| Breast lesion removal (open) (19120) |
$1,701.96 |
$2,002.30 |
0.4× |
| Shoulder arthroscopy with decompression (29826) |
$5,618.08 |
$6,609.50 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,808.99 |
$6,834.10 |
1.7× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge — not the full procedure |
$1,645.09 |
$1,935.40 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,099.65 |
$1,293.70 |
1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,127.61 |
$1,326.60 |
1.2× |
| Diagnostic colonoscopy (45378) |
$1,355.24 |
$1,594.40 |
1.4× |
| Colonoscopy with biopsy (45380) |
$1,741.40 |
$2,048.70 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$1,900.69 |
$2,236.10 |
1.6× |
| Laparoscopic gallbladder removal (47562) |
$4,826.64 |
$5,678.40 |
0.8× |
| Inguinal hernia repair (age 5+) (49505) |
$2,520.59 |
$2,965.40 |
0.7× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,432.67 |
$5,214.90 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,221.47 |
$6,142.90 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$4,904.59 |
$5,770.10 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$996.29 |
$1,172.10 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,163.56 |
$1,368.90 |
1.3× |
| CT head/brain without contrast (70450) |
$787.06 |
$925.95 |
7.4× |
| MRI brain without contrast (70551) |
$1,399.06 |
$1,645.95 |
5.7× |
| MRI brain with contrast (70552) |
$434.27 |
$510.90 |
1.2× |
| MRI brain without and with contrast (70553) |
$1,880.58 |
$2,212.45 |
5.3× |
| X-ray lower spine, 4+ views (72110) |
$210.12 |
$247.20 |
2.0× |
| MRI lumbar spine without contrast (72148) |
$434.27 |
$510.90 |
1.8× |
| CT pelvis with contrast (72193) |
$858.84 |
$1,010.40 |
4.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,180.18 |
$1,388.45 |
4.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,706.15 |
$3,183.70 |
7.6× |
| Ultrasound, abdomen complete (76700) |
$414.55 |
$487.70 |
3.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$250.84 |
$295.10 |
2.3× |
| Ultrasound, transvaginal (76830) |
$203.15 |
$239 |
1.9× |
| Mammography, one breast (diagnostic) (77065) |
$183.44 |
$215.80 |
2.1× |
| Mammography, both breasts (diagnostic) (77066) |
$206.17 |
$242.55 |
1.9× |
| Mammography, screening (bilateral) (77067) |
$185.60 |
$218.35 |
2.0× |
| Basic metabolic panel (80048) |
$103.28 |
$121.50 |
12.2× |
| Comprehensive metabolic panel (80053) |
$154.96 |
$182.30 |
14.7× |
| Obstetric panel (80055) |
$232.90 |
$274 |
4.9× |
| Lipid panel (80061) |
$137.45 |
$161.70 |
10.3× |
| Renal function panel (80069) |
$76.16 |
$89.60 |
8.8× |
| Hepatic function panel (80076) |
$112.03 |
$131.80 |
13.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$23.63 |
$27.80 |
6.8× |
| PSA, total (84153) |
$116.45 |
$137 |
6.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$107.70 |
$126.70 |
6.4× |
| CBC with automated differential (85025) |
$93.67 |
$110.20 |
12.1× |
| CBC, automated (85027) |
$58.65 |
$69 |
9.1× |
| Prothrombin time (PT) (85610) |
$28.48 |
$33.50 |
6.6× |
| Partial thromboplastin time (PTT) (85730) |
$66.56 |
$78.30 |
11.1× |
| Psychotherapy, 30 minutes (90832) |
$171.62 |
$201.90 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$218.03 |
$256.50 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$291.55 |
$343 |
1.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$199.58 |
$234.80 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$227.63 |
$267.80 |
1.3× |
| Group psychotherapy (90853) |
$110.33 |
$129.80 |
1.1× |
| Electrocardiogram (ECG), complete (93000) |
$201.37 |
$236.90 |
3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$89.34 |
$105.10 |
3.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$132.18 |
$155.50 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$187.34 |
$220.40 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$248.63 |
$292.50 |
1.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$316.03 |
$371.80 |
2.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$399.25 |
$469.70 |
2.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$303.79 |
$357.40 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$332.69 |
$391.40 |
— |