| Breast lesion removal (open) (19120) |
$848.48 |
$3,747.50 |
0.2× |
| Knee arthroscopy with meniscectomy (29881) |
$4,207.50 |
$20,035.73 |
1.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$3,004.45 |
$14,306.90 |
0.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$764.61 |
$3,641 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$658.14 |
$3,134 |
0.8× |
| Diagnostic colonoscopy (45378) |
$729.54 |
$3,474 |
0.9× |
| Colonoscopy with biopsy (45380) |
$729.54 |
$3,474 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$729.54 |
$3,474 |
0.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$418.74 |
$1,994 |
0.4× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$545.49 |
$1,653 |
0.1× |
| Inguinal hernia repair (age 5+) (49505) |
$4,153.67 |
$19,779.40 |
1.3× |
| Laparoscopic radical prostatectomy (55866) |
$19,600.51 |
$93,335.75 |
2.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$192.51 |
$889 |
0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$373.38 |
$1,778 |
0.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$115.50 |
$350 |
0.2× |
| Cataract removal with lens insertion (66984) |
$2,890.99 |
$13,766.63 |
1.4× |
| CT head/brain without contrast (70450) |
$333.27 |
$1,587 |
3.5× |
| MRI brain without contrast (70551) |
$560.91 |
$2,671 |
2.6× |
| MRI brain with contrast (70552) |
$711.69 |
$3,389 |
2.3× |
| MRI brain without and with contrast (70553) |
$1,054.62 |
$5,022 |
3.3× |
| X-ray lower spine, 4+ views (72110) |
$77.70 |
$370 |
0.8× |
| MRI lumbar spine without contrast (72148) |
$560.91 |
$2,671 |
2.6× |
| CT pelvis with contrast (72193) |
$399.42 |
$1,902 |
2.5× |
| MRI lower-extremity joint without contrast (73721) |
$580.65 |
$2,765 |
2.7× |
| CT abdomen and pelvis with contrast (74177) |
$601.02 |
$2,862 |
1.9× |
| Ultrasound, abdomen complete (76700) |
$173.88 |
$828 |
1.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$67.30 |
$276.50 |
0.7× |
| Ultrasound, transvaginal (76830) |
$97.05 |
$423 |
1.0× |
| Mammography, one breast (diagnostic) (77065) |
$83.79 |
$399 |
1.0× |
| Mammography, both breasts (diagnostic) (77066) |
$97.23 |
$463 |
0.9× |
| Mammography, screening (bilateral) (77067) |
$85.89 |
$409 |
0.9× |
| Basic metabolic panel (80048) |
$22.26 |
$106 |
2.6× |
| Comprehensive metabolic panel (80053) |
$28.35 |
$135 |
2.7× |
| Obstetric panel (80055) |
$93.66 |
$446 |
2.0× |
| Lipid panel (80061) |
$25.83 |
$123 |
1.9× |
| Renal function panel (80069) |
$19.11 |
$91 |
2.2× |
| Hepatic function panel (80076) |
$21.21 |
$101 |
2.6× |
| Urinalysis, non-automated, with microscopy (81000) |
$8.82 |
$42 |
2.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$3.36 |
$15 |
1.0× |
| PSA, total (84153) |
$48.09 |
$229 |
2.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$44.73 |
$213 |
2.7× |
| CBC with automated differential (85025) |
$20.16 |
$96 |
2.6× |
| CBC, automated (85027) |
$9.45 |
$45 |
1.5× |
| Prothrombin time (PT) (85610) |
$9.76 |
$46.50 |
2.3× |
| Partial thromboplastin time (PTT) (85730) |
$9.98 |
$47.50 |
1.7× |
| Psychotherapy, 30 minutes (90832) |
$32.55 |
$155 |
0.2× |
| Psychotherapy, 45 minutes (90834) |
$42.42 |
$202 |
0.3× |
| Psychotherapy, 60 minutes (90837) |
$62.16 |
$296 |
0.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$48.93 |
$185 |
0.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$48.93 |
$222 |
0.3× |
| Group psychotherapy (90853) |
$25.20 |
$120 |
0.3× |
| Left heart catheterization (93452) |
$2,989.35 |
$14,235 |
1.0× |
| Sleep study (attended polysomnography) (95810) |
$535.29 |
$2,549 |
0.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$31.29 |
$149 |
1.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$33.81 |
$161 |
0.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$35.70 |
$170 |
0.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$37.59 |
$179 |
0.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$74.91 |
$227 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$86.79 |
$263 |
— |