| Breast lesion removal (open) (19120) |
$596.70 |
$795.60 |
0.2× |
| Knee arthroscopy with meniscectomy (29881) |
$110,828.25 |
$147,771 |
36.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$255.69 |
$340.92 |
0.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$288.70 |
$384.93 |
0.3× |
| Diagnostic colonoscopy (45378) |
$384.86 |
$513.15 |
0.5× |
| Colonoscopy with biopsy (45380) |
$418.88 |
$558.51 |
0.4× |
| Colonoscopy with lesion removal (45385) |
$530.51 |
$707.34 |
0.5× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,361.12 |
$1,814.82 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,081.60 |
$1,442.13 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,495.25 |
$7,327 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,495.25 |
$7,327 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$5,495.25 |
$7,327 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$643.76 |
$858.35 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,022.51 |
$1,363.34 |
1.3× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,316.09 |
$1,754.79 |
2.6× |
| CT head/brain without contrast (70450) |
$1,669.20 |
$2,225.60 |
17.4× |
| MRI brain without contrast (70551) |
$2,675.40 |
$3,567.20 |
12.2× |
| MRI brain with contrast (70552) |
$2,530.94 |
$3,374.59 |
7.9× |
| MRI brain without and with contrast (70553) |
$3,213.60 |
$4,284.80 |
10.0× |
| X-ray lower spine, 4+ views (72110) |
$446.43 |
$595.24 |
4.6× |
| MRI lumbar spine without contrast (72148) |
$2,628.60 |
$3,504.80 |
12.0× |
| CT pelvis with contrast (72193) |
$2,426.07 |
$3,234.76 |
15.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,659.80 |
$3,546.40 |
12.1× |
| CT abdomen and pelvis with contrast (74177) |
$3,494.40 |
$4,659.20 |
10.9× |
| Ultrasound, abdomen complete (76700) |
$390 |
$520 |
4.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$266.45 |
$355.26 |
2.8× |
| Ultrasound, transvaginal (76830) |
$249.60 |
$332.80 |
2.6× |
| Mammography, one breast (diagnostic) (77065) |
$283.76 |
$378.35 |
3.3× |
| Mammography, both breasts (diagnostic) (77066) |
$355.79 |
$474.39 |
3.2× |
| Mammography, screening (bilateral) (77067) |
$163.80 |
$218.40 |
1.8× |
| Basic metabolic panel (80048) |
$93.60 |
$124.80 |
11.1× |
| Comprehensive metabolic panel (80053) |
$182.13 |
$242.84 |
17.2× |
| Lipid panel (80061) |
$116.45 |
$155.26 |
8.7× |
| Renal function panel (80069) |
$226.82 |
$302.43 |
26.1× |
| Hepatic function panel (80076) |
$214.17 |
$285.56 |
26.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$84.04 |
$112.05 |
20.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$16.96 |
$22.61 |
4.9× |
| PSA, total (84153) |
$95.70 |
$127.60 |
5.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$114.50 |
$152.67 |
6.8× |
| CBC with automated differential (85025) |
$81.90 |
$109.20 |
10.5× |
| CBC, automated (85027) |
$64.74 |
$86.32 |
10.0× |
| Prothrombin time (PT) (85610) |
$49.14 |
$65.52 |
11.5× |
| Partial thromboplastin time (PTT) (85730) |
$107.54 |
$143.38 |
17.9× |
| Psychotherapy, 30 minutes (90832) |
$135.44 |
$180.58 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$170.19 |
$226.92 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$48.68 |
$64.90 |
0.3× |
| Electrocardiogram (ECG), complete (93000) |
$91.32 |
$121.76 |
1.7× |
| Sleep study (attended polysomnography) (95810) |
$4,167.93 |
$5,557.24 |
5.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$145.40 |
$193.86 |
5.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$129.14 |
$172.19 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$191.77 |
$255.69 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$258.56 |
$344.74 |
2.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$267.28 |
$356.36 |
2.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$261.99 |
$349.32 |
2.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$110.27 |
$147.02 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$223.02 |
$297.36 |
— |