| Breast lesion removal (open) (19120) |
$616.85 |
$949 |
0.2× |
| Knee arthroscopy with meniscectomy (29881) |
$1,866.80 |
$2,872 |
0.6× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$696.80 |
$1,072 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$834.60 |
$1,284 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$930.15 |
$1,431 |
1.0× |
| Diagnostic colonoscopy (45378) |
$857.35 |
$1,319 |
0.9× |
| Colonoscopy with biopsy (45380) |
$1,019.85 |
$1,569 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$1,144 |
$1,760 |
0.9× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$1,915.55 |
$2,947 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,100.45 |
$1,693 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$208 |
$320 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$250.90 |
$386 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$4,057.95 |
$6,243 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,194.05 |
$1,837 |
1.3× |
| CT head/brain without contrast (70450) |
$1,267.50 |
$1,950 |
11.7× |
| MRI brain without contrast (70551) |
$2,122.90 |
$3,266 |
8.6× |
| MRI brain without and with contrast (70553) |
$2,776.15 |
$4,271 |
7.7× |
| X-ray lower spine, 4+ views (72110) |
$330.85 |
$509 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$2,122.90 |
$3,266 |
8.6× |
| CT pelvis with contrast (72193) |
$1,527.50 |
$2,350 |
8.4× |
| MRI lower-extremity joint without contrast (73721) |
$2,122.90 |
$3,266 |
8.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,600 |
$4,000 |
7.2× |
| Ultrasound, abdomen complete (76700) |
$578.50 |
$890 |
5.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$578.50 |
$890 |
5.4× |
| Ultrasound, transvaginal (76830) |
$455.65 |
$701 |
4.2× |
| Mammography, one breast (diagnostic) (77065) |
$263.25 |
$405 |
3.1× |
| Mammography, both breasts (diagnostic) (77066) |
$292.50 |
$450 |
2.6× |
| Mammography, screening (bilateral) (77067) |
$260.98 |
$401.50 |
2.9× |
| Basic metabolic panel (80048) |
$100.75 |
$155 |
11.9× |
| Comprehensive metabolic panel (80053) |
$121.88 |
$187.50 |
11.5× |
| Lipid panel (80061) |
$101.40 |
$156 |
7.6× |
| Renal function panel (80069) |
$102.05 |
$157 |
11.8× |
| Hepatic function panel (80076) |
$102.05 |
$157 |
12.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$18.20 |
$28 |
4.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$21.45 |
$33 |
6.2× |
| PSA, total (84153) |
$105.30 |
$162 |
5.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$75.40 |
$116 |
4.5× |
| CBC with automated differential (85025) |
$50.05 |
$77 |
6.4× |
| CBC, automated (85027) |
$53.30 |
$82 |
8.2× |
| Prothrombin time (PT) (85610) |
$40.95 |
$63 |
9.5× |
| Partial thromboplastin time (PTT) (85730) |
$70.52 |
$108.50 |
11.7× |
| Psychotherapy, 30 minutes (90832) |
$87.10 |
$134 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$112.45 |
$173 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$174.85 |
$269 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$192.40 |
$296 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$242.45 |
$373 |
1.3× |
| Electrocardiogram (ECG), complete (93000) |
$83.85 |
$129 |
1.4× |
| Sleep study (attended polysomnography) (95810) |
$2,037.10 |
$3,134 |
2.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$77.68 |
$119.50 |
2.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$113.75 |
$175 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$182 |
$280 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$227.50 |
$350 |
1.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$285.35 |
$439 |
2.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$400.40 |
$616 |
2.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$100.75 |
$155 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$106.28 |
$163.50 |
— |