Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$712.60 |
$1,018 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$695.10 |
$705.50 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$6,493.20 |
$9,276 |
6.8× |
| Diagnostic colonoscopy (45378) |
$6,493.20 |
$9,276 |
6.7× |
| Colonoscopy with biopsy (45380) |
$1,045.80 |
$1,087.50 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$4,996.60 |
$7,138 |
4.0× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,603.70 |
$2,291 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,876.50 |
$8,395 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$6,534.50 |
$9,335 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$6,160.70 |
$8,801 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$190.40 |
$272 |
0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$595.70 |
$425.50 |
0.6× |
| Cataract removal with lens insertion (66984) |
$5,420.80 |
$7,744 |
2.2× |
| CT head/brain without contrast (70450) |
$858.20 |
$1,226 |
7.8× |
| MRI brain without contrast (70551) |
$1,480.50 |
$2,115 |
5.9× |
| MRI brain with contrast (70552) |
$1,482.60 |
$2,118 |
4.1× |
| MRI brain without and with contrast (70553) |
$1,865.15 |
$2,664.50 |
5.1× |
| X-ray lower spine, 4+ views (72110) |
$264.25 |
$377.50 |
2.4× |
| MRI lumbar spine without contrast (72148) |
$1,507.10 |
$2,153 |
6.0× |
| CT pelvis with contrast (72193) |
$1,136.10 |
$1,623 |
6.2× |
| MRI lower-extremity joint without contrast (73721) |
$1,313.55 |
$1,876.50 |
5.3× |
| CT abdomen and pelvis with contrast (74177) |
$2,241.40 |
$3,202 |
6.1× |
| Ultrasound, abdomen complete (76700) |
$436.10 |
$623 |
4.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$375.20 |
$536 |
3.4× |
| Ultrasound, transvaginal (76830) |
$313.60 |
$448 |
2.9× |
| Mammography, one breast (diagnostic) (77065) |
$151.90 |
$217 |
1.8× |
| Mammography, both breasts (diagnostic) (77066) |
$191.80 |
$274 |
1.7× |
| Mammography, screening (bilateral) (77067) |
$262.85 |
$375.50 |
2.9× |
| Basic metabolic panel (80048) |
$152.25 |
$217.50 |
18.0× |
| Comprehensive metabolic panel (80053) |
$232.40 |
$332 |
22.0× |
| Lipid panel (80061) |
$80.85 |
$115.50 |
6.0× |
| Renal function panel (80069) |
$39.55 |
$56.50 |
4.6× |
| Hepatic function panel (80076) |
$326.20 |
$466 |
39.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$8.40 |
$12 |
2.4× |
| PSA, total (84153) |
$100.10 |
$143 |
5.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$79.10 |
$113 |
4.7× |
| CBC with automated differential (85025) |
$25.20 |
$36 |
3.2× |
| CBC, automated (85027) |
$62.65 |
$89.50 |
9.7× |
| Prothrombin time (PT) (85610) |
$11.90 |
$17 |
2.8× |
| Partial thromboplastin time (PTT) (85730) |
$18.20 |
$26 |
3.0× |
| Psychotherapy, 30 minutes (90832) |
$189.70 |
$236 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$249.90 |
$312 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$368.20 |
$460 |
2.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$245.70 |
$351 |
1.3× |
| Group psychotherapy (90853) |
$58.10 |
$83 |
0.5× |
| Electrocardiogram (ECG), complete (93000) |
$35 |
$50 |
0.6× |
| Sleep study (attended polysomnography) (95810) |
$753.90 |
$1,077 |
0.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$94.50 |
$135 |
3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$233.45 |
$281 |
1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$362.25 |
$457 |
2.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$484.05 |
$621 |
3.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$271.60 |
$302 |
1.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$387.80 |
$459 |
2.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$268.10 |
$383 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$315.35 |
$450.50 |
— |