| Breast lesion removal (open) (19120) |
$1,111.18 |
$1,709.50 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,828.22 |
$2,812.64 |
2.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,906.34 |
$2,932.82 |
2.1× |
| Diagnostic colonoscopy (45378) |
$1,890.82 |
$2,908.95 |
2.0× |
| Colonoscopy with biopsy (45380) |
$2,095.86 |
$3,224.40 |
1.7× |
| Colonoscopy with lesion removal (45385) |
$2,178.21 |
$3,351.09 |
1.8× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,738.75 |
$2,675 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,300.65 |
$2,001 |
0.4× |
| CT head/brain without contrast (70450) |
$1,258.40 |
$1,936 |
12.0× |
| MRI brain without contrast (70551) |
$1,801.15 |
$2,771 |
7.5× |
| MRI brain with contrast (70552) |
$2,364.70 |
$3,638 |
6.8× |
| MRI brain without and with contrast (70553) |
$2,314.65 |
$3,561 |
6.6× |
| X-ray lower spine, 4+ views (72110) |
$438.10 |
$674 |
4.2× |
| MRI lumbar spine without contrast (72148) |
$1,998.10 |
$3,074 |
8.4× |
| CT pelvis with contrast (72193) |
$1,625.65 |
$2,501 |
9.3× |
| MRI lower-extremity joint without contrast (73721) |
$2,004.60 |
$3,084 |
8.4× |
| CT abdomen and pelvis with contrast (74177) |
$3,069.95 |
$4,723 |
8.8× |
| Ultrasound, abdomen complete (76700) |
$806.65 |
$1,241 |
7.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$576.55 |
$887 |
5.5× |
| Ultrasound, transvaginal (76830) |
$490.75 |
$755 |
4.7× |
| Mammography, one breast (diagnostic) (77065) |
$204.75 |
$315 |
2.4× |
| Mammography, both breasts (diagnostic) (77066) |
$226.20 |
$348 |
2.0× |
| Mammography, screening (bilateral) (77067) |
$165.10 |
$254 |
1.8× |
| Basic metabolic panel (80048) |
$142.35 |
$219 |
16.8× |
| Comprehensive metabolic panel (80053) |
$181.35 |
$279 |
17.2× |
| Lipid panel (80061) |
$118.30 |
$182 |
8.8× |
| Renal function panel (80069) |
$173.55 |
$267 |
20.0× |
| Hepatic function panel (80076) |
$161.20 |
$248 |
19.7× |
| PSA, total (84153) |
$115.70 |
$178 |
6.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$67.60 |
$104 |
4.0× |
| CBC with automated differential (85025) |
$66.30 |
$102 |
8.5× |
| CBC, automated (85027) |
$65.65 |
$101 |
10.1× |
| Prothrombin time (PT) (85610) |
$53.30 |
$82 |
12.4× |
| Partial thromboplastin time (PTT) (85730) |
$73.45 |
$113 |
12.2× |
| Psychotherapy, 30 minutes (90832) |
$178.75 |
$275 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$230.10 |
$354 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$242.45 |
$373 |
1.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$270.40 |
$416 |
1.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$269.75 |
$415 |
1.5× |
| Group psychotherapy (90853) |
$417.30 |
$642 |
4.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$68.90 |
$106 |
2.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$176.80 |
$272 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$228.48 |
$351.50 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$269.10 |
$414 |
2.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$209.95 |
$323 |
1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$289.25 |
$445 |
2.2× |
| Preventive visit, new patient (age 40–64) (99386) |
$168.35 |
$259 |
— |