| Breast lesion removal (open) (19120) |
$1,854 |
$1,854 |
0.5× |
| Shoulder arthroscopy with decompression (29826) |
$462 |
$462 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,523 |
$1,523 |
0.4× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$1,227 |
$1,227 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,113 |
$1,113 |
1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$968 |
$968 |
1.0× |
| Diagnostic colonoscopy (45378) |
$893 |
$893 |
0.9× |
| Colonoscopy with biopsy (45380) |
$1,143 |
$1,143 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,205 |
$1,205 |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$3,371 |
$3,371 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$1,817.50 |
$1,817.50 |
0.5× |
| Obstetric care, vaginal delivery (global) (59400) |
$2,919 |
$2,919 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$6,408 |
$6,408 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$415 |
$415 |
0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,668 |
$1,668 |
1.8× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$785 |
$785 |
1.4× |
| CT head/brain without contrast (70450) |
$2,242 |
$2,242 |
20.7× |
| MRI brain without contrast (70551) |
$4,337 |
$4,337 |
17.5× |
| MRI brain with contrast (70552) |
$4,960 |
$4,960 |
13.7× |
| MRI brain without and with contrast (70553) |
$4,814 |
$4,814 |
13.3× |
| X-ray lower spine, 4+ views (72110) |
$140 |
$140 |
1.3× |
| MRI lumbar spine without contrast (72148) |
$3,748 |
$3,748 |
15.1× |
| CT pelvis with contrast (72193) |
$3,384 |
$3,384 |
18.6× |
| MRI lower-extremity joint without contrast (73721) |
$2,832 |
$2,832 |
11.4× |
| CT abdomen and pelvis with contrast (74177) |
$5,497 |
$5,497 |
15.2× |
| Ultrasound, abdomen complete (76700) |
$1,167 |
$1,167 |
10.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$903 |
$903 |
8.3× |
| Ultrasound, transvaginal (76830) |
$728 |
$728 |
6.7× |
| Mammography, one breast (diagnostic) (77065) |
$405 |
$405 |
4.7× |
| Mammography, both breasts (diagnostic) (77066) |
$494 |
$494 |
4.5× |
| Mammography, screening (bilateral) (77067) |
$408 |
$408 |
4.5× |
| Basic metabolic panel (80048) |
$147 |
$147 |
17.4× |
| Comprehensive metabolic panel (80053) |
$54 |
$54 |
5.1× |
| Lipid panel (80061) |
$59 |
$59 |
4.4× |
| Renal function panel (80069) |
$145.50 |
$145.50 |
16.8× |
| Hepatic function panel (80076) |
$156 |
$156 |
19.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$43 |
$43 |
12.4× |
| PSA, total (84153) |
$202 |
$202 |
11.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$108 |
$108 |
6.4× |
| CBC with automated differential (85025) |
$111 |
$111 |
14.3× |
| CBC, automated (85027) |
$87 |
$87 |
13.4× |
| Prothrombin time (PT) (85610) |
$22 |
$22 |
5.1× |
| Partial thromboplastin time (PTT) (85730) |
$90 |
$90 |
15.0× |
| Electrocardiogram (ECG), complete (93000) |
$60 |
$60 |
1.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$103 |
$103 |
3.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$150 |
$150 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$228 |
$228 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$400 |
$400 |
2.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$518 |
$518 |
3.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$763 |
$763 |
5.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$349 |
$349 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$381 |
$381 |
— |