| Breast lesion removal (open) (19120) |
$1,088.75 |
$1,675 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,018.07 |
$3,104.72 |
2.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,328.92 |
$3,582.94 |
2.6× |
| Diagnostic colonoscopy (45378) |
$2,366.32 |
$3,640.48 |
2.5× |
| Colonoscopy with biopsy (45380) |
$2,666.40 |
$4,102.15 |
2.2× |
| Colonoscopy with lesion removal (45385) |
$2,691.50 |
$4,140.78 |
2.2× |
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) |
$2,234.05 |
$3,437 |
0.6× |
| Cataract removal with lens insertion (66984) |
$5,641.37 |
$8,679.03 |
2.4× |
| CT head/brain without contrast (70450) |
$1,261.65 |
$1,941 |
12.0× |
| MRI brain without contrast (70551) |
$1,801.80 |
$2,772 |
7.5× |
| MRI brain with contrast (70552) |
$2,364.70 |
$3,638 |
6.8× |
| MRI brain without and with contrast (70553) |
$2,315.30 |
$3,562 |
6.6× |
| X-ray lower spine, 4+ views (72110) |
$438.75 |
$675 |
4.2× |
| MRI lumbar spine without contrast (72148) |
$1,998.75 |
$3,075 |
8.4× |
| CT pelvis with contrast (72193) |
$1,628.90 |
$2,506 |
9.3× |
| MRI lower-extremity joint without contrast (73721) |
$2,005.25 |
$3,085 |
8.4× |
| CT abdomen and pelvis with contrast (74177) |
$3,076.45 |
$4,733 |
8.8× |
| Ultrasound, abdomen complete (76700) |
$808.60 |
$1,244 |
7.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$576.55 |
$887 |
5.5× |
| Ultrasound, transvaginal (76830) |
$492.05 |
$757 |
4.7× |
| Mammography, screening (bilateral) (77067) |
$165.75 |
$255 |
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× |
| Urinalysis, non-automated, without microscopy (81002) |
$27.95 |
$43 |
8.0× |
| PSA, total (84153) |
$115.70 |
$178 |
6.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$67.92 |
$104.50 |
4.0× |
| CBC with automated differential (85025) |
$66.30 |
$102 |
8.5× |
| CBC, automated (85027) |
$65.65 |
$101 |
10.1× |
| Prothrombin time (PT) (85610) |
$52.98 |
$81.50 |
12.3× |
| Partial thromboplastin time (PTT) (85730) |
$73.45 |
$113 |
12.2× |
| Sleep study (attended polysomnography) (95810) |
$1,998.10 |
$3,074 |
2.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$68.90 |
$106 |
2.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$184.92 |
$284.50 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$221.65 |
$341 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$269.10 |
$414 |
2.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$194.35 |
$299 |
1.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$252.20 |
$388 |
1.9× |