| Breast lesion removal (open) (19120) |
$773.10 |
$859 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$250.20 |
$278 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$801 |
$890 |
0.2× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge — not the full procedure |
$429.30 |
$477 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$463.50 |
$515 |
0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$608.40 |
$676 |
0.6× |
| Diagnostic colonoscopy (45378) |
$541.80 |
$602 |
0.6× |
| Colonoscopy with biopsy (45380) |
$695.70 |
$773 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$722.70 |
$803 |
0.6× |
| Colonoscopy with endoscopic ultrasound (45391) |
$374.40 |
$416 |
0.3× |
Laparoscopic gallbladder removal (47562)
likely a partial charge — not the full procedure |
$1,017.90 |
$1,131 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,098.45 |
$1,220.50 |
0.3× |
Laparoscopic radical prostatectomy (55866)
likely a partial charge — not the full procedure |
$2,076.30 |
$2,307 |
0.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,473.10 |
$3,859 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$3,823.20 |
$4,248 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$3,618 |
$4,020 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$742.05 |
$824.50 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$378.90 |
$421 |
0.4× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,034.55 |
$1,149.50 |
1.8× |
| Cataract removal with lens insertion (66984) |
$792.90 |
$881 |
0.3× |
| CT head/brain without contrast (70450) |
$1,632.60 |
$1,814 |
14.8× |
| MRI brain without contrast (70551) |
$900 |
$1,000 |
3.6× |
| MRI brain with contrast (70552) |
$1,057.50 |
$1,175 |
2.9× |
| MRI brain without and with contrast (70553) |
$1,215 |
$1,350 |
3.3× |
| X-ray lower spine, 4+ views (72110) |
$337.50 |
$375 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$972 |
$1,080 |
3.9× |
| CT pelvis with contrast (72193) |
$1,632.60 |
$1,814 |
8.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,125 |
$1,250 |
4.5× |
| CT abdomen and pelvis with contrast (74177) |
$1,632.60 |
$1,814 |
4.4× |
| Ultrasound, abdomen complete (76700) |
$305.10 |
$339 |
2.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$353.70 |
$393 |
3.2× |
| Ultrasound, transvaginal (76830) |
$305.10 |
$339 |
2.8× |
| Mammography, one breast (diagnostic) (77065) |
$256.50 |
$285 |
3.0× |
| Mammography, both breasts (diagnostic) (77066) |
$139.21 |
$154.68 |
1.3× |
| Mammography, screening (bilateral) (77067) |
$310.50 |
$345 |
3.4× |
| Basic metabolic panel (80048) |
$162 |
$180 |
19.1× |
| Comprehensive metabolic panel (80053) |
$283.50 |
$315 |
26.8× |
| Obstetric panel (80055) |
$288 |
$320 |
6.0× |
| Lipid panel (80061) |
$108 |
$120 |
8.1× |
| Renal function panel (80069) |
$225.90 |
$251 |
26.0× |
| Hepatic function panel (80076) |
$230.40 |
$256 |
28.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$99 |
$110 |
24.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$21.60 |
$24 |
6.2× |
| PSA, total (84153) |
$64.80 |
$72 |
3.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$139.50 |
$155 |
8.3× |
| CBC with automated differential (85025) |
$99 |
$110 |
12.7× |
| CBC, automated (85027) |
$86.40 |
$96 |
13.4× |
| Prothrombin time (PT) (85610) |
$59.40 |
$66 |
13.8× |
| Partial thromboplastin time (PTT) (85730) |
$97.20 |
$108 |
16.2× |
| Psychotherapy, 30 minutes (90832) |
$112.50 |
$125 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$148.50 |
$165 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$217.80 |
$242 |
1.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$141.30 |
$157 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$146.70 |
$163 |
0.8× |
| Group psychotherapy (90853) |
$39.60 |
$44 |
0.4× |
| Electrocardiogram (ECG), complete (93000) |
$21.60 |
$24 |
0.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$94.50 |
$105 |
3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$182.25 |
$202.50 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$282.60 |
$314 |
2.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$378.90 |
$421 |
2.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$926.10 |
$1,029 |
6.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$1,326.60 |
$1,474 |
9.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$249.30 |
$277 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$286.20 |
$318 |
— |