| Breast lesion removal (open) (19120) |
$2,412.20 |
$3,446 |
0.6× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$254.10 |
$363 |
0.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$225.40 |
$322 |
0.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$677.95 |
$968.50 |
0.7× |
| Diagnostic colonoscopy (45378) |
$791.70 |
$1,131 |
0.8× |
| Colonoscopy with biopsy (45380) |
$885.15 |
$1,264.50 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$951.30 |
$1,359 |
0.8× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$961.80 |
$1,374 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$710.50 |
$1,015 |
0.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$356.30 |
$509 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,001.70 |
$1,431 |
1.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$280 |
$400 |
0.5× |
| CT head/brain without contrast (70450) |
$389.20 |
$556 |
3.7× |
| MRI brain without contrast (70551) |
$817.60 |
$1,168 |
3.4× |
| MRI brain with contrast (70552) |
$1,289.40 |
$1,842 |
3.7× |
| MRI brain without and with contrast (70553) |
$1,761.20 |
$2,516 |
5.0× |
| X-ray lower spine, 4+ views (72110) |
$233.80 |
$334 |
2.2× |
| MRI lumbar spine without contrast (72148) |
$817.60 |
$1,168 |
3.4× |
| CT pelvis with contrast (72193) |
$638.40 |
$912 |
3.6× |
| MRI lower-extremity joint without contrast (73721) |
$817.60 |
$1,168 |
3.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,316 |
$1,880 |
3.8× |
| Ultrasound, abdomen complete (76700) |
$72.80 |
$104 |
0.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$323.05 |
$461.50 |
3.1× |
| Ultrasound, transvaginal (76830) |
$299.60 |
$428 |
2.9× |
| Basic metabolic panel (80048) |
$18.20 |
$26 |
2.2× |
| Comprehensive metabolic panel (80053) |
$23.10 |
$33 |
2.2× |
| Obstetric panel (80055) |
$124.60 |
$178 |
2.6× |
| Lipid panel (80061) |
$29.40 |
$42 |
2.2× |
| Renal function panel (80069) |
$19.60 |
$28 |
2.3× |
| Hepatic function panel (80076) |
$18.20 |
$26 |
2.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$63 |
$90 |
18.1× |
| PSA, total (84153) |
$41.30 |
$59 |
2.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$37.10 |
$53 |
2.2× |
| CBC with automated differential (85025) |
$17.50 |
$25 |
2.3× |
| CBC, automated (85027) |
$14.70 |
$21 |
2.3× |
| Prothrombin time (PT) (85610) |
$9.10 |
$13 |
2.1× |
| Partial thromboplastin time (PTT) (85730) |
$13.30 |
$19 |
2.2× |
| Psychotherapy, 30 minutes (90832) |
$171.50 |
$245 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$203 |
$290 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$98 |
$140 |
0.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$203 |
$290 |
1.1× |
| Group psychotherapy (90853) |
$59.50 |
$85 |
0.6× |
| Sleep study (attended polysomnography) (95810) |
$847 |
$1,210 |
1.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$77 |
$110 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$704.20 |
$1,006 |
5.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$155.75 |
$222.50 |
1.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$162.75 |
$232.50 |
1.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$91.70 |
$131 |
0.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$102.20 |
$146 |
0.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$181.30 |
$259 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$209.30 |
$299 |
— |