| Breast lesion removal (open) (19120) |
$1,181.52 |
$1,641 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$376.20 |
$522.50 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,869.12 |
$2,596 |
0.5× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$782.28 |
$1,086.50 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$648.36 |
$900.50 |
0.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,009.47 |
$1,402.04 |
1.0× |
| Diagnostic colonoscopy (45378) |
$727.92 |
$1,011 |
0.7× |
| Colonoscopy with biopsy (45380) |
$1,082.68 |
$1,503.72 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$988.20 |
$1,372.50 |
0.7× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,923.48 |
$2,671.50 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,560.96 |
$2,168 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$482.04 |
$669.50 |
0.5× |
| Cataract removal with lens insertion (66984) |
$1,227.75 |
$1,705.21 |
0.5× |
| CT head/brain without contrast (70450) |
$1,566.36 |
$2,175.50 |
13.4× |
| MRI brain without contrast (70551) |
$2,211.48 |
$3,071.50 |
8.3× |
| MRI brain with contrast (70552) |
$1,426.86 |
$1,981.75 |
3.7× |
| MRI brain without and with contrast (70553) |
$2,917.44 |
$4,052 |
7.5× |
| X-ray lower spine, 4+ views (72110) |
$184.68 |
$256.50 |
1.6× |
| MRI lumbar spine without contrast (72148) |
$2,106 |
$2,925 |
7.9× |
| CT pelvis with contrast (72193) |
$1,943.64 |
$2,699.50 |
9.9× |
| MRI lower-extremity joint without contrast (73721) |
$1,880.64 |
$2,612 |
7.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,922.04 |
$2,669.50 |
4.9× |
| Ultrasound, abdomen complete (76700) |
$696.60 |
$967.50 |
6.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$574.92 |
$798.50 |
4.9× |
| Ultrasound, transvaginal (76830) |
$657.72 |
$913.50 |
5.6× |
| Mammography, one breast (diagnostic) (77065) |
$316.08 |
$439 |
3.7× |
| Mammography, both breasts (diagnostic) (77066) |
$414 |
$575 |
3.7× |
| Mammography, screening (bilateral) (77067) |
$318.24 |
$442 |
3.5× |
| Basic metabolic panel (80048) |
$82.44 |
$114.50 |
9.7× |
| Comprehensive metabolic panel (80053) |
$105.48 |
$146.50 |
10.0× |
| Obstetric panel (80055) |
$336.96 |
$468 |
7.0× |
| Lipid panel (80061) |
$137.70 |
$191.25 |
10.3× |
| Renal function panel (80069) |
$87.48 |
$121.50 |
10.1× |
| Hepatic function panel (80076) |
$84.96 |
$118 |
10.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$18 |
$25 |
5.2× |
| PSA, total (84153) |
$184.14 |
$255.75 |
10.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$162.72 |
$226 |
9.7× |
| CBC with automated differential (85025) |
$72.54 |
$100.75 |
9.3× |
| CBC, automated (85027) |
$65.52 |
$91 |
10.1× |
| Prothrombin time (PT) (85610) |
$41.76 |
$58 |
9.7× |
| Partial thromboplastin time (PTT) (85730) |
$60.84 |
$84.50 |
10.1× |
| Psychotherapy, 30 minutes (90832) |
$164.88 |
$229 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$219.24 |
$304.50 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$328.32 |
$456 |
1.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$240.12 |
$333.50 |
1.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$248.76 |
$345.50 |
1.3× |
| Electrocardiogram (ECG), complete (93000) |
$366.48 |
$509 |
5.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$89.64 |
$124.50 |
3.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$207.72 |
$288.50 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$298.80 |
$415 |
2.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$367.20 |
$510 |
2.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$292.32 |
$406 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$341.10 |
$473.75 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$396.18 |
$550.25 |
— |