| Breast lesion removal (open) (19120) |
$839 |
$4,418.75 |
0.2× |
| Knee arthroscopy with meniscectomy (29881) |
$2,844 |
$9,160.68 |
0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$839 |
$3,821.26 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$628 |
$2,662.58 |
0.7× |
| Diagnostic colonoscopy (45378) |
$692 |
$3,033.44 |
0.7× |
| Colonoscopy with biopsy (45380) |
$733 |
$3,084.48 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$587 |
$3,366.08 |
0.5× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,196 |
$6,295.23 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,091 |
$5,744.38 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$580 |
$3,057.50 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$697 |
$3,669 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$523 |
$2,757.50 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,137 |
$11,250 |
2.4× |
| CT head/brain without contrast (70450) |
$522 |
$2,750 |
5.0× |
| MRI brain without contrast (70551) |
$852 |
$4,486.25 |
3.6× |
| MRI brain with contrast (70552) |
$911 |
$4,797.38 |
2.6× |
| MRI brain without and with contrast (70553) |
$1,141 |
$6,009.75 |
3.3× |
| X-ray lower spine, 4+ views (72110) |
$192 |
$1,014.75 |
1.8× |
| MRI lumbar spine without contrast (72148) |
$825 |
$4,345.61 |
3.4× |
| CT pelvis with contrast (72193) |
$598 |
$3,150.08 |
3.4× |
| MRI lower-extremity joint without contrast (73721) |
$954 |
$3,199 |
4.0× |
| CT abdomen and pelvis with contrast (74177) |
$1,353 |
$7,121.13 |
3.9× |
| Ultrasound, abdomen complete (76700) |
$276 |
$1,457.23 |
2.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$207 |
$1,094.63 |
2.0× |
| Ultrasound, transvaginal (76830) |
$195 |
$1,031.25 |
1.9× |
| Mammography, one breast (diagnostic) (77065) |
$62 |
$1,293.10 |
0.7× |
| Mammography, both breasts (diagnostic) (77066) |
$85 |
$286.08 |
0.8× |
| Mammography, screening (bilateral) (77067) |
$42 |
$258 |
0.5× |
| Basic metabolic panel (80048) |
$78 |
$415.25 |
9.2× |
| Comprehensive metabolic panel (80053) |
$84 |
$446.88 |
8.0× |
| Lipid panel (80061) |
$68 |
$361.63 |
5.1× |
| Renal function panel (80069) |
$51 |
$279.38 |
5.9× |
| Hepatic function panel (80076) |
$69 |
$202.40 |
8.4× |
| Urinalysis, non-automated, without microscopy (81002) |
— |
$28.26 |
— |
| PSA, total (84153) |
$19 |
$123.64 |
1.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$66 |
$218 |
3.9× |
| CBC with automated differential (85025) |
$43 |
$231 |
5.5× |
| CBC, automated (85027) |
$29 |
$154 |
4.5× |
| Prothrombin time (PT) (85610) |
$23 |
$123.75 |
5.4× |
| Partial thromboplastin time (PTT) (85730) |
$27 |
$143.86 |
4.5× |
| Psychotherapy, 30 minutes (90832) |
$58 |
$310.24 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$153 |
$580.75 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$142 |
$750 |
0.8× |
| Group psychotherapy (90853) |
$60 |
$318.30 |
0.6× |
| Sleep study (attended polysomnography) (95810) |
$870 |
$4,582.55 |
1.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$33 |
$178.75 |
1.1× |