| Breast lesion removal (open) (19120) |
$1,478.36 |
$5,686 |
0.4× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$301.08 |
$1,158 |
0.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$413.01 |
$1,588.50 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$446.68 |
$1,718 |
0.5× |
| Diagnostic colonoscopy (45378) |
$316.03 |
$1,215.50 |
0.3× |
| Colonoscopy with biopsy (45380) |
$526.89 |
$2,026.50 |
0.4× |
| Colonoscopy with lesion removal (45385) |
$560.17 |
$2,154.50 |
0.4× |
| Colonoscopy with endoscopic ultrasound (45391) |
$910.78 |
$3,503 |
0.7× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$760.76 |
$2,926 |
0.1× |
| Inguinal hernia repair (age 5+) (49505) |
$537.16 |
$2,066 |
0.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$408.72 |
$1,572 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$574.86 |
$2,211 |
0.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$285.48 |
$1,098 |
0.5× |
| Cataract removal with lens insertion (66984) |
$786.50 |
$3,025 |
0.3× |
| CT head/brain without contrast (70450) |
$427.70 |
$1,645 |
3.9× |
| MRI brain without contrast (70551) |
$752.70 |
$2,895 |
3.0× |
| MRI brain with contrast (70552) |
$752.70 |
$2,895 |
2.1× |
| MRI brain without and with contrast (70553) |
$1,060.28 |
$4,078 |
2.9× |
| X-ray lower spine, 4+ views (72110) |
$216.84 |
$834 |
2.0× |
| MRI lumbar spine without contrast (72148) |
$752.70 |
$2,895 |
3.0× |
| CT pelvis with contrast (72193) |
$649.74 |
$2,499 |
3.5× |
| MRI lower-extremity joint without contrast (73721) |
$752.70 |
$2,895 |
3.0× |
| CT abdomen and pelvis with contrast (74177) |
$513.24 |
$1,974 |
1.4× |
| Ultrasound, abdomen complete (76700) |
$197.86 |
$761 |
1.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$128.57 |
$494.50 |
1.2× |
| Ultrasound, transvaginal (76830) |
$128.57 |
$494.50 |
1.2× |
| Mammography, one breast (diagnostic) (77065) |
$99.32 |
$382 |
1.2× |
| Mammography, both breasts (diagnostic) (77066) |
$124.28 |
$478 |
1.1× |
| Mammography, screening (bilateral) (77067) |
$99.32 |
$382 |
1.1× |
| Basic metabolic panel (80048) |
$70.46 |
$271 |
8.3× |
| Comprehensive metabolic panel (80053) |
$3.12 |
$12 |
0.3× |
| Lipid panel (80061) |
$3.90 |
$15 |
0.3× |
| Renal function panel (80069) |
$3.12 |
$12 |
0.4× |
| Hepatic function panel (80076) |
$2.34 |
$9 |
0.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$16.64 |
$64 |
4.8× |
| PSA, total (84153) |
$4.68 |
$18 |
0.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$33.15 |
$127.50 |
2.0× |
| CBC with automated differential (85025) |
$2.60 |
$10 |
0.3× |
| CBC, automated (85027) |
$33.80 |
$130 |
5.2× |
| Prothrombin time (PT) (85610) |
$24.96 |
$96 |
5.8× |
| Partial thromboplastin time (PTT) (85730) |
$30.68 |
$118 |
5.1× |
| Psychotherapy, 30 minutes (90832) |
$46.54 |
$179 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$83.72 |
$322 |
0.5× |
| Psychotherapy, 60 minutes (90837) |
$64.61 |
$248.50 |
0.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$81.90 |
$315 |
0.4× |
| Group psychotherapy (90853) |
$95.68 |
$368 |
0.9× |
| Left heart catheterization (93452) |
$2,857.40 |
$10,990 |
0.8× |
| Sleep study (attended polysomnography) (95810) |
$1,229.28 |
$4,728 |
1.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$39.26 |
$151 |
1.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$80.60 |
$310 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$55.38 |
$213 |
0.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$73.32 |
$282 |
0.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$115.96 |
$446 |
0.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$58.11 |
$223.50 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$66.04 |
$254 |
— |