| Breast lesion removal (open) (19120) |
$1,691.60 |
$4,229 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$518.80 |
$1,297 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$438.80 |
$1,097 |
0.6× |
| Diagnostic colonoscopy (45378) |
$536.60 |
$1,341.50 |
0.7× |
| Colonoscopy with biopsy (45380) |
$515.80 |
$1,289.50 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$557.40 |
$1,393.50 |
0.5× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,285 |
$3,212.50 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$956 |
$2,390 |
0.3× |
| Obstetric care, cesarean delivery (global) (59510) |
$949.80 |
$2,374.50 |
— |
| CT head/brain without contrast (70450) |
$195.02 |
$487.55 |
2.2× |
| MRI brain without contrast (70551) |
$596.20 |
$1,490.50 |
2.9× |
| MRI brain with contrast (70552) |
$507.78 |
$1,269.45 |
1.7× |
| MRI brain without and with contrast (70553) |
$276.72 |
$691.80 |
0.9× |
| X-ray lower spine, 4+ views (72110) |
$83.57 |
$208.92 |
0.9× |
| MRI lumbar spine without contrast (72148) |
$560.46 |
$1,401.15 |
2.7× |
| CT pelvis with contrast (72193) |
$390.24 |
$975.60 |
2.6× |
| MRI lower-extremity joint without contrast (73721) |
$383 |
$957.50 |
1.9× |
| CT abdomen and pelvis with contrast (74177) |
$579.06 |
$1,447.65 |
1.9× |
| Ultrasound, abdomen complete (76700) |
$176.34 |
$440.85 |
2.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$125.62 |
$314.05 |
1.4× |
| Ultrasound, transvaginal (76830) |
$133.44 |
$333.60 |
1.5× |
| Mammography, one breast (diagnostic) (77065) |
$122.22 |
$305.55 |
1.4× |
| Mammography, both breasts (diagnostic) (77066) |
$110.54 |
$276.35 |
1.0× |
| Mammography, screening (bilateral) (77067) |
$92.38 |
$230.95 |
1.0× |
| Basic metabolic panel (80048) |
$30.70 |
$76.75 |
3.6× |
| Comprehensive metabolic panel (80053) |
$46.95 |
$117.38 |
4.4× |
| Obstetric panel (80055) |
$21.90 |
$54.75 |
0.5× |
| Lipid panel (80061) |
$12 |
$30 |
0.9× |
| Renal function panel (80069) |
$42.50 |
$106.25 |
4.9× |
| Hepatic function panel (80076) |
$18.30 |
$45.75 |
2.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$10.30 |
$25.75 |
3.0× |
| PSA, total (84153) |
$25.96 |
$64.90 |
1.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$26.50 |
$66.25 |
1.6× |
| CBC with automated differential (85025) |
$30.82 |
$77.06 |
4.0× |
| CBC, automated (85027) |
$10 |
$25 |
1.5× |
| Prothrombin time (PT) (85610) |
$5.25 |
$13.13 |
1.2× |
| Partial thromboplastin time (PTT) (85730) |
$18.70 |
$46.75 |
3.1× |
| Electrocardiogram (ECG), complete (93000) |
$20 |
$50 |
0.4× |
| Sleep study (attended polysomnography) (95810) |
$960 |
$2,400 |
1.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$62 |
$155 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$96.40 |
$241 |
0.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$102.20 |
$255.50 |
0.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$51.20 |
$128 |
0.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$64 |
$160 |
0.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$28 |
$70 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$42.40 |
$106 |
— |