| Breast lesion removal (open) (19120) |
$526.50 |
$585 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$148.50 |
$165 |
0.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$412.20 |
$458 |
0.5× |
| Diagnostic colonoscopy (45378) |
$223.20 |
$248 |
0.3× |
| Colonoscopy with biopsy (45380) |
$571.50 |
$635 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$711 |
$790 |
0.6× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,086.30 |
$1,207 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$798.75 |
$887.50 |
0.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$732.60 |
$814 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$618.75 |
$687.50 |
0.8× |
| CT head/brain without contrast (70450) |
$1,422.90 |
$1,581 |
14.8× |
| MRI brain without contrast (70551) |
$2,407.50 |
$2,675 |
11.0× |
| MRI brain with contrast (70552) |
$2,352.60 |
$2,614 |
7.3× |
| MRI brain without and with contrast (70553) |
$2,736 |
$3,040 |
8.5× |
| X-ray lower spine, 4+ views (72110) |
$404.10 |
$449 |
4.2× |
| MRI lumbar spine without contrast (72148) |
$2,407.50 |
$2,675 |
11.0× |
| CT pelvis with contrast (72193) |
$1,833.30 |
$2,037 |
11.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,915.20 |
$2,128 |
8.7× |
| CT abdomen and pelvis with contrast (74177) |
$3,524.40 |
$3,916 |
11.0× |
| Ultrasound, abdomen complete (76700) |
$552.60 |
$614 |
5.7× |
| Ultrasound, transvaginal (76830) |
$593.10 |
$659 |
6.2× |
| Mammography, one breast (diagnostic) (77065) |
$261.90 |
$291 |
3.0× |
| Mammography, both breasts (diagnostic) (77066) |
$301.50 |
$335 |
2.7× |
| Mammography, screening (bilateral) (77067) |
$270.90 |
$301 |
3.0× |
| Basic metabolic panel (80048) |
$170.10 |
$189 |
20.1× |
| Comprehensive metabolic panel (80053) |
$188.10 |
$209 |
17.8× |
| Lipid panel (80061) |
$108.90 |
$121 |
8.1× |
| Renal function panel (80069) |
$117.90 |
$131 |
13.6× |
| Hepatic function panel (80076) |
$110.70 |
$123 |
13.5× |
| PSA, total (84153) |
$105.75 |
$117.50 |
5.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$98.10 |
$109 |
5.8× |
| CBC with automated differential (85025) |
$115.20 |
$128 |
14.8× |
| CBC, automated (85027) |
$63 |
$70 |
9.7× |
| Prothrombin time (PT) (85610) |
$59.40 |
$66 |
13.8× |
| Partial thromboplastin time (PTT) (85730) |
$76.50 |
$85 |
12.7× |
| Psychotherapy, 30 minutes (90832) |
$307.80 |
$342 |
1.9× |
| Psychotherapy, 45 minutes (90834) |
$331.20 |
$368 |
2.0× |
| Psychotherapy, 60 minutes (90837) |
$354.60 |
$394 |
2.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$337.50 |
$375 |
2.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$337.50 |
$375 |
2.1× |
| Group psychotherapy (90853) |
$279 |
$310 |
3.0× |
| Sleep study (attended polysomnography) (95810) |
$1,730.70 |
$1,923 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$80.10 |
$89 |
2.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$139.05 |
$154.50 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$194.85 |
$216.50 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$264.60 |
$294 |
2.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$126.90 |
$141 |
1.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$163.98 |
$182.20 |
1.3× |