| Breast lesion removal (open) (19120) |
$526.40 |
$752 |
0.1× |
| Shoulder arthroscopy with decompression (29826) |
$1,295 |
$1,850 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$2,651.60 |
$3,788 |
0.8× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$623 |
$890 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$777.35 |
$1,110.50 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$946.40 |
$1,352 |
1.0× |
| Diagnostic colonoscopy (45378) |
$588 |
$840 |
0.6× |
| Colonoscopy with biopsy (45380) |
$1,174.25 |
$1,677.50 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,341.20 |
$1,916 |
1.1× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,286.25 |
$1,837.50 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,810.90 |
$2,587 |
0.5× |
| Obstetric care, vaginal delivery (global) (59400) |
$2,152.50 |
$3,075 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$2,628.50 |
$3,755 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,263.85 |
$1,805.50 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,086.05 |
$1,551.50 |
1.2× |
| Basic metabolic panel (80048) |
$121.80 |
$174 |
14.4× |
| Comprehensive metabolic panel (80053) |
$135.80 |
$194 |
12.9× |
| Obstetric panel (80055) |
$292.60 |
$418 |
6.1× |
| Lipid panel (80061) |
$193.20 |
$276 |
14.4× |
| Renal function panel (80069) |
$124.60 |
$178 |
14.4× |
| Hepatic function panel (80076) |
$135.10 |
$193 |
16.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$16.10 |
$23 |
4.6× |
| PSA, total (84153) |
$148.40 |
$212 |
8.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$154 |
$220 |
9.2× |
| CBC with automated differential (85025) |
$189 |
$270 |
24.3× |
| CBC, automated (85027) |
$74.20 |
$106 |
11.5× |
| Prothrombin time (PT) (85610) |
$53.90 |
$77 |
12.6× |
| Partial thromboplastin time (PTT) (85730) |
$112 |
$160 |
18.6× |
| Psychotherapy, 30 minutes (90832) |
$407.40 |
$582 |
2.3× |
| Psychotherapy, 45 minutes (90834) |
$576.80 |
$824 |
3.2× |
| Psychotherapy, 60 minutes (90837) |
$613.20 |
$876 |
3.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$556.50 |
$795 |
3.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$609 |
$870 |
3.4× |
| Group psychotherapy (90853) |
$667.10 |
$953 |
6.6× |
| Electrocardiogram (ECG), complete (93000) |
$175 |
$250 |
3.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$118.65 |
$169.50 |
4.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$201.60 |
$288 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$301.70 |
$431 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$350 |
$500 |
2.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$191.10 |
$273 |
1.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$272.30 |
$389 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$87.50 |
$125 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$87.50 |
$125 |
— |