Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$661.70 |
$1,018 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,764.77 |
$4,253.50 |
3.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$6,353.44 |
$9,774.53 |
6.8× |
| Diagnostic colonoscopy (45378) |
$3,414.45 |
$5,253 |
3.6× |
| Colonoscopy with biopsy (45380) |
$6,676.80 |
$10,272 |
5.4× |
| Colonoscopy with lesion removal (45385) |
$4,319.25 |
$6,645 |
3.5× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,489.15 |
$2,291 |
0.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,456.75 |
$8,395 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$6,067.75 |
$9,335 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$5,720.65 |
$8,801 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$176.80 |
$272 |
0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$248.30 |
$382 |
0.3× |
| Cataract removal with lens insertion (66984) |
$5,577 |
$8,580 |
2.3× |
| CT head/brain without contrast (70450) |
$757.58 |
$1,165.50 |
7.0× |
| MRI brain without contrast (70551) |
$1,220.38 |
$1,877.50 |
5.0× |
| MRI brain with contrast (70552) |
$1,376.70 |
$2,118 |
3.8× |
| MRI brain without and with contrast (70553) |
$1,635.72 |
$2,516.50 |
4.5× |
| X-ray lower spine, 4+ views (72110) |
$245.38 |
$377.50 |
2.3× |
| MRI lumbar spine without contrast (72148) |
$1,123.52 |
$1,728.50 |
4.6× |
| CT pelvis with contrast (72193) |
$807.30 |
$1,242 |
4.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,040.65 |
$1,601 |
4.2× |
| CT abdomen and pelvis with contrast (74177) |
$1,535.95 |
$2,363 |
4.3× |
| Ultrasound, abdomen complete (76700) |
$404.95 |
$623 |
3.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$279.82 |
$430.50 |
2.6× |
| Ultrasound, transvaginal (76830) |
$216.12 |
$332.50 |
2.0× |
| Mammography, one breast (diagnostic) (77065) |
$85.80 |
$132 |
1.0× |
| Mammography, both breasts (diagnostic) (77066) |
$104.65 |
$161 |
0.9× |
| Mammography, screening (bilateral) (77067) |
$244.08 |
$375.50 |
2.7× |
| Basic metabolic panel (80048) |
$145.60 |
$224 |
17.2× |
| Comprehensive metabolic panel (80053) |
$167.70 |
$258 |
15.9× |
| Lipid panel (80061) |
$102.05 |
$157 |
7.6× |
| Renal function panel (80069) |
$47.45 |
$73 |
5.5× |
| Hepatic function panel (80076) |
$163.80 |
$252 |
20.0× |
| PSA, total (84153) |
$87.10 |
$134 |
4.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$87.42 |
$134.50 |
5.2× |
| CBC with automated differential (85025) |
$117 |
$180 |
15.1× |
| CBC, automated (85027) |
$75.40 |
$116 |
11.7× |
| Prothrombin time (PT) (85610) |
$54.60 |
$84 |
12.7× |
| Partial thromboplastin time (PTT) (85730) |
$63.70 |
$98 |
10.6× |
| Psychotherapy, 30 minutes (90832) |
$153.40 |
$236 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$202.80 |
$312 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$299 |
$460 |
1.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$228.15 |
$351 |
1.2× |
| Group psychotherapy (90853) |
$53.95 |
$83 |
0.5× |
| Electrocardiogram (ECG), complete (93000) |
$32.50 |
$50 |
0.5× |
| Sleep study (attended polysomnography) (95810) |
$260 |
$400 |
0.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$87.75 |
$135 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
— |
$386 |
— |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
— |
$578 |
— |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$339.95 |
$621 |
2.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$196.30 |
$302 |
1.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$298.35 |
$459 |
2.2× |
| Preventive visit, new patient (age 18–39) (99385) |
— |
$446 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
— |
$513 |
— |