| Breast lesion removal (open) (19120) |
$442.20 |
$737 |
0.1× |
| Shoulder arthroscopy with decompression (29826) |
$2,475 |
$4,125 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$2,100 |
$3,500 |
0.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$480.60 |
$801 |
0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$486 |
$810 |
0.5× |
| Diagnostic colonoscopy (45378) |
$685.20 |
$1,142 |
0.7× |
| Colonoscopy with biopsy (45380) |
$741.60 |
$1,236 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$852 |
$1,420 |
0.7× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,142.40 |
$1,904 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$901.80 |
$1,503 |
0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$657.90 |
$1,096.50 |
0.7× |
| CT head/brain without contrast (70450) |
$1,272.46 |
$2,120.77 |
11.4× |
| MRI brain without contrast (70551) |
$2,299.58 |
$3,832.63 |
9.0× |
| MRI brain with contrast (70552) |
$2,763.70 |
$4,606.16 |
7.4× |
| MRI brain without and with contrast (70553) |
$4,856.24 |
$8,093.74 |
13.0× |
| X-ray lower spine, 4+ views (72110) |
$333.10 |
$555.17 |
3.0× |
| MRI lumbar spine without contrast (72148) |
$2,462.73 |
$4,104.55 |
9.7× |
| CT pelvis with contrast (72193) |
$1,663.27 |
$2,772.11 |
8.9× |
| CT abdomen and pelvis with contrast (74177) |
$3,266.36 |
$5,443.93 |
8.8× |
| Ultrasound, abdomen complete (76700) |
$922.06 |
$1,536.76 |
8.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$757.05 |
$1,261.75 |
6.8× |
| Ultrasound, transvaginal (76830) |
$690.31 |
$1,150.51 |
6.2× |
| Mammography, one breast (diagnostic) (77065) |
$340.80 |
$568 |
4.0× |
| Mammography, both breasts (diagnostic) (77066) |
$415.20 |
$692 |
3.8× |
| Mammography, screening (bilateral) (77067) |
$415.20 |
$692 |
4.6× |
| Basic metabolic panel (80048) |
$70.20 |
$117 |
8.3× |
| Comprehensive metabolic panel (80053) |
$99 |
$165 |
9.4× |
| Lipid panel (80061) |
$104.40 |
$174 |
7.8× |
| Renal function panel (80069) |
$61.80 |
$103 |
7.1× |
| Hepatic function panel (80076) |
$96.60 |
$161 |
11.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$18.60 |
$31 |
4.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$13.80 |
$23 |
4.0× |
| PSA, total (84153) |
$95.79 |
$159.65 |
5.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$122.98 |
$204.97 |
7.3× |
| CBC with automated differential (85025) |
$50.40 |
$84 |
6.5× |
| CBC, automated (85027) |
$22.20 |
$37 |
3.4× |
| Prothrombin time (PT) (85610) |
$33.60 |
$56 |
7.8× |
| Partial thromboplastin time (PTT) (85730) |
$34.80 |
$58 |
5.8× |
| Psychotherapy, 30 minutes (90832) |
$32.10 |
$53.50 |
0.2× |
| Psychotherapy, 45 minutes (90834) |
$97.20 |
$162 |
0.5× |
| Psychotherapy, 60 minutes (90837) |
$144 |
$125 |
0.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$99.60 |
$166 |
0.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$105 |
$175 |
0.6× |
| Electrocardiogram (ECG), complete (93000) |
$148.80 |
$248 |
2.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$96.46 |
$160.78 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$153.42 |
$255.70 |
1.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$199.20 |
$332 |
1.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$60 |
$100 |
0.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$89.70 |
$149.50 |
0.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$64.80 |
$108 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$75.30 |
$125.50 |
— |