| Breast lesion removal (open) (19120) |
$1,407.60 |
$1,564 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$614.25 |
$682.50 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,244.70 |
$1,383 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$702 |
$780 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,728 |
$1,920 |
1.8× |
| Diagnostic colonoscopy (45378) |
$1,432.80 |
$1,592 |
1.5× |
| Colonoscopy with biopsy (45380) |
$1,039.50 |
$1,155 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$1,072.80 |
$1,192 |
0.9× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,084.50 |
$1,205 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,337.85 |
$1,486.50 |
0.4× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,235.30 |
$5,817 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,344.30 |
$4,827 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,044.90 |
$1,161 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$855.90 |
$951 |
0.9× |
| CT head/brain without contrast (70450) |
$2,291.40 |
$2,546 |
21.1× |
| MRI brain without contrast (70551) |
$4,134.60 |
$4,594 |
16.7× |
| MRI brain with contrast (70552) |
$4,207.50 |
$4,675 |
11.6× |
| MRI brain without and with contrast (70553) |
$4,784.40 |
$5,316 |
13.2× |
| X-ray lower spine, 4+ views (72110) |
$316.80 |
$352 |
2.9× |
| MRI lumbar spine without contrast (72148) |
$4,079.70 |
$4,533 |
16.5× |
| CT pelvis with contrast (72193) |
$2,839.50 |
$3,155 |
15.6× |
| MRI lower-extremity joint without contrast (73721) |
$4,003.65 |
$4,448.50 |
16.2× |
| CT abdomen and pelvis with contrast (74177) |
$5,434.20 |
$6,038 |
15.0× |
| Ultrasound, abdomen complete (76700) |
$953.10 |
$1,059 |
8.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$942.30 |
$1,047 |
8.7× |
| Ultrasound, transvaginal (76830) |
$738 |
$820 |
6.8× |
| Mammography, one breast (diagnostic) (77065) |
$405 |
$450 |
4.7× |
| Mammography, both breasts (diagnostic) (77066) |
$495 |
$550 |
4.5× |
| Mammography, screening (bilateral) (77067) |
$294.30 |
$327 |
3.2× |
| Basic metabolic panel (80048) |
$22.50 |
$25 |
2.7× |
| Comprehensive metabolic panel (80053) |
$28.80 |
$32 |
2.7× |
| Obstetric panel (80055) |
$122.40 |
$136 |
2.6× |
| Lipid panel (80061) |
$35.10 |
$39 |
2.6× |
| Renal function panel (80069) |
$23.40 |
$26 |
2.7× |
| Hepatic function panel (80076) |
$21.60 |
$24 |
2.6× |
| PSA, total (84153) |
$48.60 |
$54 |
2.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$43.20 |
$48 |
2.6× |
| CBC with automated differential (85025) |
$20.70 |
$23 |
2.7× |
| CBC, automated (85027) |
$17.10 |
$19 |
2.6× |
| Prothrombin time (PT) (85610) |
$12.60 |
$14 |
2.9× |
| Partial thromboplastin time (PTT) (85730) |
$16.20 |
$18 |
2.7× |
| Electrocardiogram (ECG), complete (93000) |
$243 |
$270 |
4.0× |
| Left heart catheterization (93452) |
$10,467 |
$11,630 |
3.1× |
| Sleep study (attended polysomnography) (95810) |
$4,106.70 |
$4,563 |
4.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$111.60 |
$124 |
3.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$206.10 |
$229 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$314.10 |
$349 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$396 |
$440 |
2.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$254.70 |
$283 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$295.20 |
$328 |
— |