| Breast lesion removal (open) (19120) |
$600.75 |
$801 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$2,719.50 |
$3,626 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,299 |
$1,732 |
0.4× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$828.75 |
$1,105 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$388.50 |
$518 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$886.50 |
$1,182 |
1.0× |
| Diagnostic colonoscopy (45378) |
$735.75 |
$981 |
0.8× |
| Colonoscopy with biopsy (45380) |
$900.75 |
$1,201 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$1,551 |
$2,068 |
1.3× |
Laparoscopic gallbladder removal (47562)
unusually low: confirm this is the full procedure |
$2,103.75 |
$2,805 |
0.4× |
| Inguinal hernia repair (age 5+) (49505) |
$1,380.75 |
$1,841 |
0.4× |
| Laparoscopic radical prostatectomy (55866) |
$5,281.50 |
$7,042 |
0.5× |
| Obstetric care, vaginal delivery (global) (59400) |
$2,926.50 |
$3,902 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,650 |
$6,200 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$564.38 |
$752.50 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$421.50 |
$562 |
0.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$897.75 |
$1,197 |
1.7× |
| Cataract removal with lens insertion (66984) |
$2,598.75 |
$3,465 |
1.1× |
| CT head/brain without contrast (70450) |
$999 |
$1,332 |
9.7× |
| MRI brain without contrast (70551) |
$2,221.50 |
$2,962 |
9.4× |
| MRI brain with contrast (70552) |
$1,980.75 |
$2,641 |
5.7× |
| MRI brain without and with contrast (70553) |
$2,832 |
$3,776 |
8.2× |
| X-ray lower spine, 4+ views (72110) |
$157.50 |
$210 |
1.5× |
| MRI lumbar spine without contrast (72148) |
$1,914 |
$2,552 |
8.1× |
| CT pelvis with contrast (72193) |
$1,200.75 |
$1,601 |
6.9× |
| MRI lower-extremity joint without contrast (73721) |
$1,385.25 |
$1,847 |
5.9× |
| CT abdomen and pelvis with contrast (74177) |
$1,935.75 |
$2,581 |
5.6× |
| Ultrasound, abdomen complete (76700) |
$539.25 |
$719 |
5.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$204.75 |
$273 |
2.0× |
| Ultrasound, transvaginal (76830) |
$170.62 |
$227.50 |
1.7× |
| Mammography, one breast (diagnostic) (77065) |
$314.25 |
$419 |
3.6× |
| Mammography, both breasts (diagnostic) (77066) |
$420 |
$560 |
3.8× |
| Mammography, screening (bilateral) (77067) |
$343.50 |
$458 |
3.8× |
| Basic metabolic panel (80048) |
$70.50 |
$94 |
8.3× |
| Comprehensive metabolic panel (80053) |
$98.25 |
$131 |
9.3× |
| Obstetric panel (80055) |
$222 |
$296 |
4.6× |
| Lipid panel (80061) |
$51.38 |
$68.50 |
3.8× |
| Renal function panel (80069) |
$62.25 |
$83 |
7.2× |
| Hepatic function panel (80076) |
$73.50 |
$98 |
9.0× |
| PSA, total (84153) |
$98.25 |
$131 |
5.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$24.38 |
$32.50 |
1.5× |
| CBC with automated differential (85025) |
$77.25 |
$103 |
9.9× |
| CBC, automated (85027) |
$11.25 |
$15 |
1.7× |
| Prothrombin time (PT) (85610) |
$35.62 |
$47.50 |
8.3× |
| Partial thromboplastin time (PTT) (85730) |
$47.25 |
$63 |
7.9× |
| Psychotherapy, 30 minutes (90832) |
$177.75 |
$237 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$108 |
$144 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$345 |
$460 |
2.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$216 |
$288 |
1.2× |
| Electrocardiogram (ECG), complete (93000) |
$45.75 |
$61 |
0.8× |
| Sleep study (attended polysomnography) (95810) |
$2,418.75 |
$3,225 |
2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$76.50 |
$102 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$200.25 |
$267 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$311.25 |
$415 |
2.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$337.50 |
$450 |
2.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$249.75 |
$333 |
1.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$360.75 |
$481 |
2.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$138 |
$184 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$238.50 |
$318 |
— |