| Breast lesion removal (open) (19120) |
$885.38 |
$1,180.50 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$300 |
$400 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$925.50 |
$1,234 |
0.3× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$527.25 |
$703 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$473.25 |
$631 |
0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$371.25 |
$495 |
0.4× |
| Diagnostic colonoscopy (45378) |
$558.75 |
$745 |
0.6× |
| Colonoscopy with biopsy (45380) |
$720 |
$960 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$751.50 |
$1,002 |
0.6× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,138.50 |
$1,518 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$900.75 |
$1,201 |
0.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,615 |
$4,820 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,009.50 |
$5,346 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$3,804 |
$5,072 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$241.50 |
$322 |
0.3× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$752.25 |
$1,003 |
1.3× |
| Cataract removal with lens insertion (66984) |
$1,233 |
$1,644 |
0.5× |
| CT head/brain without contrast (70450) |
$754.88 |
$1,006.50 |
7.0× |
| MRI brain without contrast (70551) |
$1,278.75 |
$1,705 |
5.2× |
| MRI brain with contrast (70552) |
$1,394.25 |
$1,859 |
3.9× |
| MRI brain without and with contrast (70553) |
$1,693.50 |
$2,258 |
4.7× |
| X-ray lower spine, 4+ views (72110) |
$397.50 |
$530 |
3.7× |
| MRI lumbar spine without contrast (72148) |
$1,300.50 |
$1,734 |
5.3× |
| CT pelvis with contrast (72193) |
$968.62 |
$1,291.50 |
5.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,259.62 |
$1,679.50 |
5.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,460.25 |
$1,947 |
4.1× |
| Ultrasound, abdomen complete (76700) |
$513 |
$684 |
4.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$340.88 |
$454.50 |
3.2× |
| Ultrasound, transvaginal (76830) |
$407.25 |
$543 |
3.8× |
| Mammography, one breast (diagnostic) (77065) |
$305.25 |
$407 |
3.5× |
| Mammography, both breasts (diagnostic) (77066) |
$255 |
$340 |
2.3× |
| Mammography, screening (bilateral) (77067) |
$272.25 |
$363 |
3.0× |
| Basic metabolic panel (80048) |
$180.38 |
$240.50 |
21.3× |
| Comprehensive metabolic panel (80053) |
$227.62 |
$303.50 |
21.6× |
| Obstetric panel (80055) |
$191.25 |
$255 |
4.0× |
| Lipid panel (80061) |
$127.88 |
$170.50 |
9.6× |
| Renal function panel (80069) |
$165.75 |
$221 |
19.1× |
| Hepatic function panel (80076) |
$158.25 |
$211 |
19.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$63.75 |
$85 |
18.3× |
| PSA, total (84153) |
$155.25 |
$207 |
8.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$155.25 |
$207 |
9.2× |
| CBC with automated differential (85025) |
$116.62 |
$155.50 |
15.0× |
| CBC, automated (85027) |
$81.38 |
$108.50 |
12.6× |
| Prothrombin time (PT) (85610) |
$50.62 |
$67.50 |
11.8× |
| Partial thromboplastin time (PTT) (85730) |
$93.75 |
$125 |
15.6× |
| Psychotherapy, 30 minutes (90832) |
$150.38 |
$200.50 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$226.50 |
$302 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$270 |
$360 |
1.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$243.75 |
$325 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$241.88 |
$322.50 |
1.3× |
| Group psychotherapy (90853) |
$138 |
$184 |
1.3× |
| Electrocardiogram (ECG), complete (93000) |
$132.75 |
$177 |
2.2× |
| Sleep study (attended polysomnography) (95810) |
$3,411.75 |
$4,549 |
3.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$100.50 |
$134 |
3.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$183 |
$244 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$266.25 |
$355 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$352.50 |
$470 |
2.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$189.75 |
$253 |
1.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$280.88 |
$374.50 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$208.50 |
$278 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$242.25 |
$323 |
— |