| Breast lesion removal (open) (19120) |
$478 |
$478 |
0.1× |
| Shoulder arthroscopy with decompression (29826) |
$407 |
$407 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,287 |
$1,287 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$285 |
$285 |
0.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$322 |
$322 |
0.3× |
| Diagnostic colonoscopy (45378) |
$430 |
$430 |
0.4× |
| Colonoscopy with biopsy (45380) |
$467 |
$467 |
0.4× |
| Colonoscopy with lesion removal (45385) |
$592 |
$592 |
0.4× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,571 |
$1,571 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,246 |
$1,246 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,761 |
$5,761 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$6,363 |
$6,363 |
— |
| CT head/brain without contrast (70450) |
$850 |
$850 |
7.3× |
| MRI brain without contrast (70551) |
$2,790 |
$2,790 |
10.5× |
| MRI brain with contrast (70552) |
$3,070 |
$3,070 |
7.9× |
| MRI brain without and with contrast (70553) |
$3,493 |
$3,493 |
9.0× |
| X-ray lower spine, 4+ views (72110) |
$300 |
$300 |
2.6× |
| MRI lumbar spine without contrast (72148) |
$2,363 |
$2,363 |
8.9× |
| CT pelvis with contrast (72193) |
$1,305 |
$1,305 |
6.7× |
| MRI lower-extremity joint without contrast (73721) |
$2,250 |
$2,250 |
8.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,600 |
$2,600 |
6.7× |
| Ultrasound, abdomen complete (76700) |
$561 |
$561 |
4.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$624 |
$624 |
5.4× |
| Ultrasound, transvaginal (76830) |
$595 |
$595 |
5.1× |
| Mammography, one breast (diagnostic) (77065) |
$326 |
$326 |
3.8× |
| Mammography, both breasts (diagnostic) (77066) |
$416 |
$416 |
3.8× |
| Mammography, screening (bilateral) (77067) |
$352 |
$352 |
3.9× |
| Basic metabolic panel (80048) |
$65 |
$65 |
7.7× |
| Comprehensive metabolic panel (80053) |
$80 |
$80 |
7.6× |
| Lipid panel (80061) |
$121 |
$121 |
9.0× |
| Renal function panel (80069) |
$67 |
$67 |
7.7× |
| Hepatic function panel (80076) |
$63 |
$63 |
7.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$8 |
$8 |
2.3× |
| PSA, total (84153) |
$148 |
$148 |
8.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$135 |
$135 |
8.0× |
| CBC with automated differential (85025) |
$50.41 |
$50.41 |
6.5× |
| CBC, automated (85027) |
$47 |
$47 |
7.3× |
| Prothrombin time (PT) (85610) |
$32 |
$32 |
7.5× |
| Partial thromboplastin time (PTT) (85730) |
$47 |
$47 |
7.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$141 |
$141 |
4.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$262 |
$262 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$394 |
$394 |
2.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$521 |
$521 |
3.5× |