| Breast lesion removal (open) (19120) |
$1,363 |
$1,363 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$419 |
$419 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$2,436 |
$2,436 |
0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$651 |
$651 |
0.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$873 |
$873 |
0.9× |
| Diagnostic colonoscopy (45378) |
$787 |
$787 |
0.8× |
| Colonoscopy with biopsy (45380) |
$1,010 |
$1,010 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$1,061 |
$1,061 |
0.8× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,798 |
$1,798 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,245 |
$1,245 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,318 |
$5,318 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,874 |
$5,874 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$5,539 |
$5,539 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$551 |
$551 |
0.6× |
| CT head/brain without contrast (70450) |
$855.50 |
$855.50 |
7.3× |
| MRI brain without contrast (70551) |
$1,423 |
$1,423 |
5.4× |
| MRI brain with contrast (70552) |
$2,092 |
$2,092 |
5.4× |
| MRI brain without and with contrast (70553) |
$2,239.50 |
$2,239.50 |
5.8× |
| X-ray lower spine, 4+ views (72110) |
$332.50 |
$332.50 |
2.9× |
| MRI lumbar spine without contrast (72148) |
$780 |
$780 |
2.9× |
| CT pelvis with contrast (72193) |
$1,632.50 |
$1,632.50 |
8.4× |
| MRI lower-extremity joint without contrast (73721) |
$756.50 |
$756.50 |
2.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,574 |
$2,574 |
6.6× |
| Ultrasound, abdomen complete (76700) |
$482.50 |
$482.50 |
4.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$527.50 |
$527.50 |
4.5× |
| Ultrasound, transvaginal (76830) |
$561 |
$561 |
4.8× |
| Mammography, one breast (diagnostic) (77065) |
$249 |
$249 |
2.9× |
| Mammography, both breasts (diagnostic) (77066) |
$278 |
$278 |
2.5× |
| Mammography, screening (bilateral) (77067) |
$264.50 |
$264.50 |
2.9× |
| Basic metabolic panel (80048) |
$91 |
$91 |
10.8× |
| Comprehensive metabolic panel (80053) |
$117 |
$117 |
11.1× |
| Obstetric panel (80055) |
$80 |
$80 |
1.7× |
| Lipid panel (80061) |
$161 |
$161 |
12.0× |
| Renal function panel (80069) |
$65 |
$65 |
7.5× |
| Hepatic function panel (80076) |
$88 |
$88 |
10.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$38 |
$38 |
10.9× |
| PSA, total (84153) |
$207 |
$207 |
11.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$105 |
$105 |
6.3× |
| CBC with automated differential (85025) |
$110 |
$110 |
14.2× |
| CBC, automated (85027) |
$91 |
$91 |
14.1× |
| Prothrombin time (PT) (85610) |
$41 |
$41 |
9.6× |
| Partial thromboplastin time (PTT) (85730) |
$83 |
$83 |
13.8× |
| Psychotherapy, 30 minutes (90832) |
$159 |
$159 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$212 |
$212 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$326 |
$326 |
1.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$264 |
$264 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$273 |
$273 |
1.4× |
| Electrocardiogram (ECG), complete (93000) |
$84.50 |
$84.50 |
1.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$245 |
$245 |
8.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$260 |
$260 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$375 |
$375 |
2.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$416.50 |
$416.50 |
2.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$261 |
$261 |
1.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$258 |
$258 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$301 |
$301 |
— |