
$1,057.95 |
7.1× |
| MRI brain without contrast (70551) |
$1,069.90 |
$1,528.44 |
4.5× |
| MRI brain with contrast (70552) |
$1,537.33 |
$2,196.18 |
4.4× |
| MRI brain without and with contrast (70553) |
$1,628.65 |
$2,326.64 |
4.6× |
| X-ray lower spine, 4+ views (72110) |
$241.52 |
$345.03 |
2.3× |
| MRI lumbar spine without contrast (72148) |
$1,126.82 |
$1,609.74 |
4.7× |
| CT pelvis with contrast (72193) |
$1,062.98 |
$1,518.54 |
6.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,067.01 |
$1,524.30 |
4.5× |
| CT abdomen and pelvis with contrast (74177) |
$1,854.30 |
$2,649 |
5.3× |
| Ultrasound, abdomen complete (76700) |
$387.16 |
$553.09 |
3.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$306.02 |
$437.18 |
2.9× |
| Ultrasound, transvaginal (76830) |
$342.68 |
$489.54 |
3.3× |
| Mammography, one breast (diagnostic) (77065) |
$334.60 |
$478 |
3.9× |
| Mammography, both breasts (diagnostic) (77066) |
$420 |
$600 |
3.8× |
| Mammography, screening (bilateral) (77067) |
$287.35 |
$410.50 |
3.2× |
| Basic metabolic panel (80048) |
$144.55 |
$206.50 |
17.1× |
| Comprehensive metabolic panel (80053) |
$187.60 |
$268 |
17.8× |
| Lipid panel (80061) |
$68.25 |
$97.50 |
5.1× |
| Renal function panel (80069) |
$107.10 |
$153 |
12.3× |
| Hepatic function panel (80076) |
$135.80 |
$194 |
16.6× |
| Urinalysis, non-automated, with microscopy (81000) |
$33.60 |
$48 |
8.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$25.90 |
$37 |
7.4× |
| PSA, total (84153) |
$146.65 |
$209.50 |
8.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$121.10 |
$173 |
7.2× |
| CBC with automated differential (85025) |
$64.05 |
$91.50 |
8.2× |
| CBC, automated (85027) |
$130.55 |
$186.50 |
20.2× |
| Prothrombin time (PT) (85610) |
$54.95 |
$78.50 |
12.8× |
| Partial thromboplastin time (PTT) (85730) |
$72.80 |
$104 |
12.1× |
| Psychotherapy, 30 minutes (90832) |
$107.69 |
$153.84 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$160.47 |
$229.24 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$176.55 |
$252.22 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$108.50 |
$155 |
0.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$156.68 |
$223.82 |
0.9× |
| Group psychotherapy (90853) |
$123.88 |
$176.98 |
1.2× |
| Electrocardiogram (ECG), complete (93000) |
$67.90 |
$97 |
1.1× |
| Left heart catheterization (93452) |
$575.90 |
$822.71 |
0.2× |
| Sleep study (attended polysomnography) (95810) |
$1,494.42 |
$2,134.88 |
1.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$65.40 |
$93.42 |
2.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$190.05 |
$271.50 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$241.50 |
$345 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$578.20 |
$826 |
4.3× |
| Office consultation (low complexity, ~30 min) (99243) |
$129.22 |
$184.61 |
1.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$178.72 |
$255.32 |
1.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$175.70 |
$251 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$192.50 |
$275 |
— |