| Breast lesion removal (open) (19120) |
$1,035.30 |
$1,218 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$765 |
$900 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,856.40 |
$2,184 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$615.40 |
$724 |
0.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$793.05 |
$933 |
0.8× |
| Diagnostic colonoscopy (45378) |
$702.10 |
$826 |
0.7× |
| Colonoscopy with biopsy (45380) |
$910.35 |
$1,071 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$940.95 |
$1,107 |
0.7× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,251.20 |
$1,472 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,035.30 |
$1,218 |
0.3× |
Laparoscopic radical prostatectomy (55866)
likely a partial charge, not the full procedure |
$2,838.15 |
$3,339 |
0.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,686.05 |
$5,513 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,080.45 |
$5,977 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$4,734.50 |
$5,570 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,652.40 |
$1,944 |
1.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,392.30 |
$1,638 |
1.4× |
| CT head/brain without contrast (70450) |
$1,490.05 |
$1,753 |
12.8× |
| MRI brain without contrast (70551) |
$2,193 |
$2,580 |
8.2× |
| MRI brain with contrast (70552) |
$2,098.65 |
$2,469 |
5.4× |
| MRI brain without and with contrast (70553) |
$3,272.50 |
$3,850 |
8.4× |
| X-ray lower spine, 4+ views (72110) |
$290.70 |
$342 |
2.5× |
| MRI lumbar spine without contrast (72148) |
$2,540.22 |
$2,988.50 |
9.6× |
| CT pelvis with contrast (72193) |
$2,240.60 |
$2,636 |
11.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,490.05 |
$1,753 |
5.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,232.10 |
$2,626 |
5.7× |
| Ultrasound, abdomen complete (76700) |
$526.15 |
$619 |
4.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$601.38 |
$707.50 |
5.2× |
| Ultrasound, transvaginal (76830) |
$607.32 |
$714.50 |
5.2× |
| Mammography, one breast (diagnostic) (77065) |
$374.85 |
$441 |
4.4× |
| Mammography, both breasts (diagnostic) (77066) |
$374.85 |
$441 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$397.80 |
$468 |
4.4× |
| Basic metabolic panel (80048) |
$132.60 |
$156 |
15.7× |
| Comprehensive metabolic panel (80053) |
$139.40 |
$164 |
13.2× |
| Lipid panel (80061) |
$55.25 |
$65 |
4.1× |
| Renal function panel (80069) |
$136 |
$160 |
15.7× |
| Hepatic function panel (80076) |
$131.75 |
$155 |
16.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$38.25 |
$45 |
11.0× |
| PSA, total (84153) |
$100.30 |
$118 |
5.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$115.60 |
$136 |
6.9× |
| CBC with automated differential (85025) |
$49.30 |
$58 |
6.3× |
| CBC, automated (85027) |
$41.65 |
$49 |
6.4× |
| Prothrombin time (PT) (85610) |
$39.95 |
$47 |
9.3× |
| Partial thromboplastin time (PTT) (85730) |
$62.90 |
$74 |
10.5× |
| Psychotherapy, 30 minutes (90832) |
$83.30 |
$98 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$204.85 |
$241 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$303.45 |
$357 |
1.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$209.10 |
$246 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$217.60 |
$256 |
1.1× |
| Electrocardiogram (ECG), complete (93000) |
$139.40 |
$164 |
2.1× |
| Sleep study (attended polysomnography) (95810) |
$3,026.85 |
$3,561 |
3.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$89.25 |
$105 |
3.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$240.55 |
$283 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$358.70 |
$422 |
2.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$473.45 |
$557 |
3.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$258.40 |
$304 |
1.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$385.05 |
$453 |
2.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$247.35 |
$291 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$286.45 |
$337 |
— |