| Breast lesion removal (open) (19120) |
$873.76 |
$1,027.95 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$753.95 |
$887 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$923.95 |
$1,087 |
1.1× |
| Diagnostic colonoscopy (45378) |
$1,007.25 |
$1,185 |
1.2× |
| Colonoscopy with biopsy (45380) |
$1,110.10 |
$1,306 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,317.50 |
$1,550 |
1.2× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,218.26 |
$1,433.25 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,237.01 |
$1,455.30 |
0.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$743.75 |
$875 |
0.9× |
| CT head/brain without contrast (70450) |
$1,224 |
$1,440 |
12.7× |
| MRI brain without contrast (70551) |
$1,564 |
$1,840 |
7.1× |
| MRI brain with contrast (70552) |
$1,453.50 |
$1,710 |
4.5× |
| MRI brain without and with contrast (70553) |
$1,564 |
$1,840 |
4.9× |
| X-ray lower spine, 4+ views (72110) |
$527 |
$620 |
5.5× |
| MRI lumbar spine without contrast (72148) |
$1,564 |
$1,840 |
7.1× |
| CT pelvis with contrast (72193) |
$1,122 |
$1,320 |
7.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,564 |
$1,840 |
7.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,168.75 |
$1,375 |
3.6× |
| Ultrasound, abdomen complete (76700) |
$323 |
$380 |
3.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$222.70 |
$262 |
2.3× |
| Ultrasound, transvaginal (76830) |
$263.50 |
$310 |
2.7× |
| Mammography, one breast (diagnostic) (77065) |
$233.75 |
$275 |
2.7× |
| Mammography, both breasts (diagnostic) (77066) |
$233.75 |
$275 |
2.1× |
| Mammography, screening (bilateral) (77067) |
$234.60 |
$276 |
2.6× |
| Basic metabolic panel (80048) |
$59.50 |
$70 |
7.0× |
| Comprehensive metabolic panel (80053) |
$68 |
$80 |
6.4× |
| Lipid panel (80061) |
$119 |
$140 |
8.9× |
| Renal function panel (80069) |
$51 |
$60 |
5.9× |
| Hepatic function panel (80076) |
$72.68 |
$85.50 |
8.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$25.50 |
$30 |
7.3× |
| PSA, total (84153) |
$144.50 |
$170 |
7.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$121.12 |
$142.50 |
7.2× |
| CBC with automated differential (85025) |
$31.02 |
$36.50 |
4.0× |
| CBC, automated (85027) |
$46.75 |
$55 |
7.2× |
| Prothrombin time (PT) (85610) |
$44.62 |
$52.50 |
10.4× |
| Partial thromboplastin time (PTT) (85730) |
$45.48 |
$53.50 |
7.6× |
| Electrocardiogram (ECG), complete (93000) |
$222.70 |
$262 |
4.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$93.50 |
$110 |
3.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$199.75 |
$235 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$238 |
$280 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$277.10 |
$326 |
2.3× |