| Breast lesion removal (open) (19120) |
$529.20 |
$882 |
0.1× |
| Shoulder arthroscopy with decompression (29826) |
$287.40 |
$479 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$750.60 |
$1,251 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$361.80 |
$603 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$496.80 |
$828 |
0.5× |
| Diagnostic colonoscopy (45378) |
$315.60 |
$526 |
0.3× |
| Colonoscopy with biopsy (45380) |
$1,152 |
$1,920 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,019.40 |
$1,699 |
0.8× |
Laparoscopic gallbladder removal (47562)
likely a partial charge — not the full procedure |
$1,640.40 |
$2,734 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$715.80 |
$1,193 |
0.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$2,566.20 |
$4,277 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$2,907.60 |
$4,846 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$2,057.40 |
$3,429 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$586.80 |
$978 |
0.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$693 |
$1,155 |
1.2× |
| CT head/brain without contrast (70450) |
$993 |
$1,655 |
9.0× |
| MRI brain without contrast (70551) |
$2,064 |
$3,440 |
8.2× |
| MRI brain with contrast (70552) |
$1,643.40 |
$2,739 |
4.5× |
| MRI brain without and with contrast (70553) |
$2,164.80 |
$3,608 |
5.9× |
| X-ray lower spine, 4+ views (72110) |
$571.20 |
$952 |
5.2× |
| MRI lumbar spine without contrast (72148) |
$1,830.60 |
$3,051 |
7.3× |
| CT pelvis with contrast (72193) |
$1,338.60 |
$2,231 |
7.2× |
| MRI lower-extremity joint without contrast (73721) |
$2,377.20 |
$3,962 |
9.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,889 |
$4,815 |
7.9× |
| Ultrasound, abdomen complete (76700) |
$1,085.40 |
$1,809 |
9.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$943.80 |
$1,573 |
8.6× |
| Ultrasound, transvaginal (76830) |
$391.20 |
$652 |
3.5× |
| Mammography, one breast (diagnostic) (77065) |
$181.20 |
$302 |
2.1× |
| Mammography, both breasts (diagnostic) (77066) |
$251.40 |
$419 |
2.3× |
| Mammography, screening (bilateral) (77067) |
$255 |
$425 |
2.8× |
| Basic metabolic panel (80048) |
$102.60 |
$171 |
12.1× |
| Comprehensive metabolic panel (80053) |
$165 |
$275 |
15.6× |
| Obstetric panel (80055) |
$498 |
$830 |
10.4× |
| Lipid panel (80061) |
$94.80 |
$158 |
7.1× |
| Renal function panel (80069) |
$100.20 |
$167 |
11.5× |
| Hepatic function panel (80076) |
$238.80 |
$398 |
29.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$44.70 |
$74.50 |
11.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$65.40 |
$109 |
18.8× |
| PSA, total (84153) |
$93.90 |
$156.50 |
5.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$117.60 |
$196 |
7.0× |
| Prothrombin time (PT) (85610) |
$51.60 |
$86 |
12.0× |
| Partial thromboplastin time (PTT) (85730) |
$100.50 |
$167.50 |
16.7× |
| Sleep study (attended polysomnography) (95810) |
$1,916.40 |
$3,194 |
2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$48 |
$80 |
1.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$153.60 |
$256 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$187.80 |
$313 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$194.70 |
$324.50 |
1.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$160.80 |
$268 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$195.60 |
$326 |
1.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$158.40 |
$264 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$169.80 |
$283 |
— |