| Breast lesion removal (open) (19120) |
$754.12 |
$1,160.19 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$308.14 |
$474.06 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,664.06 |
$5,637.02 |
1.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,023.20 |
$1,574.16 |
1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$254.03 |
$390.81 |
0.3× |
| Diagnostic colonoscopy (45378) |
$220.60 |
$339.39 |
0.2× |
| Colonoscopy with biopsy (45380) |
$369.10 |
$567.84 |
0.3× |
| Colonoscopy with lesion removal (45385) |
$467.40 |
$719.07 |
0.4× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,220.88 |
$1,878.27 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$945.42 |
$1,454.49 |
0.3× |
| Cataract removal with lens insertion (66984) |
$2,648.16 |
$4,074.09 |
1.2× |
| CT head/brain without contrast (70450) |
$1,169.04 |
$1,798.53 |
11.6× |
| MRI brain without contrast (70551) |
$1,149.36 |
$1,768.25 |
5.0× |
| MRI brain with contrast (70552) |
$1,751.11 |
$2,694.02 |
5.2× |
| MRI brain without and with contrast (70553) |
$2,311.38 |
$3,555.97 |
6.9× |
| X-ray lower spine, 4+ views (72110) |
$124.32 |
$191.26 |
1.2× |
| MRI lumbar spine without contrast (72148) |
$970.11 |
$1,492.47 |
4.2× |
| CT pelvis with contrast (72193) |
$1,159.91 |
$1,784.48 |
6.9× |
| MRI lower-extremity joint without contrast (73721) |
$1,474.84 |
$2,268.99 |
6.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,511.25 |
$2,325 |
4.5× |
| Ultrasound, abdomen complete (76700) |
$253.07 |
$389.34 |
2.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$439.36 |
$675.94 |
4.4× |
| Ultrasound, transvaginal (76830) |
$400.70 |
$616.46 |
4.0× |
| Mammography, screening (bilateral) (77067) |
$178.75 |
$275 |
2.0× |
| Basic metabolic panel (80048) |
$58.34 |
$89.76 |
6.9× |
| Comprehensive metabolic panel (80053) |
$79.44 |
$122.21 |
7.5× |
| Obstetric panel (80055) |
$70.30 |
$108.15 |
1.5× |
| Lipid panel (80061) |
$61.81 |
$95.09 |
4.6× |
| Renal function panel (80069) |
$47.10 |
$72.46 |
5.4× |
| Hepatic function panel (80076) |
$50.62 |
$77.87 |
6.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$9.75 |
$15 |
2.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$17.55 |
$27 |
5.0× |
| PSA, total (84153) |
$98.42 |
$151.41 |
5.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$78.47 |
$120.73 |
4.7× |
| CBC with automated differential (85025) |
$36.27 |
$55.80 |
4.7× |
| CBC, automated (85027) |
$37.26 |
$57.32 |
5.8× |
| Prothrombin time (PT) (85610) |
$23.20 |
$35.69 |
5.4× |
| Partial thromboplastin time (PTT) (85730) |
$33.55 |
$51.62 |
5.6× |
| Psychotherapy, 30 minutes (90832) |
$396.50 |
$610 |
2.3× |
| Psychotherapy, 45 minutes (90834) |
$490.75 |
$755 |
2.9× |
| Psychotherapy, 60 minutes (90837) |
$500.50 |
$770 |
2.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$523.25 |
$805 |
3.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$549.25 |
$845 |
3.2× |
| Group psychotherapy (90853) |
$477.75 |
$735 |
4.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$52.55 |
$80.84 |
1.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$208 |
$320 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$312 |
$480 |
2.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$409.50 |
$630 |
3.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$162.50 |
$250 |
1.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$334.56 |
$514.71 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$387.99 |
$596.91 |
— |