| Breast lesion removal (open) (19120) |
$957.75 |
$1,277 |
0.2× |
| Diagnostic colonoscopy (45378) |
$414 |
$552 |
0.4× |
| Colonoscopy with biopsy (45380) |
$450 |
$600 |
0.4× |
| Colonoscopy with lesion removal (45385) |
$568.50 |
$758 |
0.5× |
Laparoscopic gallbladder removal (47562) likely a partial charge, not the full procedure |
$1,509 |
$2,012 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,200 |
$1,600 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,489.25 |
$7,319 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$6,075 |
$8,100 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$5,751 |
$7,668 |
— |
| CT head/brain without contrast (70450) |
$2,992.50 |
$3,990 |
28.5× |
| MRI brain without contrast (70551) |
$4,665 |
$6,220 |
19.5× |
| MRI brain with contrast (70552) |
$3,942.75 |
$5,257 |
11.3× |
| MRI brain without and with contrast (70553) |
$5,735.25 |
$7,647 |
16.4× |
| X-ray lower spine, 4+ views (72110) |
$690.75 |
$921 |
6.6× |
| MRI lumbar spine without contrast (72148) |
$4,665 |
$6,220 |
19.5× |
| CT pelvis with contrast (72193) |
$3,824.25 |
$5,099 |
21.7× |
| MRI lower-extremity joint without contrast (73721) |
$6,998.62 |
$9,331.50 |
29.2× |
| CT abdomen and pelvis with contrast (74177) |
$5,336.25 |
$7,115 |
15.2× |
| Ultrasound, abdomen complete (76700) |
$1,305 |
$1,740 |
12.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,284.75 |
$1,713 |
12.3× |
| Ultrasound, transvaginal (76830) |
$805.50 |
$1,074 |
7.7× |
| Mammography, one breast (diagnostic) (77065) |
$756 |
$1,008 |
8.8× |
| Mammography, both breasts (diagnostic) (77066) |
$945 |
$1,260 |
8.5× |
| Mammography, screening (bilateral) (77067) |
$748.50 |
$998 |
8.2× |
| Basic metabolic panel (80048) |
$334.50 |
$446 |
39.5× |
| Comprehensive metabolic panel (80053) |
$520.50 |
$694 |
49.3× |
| Lipid panel (80061) |
$282 |
$376 |
21.1× |
| Renal function panel (80069) |
$432 |
$576 |
49.8× |
| Hepatic function panel (80076) |
$360.75 |
$481 |
44.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$132.75 |
$177 |
33.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$81 |
$108 |
23.3× |
| PSA, total (84153) |
$223.88 |
$298.50 |
12.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$81.75 |
$109 |
4.9× |
| CBC with automated differential (85025) |
$231 |
$308 |
29.7× |
| CBC, automated (85027) |
$154.50 |
$206 |
23.9× |
| Prothrombin time (PT) (85610) |
$126.75 |
$169 |
29.5× |
| Partial thromboplastin time (PTT) (85730) |
$124.12 |
$165.50 |
20.7× |
| Psychotherapy, 30 minutes (90832) |
$228.75 |
$305 |
1.3× |
| Psychotherapy, 45 minutes (90834) |
$342.75 |
$457 |
1.9× |
| Psychotherapy, 60 minutes (90837) |
$456.75 |
$609 |
2.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$376.50 |
$502 |
2.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$416.25 |
$555 |
2.3× |
| Group psychotherapy (90853) |
$205.50 |
$274 |
2.0× |
| Left heart catheterization (93452) |
$12,033 |
$16,044 |
3.7× |
| Sleep study (attended polysomnography) (95810) |
$2,874.38 |
$3,832.50 |
3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$204.75 |
$273 |
7.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$254.25 |
$339 |
1.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$377.25 |
$503 |
2.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$497.25 |
$663 |
3.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$259.50 |
$346 |
1.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$383.25 |
$511 |
2.9× |