| Breast lesion removal (open) (19120) |
$228 |
$912 |
0.1× |
| Shoulder arthroscopy with decompression (29826) |
$535 |
$2,140 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$248.64 |
$994.54 |
0.3× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$529.50 |
$2,118 |
0.1× |
| Inguinal hernia repair (age 5+) (49505) |
$294 |
$1,176 |
0.1× |
| Obstetric care, vaginal delivery (global) (59400) |
$750 |
$3,000 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$775 |
$3,100 |
— |
| CT head/brain without contrast (70450) |
$826.56 |
$3,306.25 |
9.1× |
| MRI brain without contrast (70551) |
$1,018.37 |
$4,073.50 |
4.9× |
| MRI brain with contrast (70552) |
$503.75 |
$2,015 |
1.7× |
| MRI brain without and with contrast (70553) |
$664.18 |
$2,656.75 |
2.2× |
| X-ray lower spine, 4+ views (72110) |
$405.68 |
$1,622.75 |
4.5× |
| MRI lumbar spine without contrast (72148) |
$767.68 |
$3,070.75 |
3.7× |
| CT pelvis with contrast (72193) |
$776.12 |
$3,104.50 |
5.1× |
| MRI lower-extremity joint without contrast (73721) |
$668.75 |
$2,675 |
3.2× |
| CT abdomen and pelvis with contrast (74177) |
$1,086.93 |
$4,347.75 |
3.6× |
| Ultrasound, abdomen complete (76700) |
$238.94 |
$955.75 |
2.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$453.31 |
$1,813.25 |
5.0× |
| Ultrasound, transvaginal (76830) |
$304.87 |
$1,219.50 |
3.3× |
| Mammography, one breast (diagnostic) (77065) |
$77 |
$308 |
0.9× |
| Mammography, both breasts (diagnostic) (77066) |
$102.30 |
$409.24 |
0.9× |
| Mammography, screening (bilateral) (77067) |
$64.56 |
$258.25 |
0.7× |
| Basic metabolic panel (80048) |
$174.81 |
$699.25 |
20.7× |
| Comprehensive metabolic panel (80053) |
$234 |
$936 |
22.2× |
| Lipid panel (80061) |
$141.87 |
$567.50 |
10.6× |
| Renal function panel (80069) |
$199.81 |
$799.25 |
23.0× |
| Hepatic function panel (80076) |
$129.12 |
$516.50 |
15.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$6.81 |
$27.25 |
2.0× |
| PSA, total (84153) |
$102.81 |
$411.25 |
5.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$84.31 |
$337.25 |
5.0× |
| CBC with automated differential (85025) |
$84.56 |
$338.25 |
10.9× |
| CBC, automated (85027) |
$86.68 |
$346.75 |
13.4× |
| Prothrombin time (PT) (85610) |
$26.06 |
$104.25 |
6.1× |
| Partial thromboplastin time (PTT) (85730) |
$53.68 |
$214.75 |
8.9× |
| Left heart catheterization (93452) |
$3,427.31 |
$13,709.25 |
1.2× |
| Sleep study (attended polysomnography) (95810) |
$1,582.06 |
$6,328.25 |
2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$49.34 |
$197.38 |
1.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$147.48 |
$589.97 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$117.64 |
$470.58 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$119.50 |
$478 |
1.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$59.39 |
$237.58 |
0.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$85.25 |
$341 |
0.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$51.90 |
$207.60 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$60.60 |
$242.40 |
— |