| Breast lesion removal (open) (19120) |
$1,749.93 |
$2,692.20 |
0.4× |
| Shoulder arthroscopy with decompression (29826) |
$1,196 |
$1,840 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,748.57 |
$2,690.10 |
0.5× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$559.65 |
$861 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$849.55 |
$1,307 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$989.62 |
$1,522.50 |
1.1× |
| Diagnostic colonoscopy (45378) |
$1,069.25 |
$1,645 |
1.1× |
| Colonoscopy with biopsy (45380) |
$1,123.52 |
$1,728.50 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$923 |
$1,420 |
0.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$547.37 |
$842.10 |
0.4× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,436.50 |
$2,210 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,155.39 |
$1,777.52 |
0.3× |
Laparoscopic radical prostatectomy (55866)
unusually low: confirm this is the full procedure |
$3,437.79 |
$5,288.90 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$2,743 |
$4,220 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$3,042 |
$4,680 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$2,827.50 |
$4,350 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$601.51 |
$925.40 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$859.95 |
$1,323 |
0.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$568.92 |
$875.25 |
1.0× |
| Cataract removal with lens insertion (66984) |
$2,942.46 |
$4,526.85 |
1.2× |
| CT head/brain without contrast (70450) |
$523.96 |
$806.10 |
4.8× |
| MRI brain without contrast (70551) |
$1,300 |
$2,000 |
5.2× |
| MRI brain with contrast (70552) |
$1,480.70 |
$2,278 |
4.1× |
| MRI brain without and with contrast (70553) |
$1,628.48 |
$2,505.35 |
4.5× |
| X-ray lower spine, 4+ views (72110) |
$165.14 |
$254.05 |
1.5× |
| MRI lumbar spine without contrast (72148) |
$1,028.82 |
$1,582.80 |
4.2× |
| CT pelvis with contrast (72193) |
$664.92 |
$1,022.95 |
3.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,615.92 |
$2,486.02 |
6.5× |
| CT abdomen and pelvis with contrast (74177) |
$1,023.75 |
$1,575 |
2.8× |
| Ultrasound, abdomen complete (76700) |
$310.05 |
$477 |
2.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$211.25 |
$325 |
1.9× |
| Ultrasound, transvaginal (76830) |
$289.25 |
$445 |
2.7× |
| Mammography, one breast (diagnostic) (77065) |
$162.50 |
$250 |
1.9× |
| Mammography, both breasts (diagnostic) (77066) |
$188.50 |
$290 |
1.7× |
| Mammography, screening (bilateral) (77067) |
$191.07 |
$293.95 |
2.1× |
| Basic metabolic panel (80048) |
$25.71 |
$39.55 |
3.0× |
| Comprehensive metabolic panel (80053) |
$33.80 |
$52 |
3.2× |
| Obstetric panel (80055) |
$53.95 |
$83 |
1.1× |
| Lipid panel (80061) |
$32.50 |
$50 |
2.4× |
| Renal function panel (80069) |
$34.62 |
$53.25 |
4.0× |
| Hepatic function panel (80076) |
$23.04 |
$35.45 |
2.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$13 |
$20 |
3.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$11.38 |
$17.50 |
3.3× |
| PSA, total (84153) |
$43.16 |
$66.40 |
2.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$31.40 |
$48.30 |
1.9× |
| CBC with automated differential (85025) |
$19.50 |
$30 |
2.5× |
| CBC, automated (85027) |
$9.07 |
$13.95 |
1.4× |
| Prothrombin time (PT) (85610) |
$17.80 |
$27.38 |
4.1× |
| Partial thromboplastin time (PTT) (85730) |
$29.25 |
$45 |
4.9× |
| Psychotherapy, 30 minutes (90832) |
$159.01 |
$244.63 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$178.75 |
$275 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$207.35 |
$319 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$172.74 |
$265.75 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$185.25 |
$285 |
1.0× |
| Group psychotherapy (90853) |
$108.88 |
$167.50 |
1.0× |
| Electrocardiogram (ECG), complete (93000) |
$39 |
$60 |
0.6× |
| Left heart catheterization (93452) |
$4,874.38 |
$7,499.05 |
1.4× |
| Sleep study (attended polysomnography) (95810) |
$1,666.47 |
$2,563.80 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$82.88 |
$127.50 |
2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$169 |
$260 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$208 |
$320 |
1.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$286 |
$440 |
2.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$195 |
$300 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$227.50 |
$350 |
— |