| Shoulder arthroscopy with decompression (29826) |
$6,625 |
$7,047.50 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,182.50 |
$4,449.50 |
1.2× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$1,382 |
$1,470 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,421.50 |
$1,512.50 |
1.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,592.50 |
$1,694 |
1.7× |
| Diagnostic colonoscopy (45378) |
$1,684 |
$1,791.50 |
1.7× |
| Colonoscopy with biopsy (45380) |
$1,866.50 |
$1,985.50 |
1.5× |
| Colonoscopy with lesion removal (45385) |
$1,843 |
$1,960.50 |
1.5× |
| Laparoscopic gallbladder removal (47562) |
$9,083.50 |
$9,663.50 |
1.4× |
| Inguinal hernia repair (age 5+) (49505) |
$5,655.50 |
$6,016.50 |
1.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$574.50 |
$611 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,372 |
$1,460 |
1.5× |
| CT head/brain without contrast (70450) |
$2,082 |
$2,215 |
19.2× |
| MRI brain without contrast (70551) |
$3,368 |
$3,583 |
13.6× |
| MRI brain with contrast (70552) |
$3,538 |
$3,764 |
9.8× |
| MRI brain without and with contrast (70553) |
$3,792 |
$4,034 |
10.5× |
| X-ray lower spine, 4+ views (72110) |
$462 |
$492 |
4.3× |
| MRI lumbar spine without contrast (72148) |
$3,412 |
$3,630 |
13.8× |
| CT pelvis with contrast (72193) |
$2,510 |
$2,670 |
13.8× |
| MRI lower-extremity joint without contrast (73721) |
$2,672 |
$2,843 |
10.8× |
| CT abdomen and pelvis with contrast (74177) |
$4,283 |
$4,556 |
11.8× |
| Ultrasound, abdomen complete (76700) |
$806 |
$857 |
7.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$807 |
$859 |
7.4× |
| Ultrasound, transvaginal (76830) |
$697 |
$742 |
6.4× |
| Basic metabolic panel (80048) |
$167 |
$178 |
19.7× |
| Comprehensive metabolic panel (80053) |
$221 |
$235 |
20.9× |
| Lipid panel (80061) |
$147 |
$156 |
11.0× |
| Renal function panel (80069) |
$268 |
$285 |
30.9× |
| Hepatic function panel (80076) |
$159 |
$169 |
19.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$131 |
$139 |
7.8× |
| CBC with automated differential (85025) |
$131 |
$139 |
16.9× |
| CBC, automated (85027) |
$93 |
$99 |
14.4× |
| Prothrombin time (PT) (85610) |
$680.50 |
$724 |
158.6× |
| Partial thromboplastin time (PTT) (85730) |
$105 |
$112 |
17.5× |
| Psychotherapy, 30 minutes (90832) |
$119 |
$127 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$167 |
$178 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$245 |
$261 |
1.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$158 |
$168 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$163.50 |
$174 |
0.9× |
| Group psychotherapy (90853) |
$54 |
$57 |
0.5× |
| Electrocardiogram (ECG), complete (93000) |
$459 |
$488 |
7.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$164 |
$174.50 |
5.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$165.50 |
$176.50 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$222.50 |
$237 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$302.50 |
$322 |
2.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$230 |
$245 |
1.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$290 |
$308.50 |
2.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$237 |
$252 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$246 |
$262 |
— |