| Breast lesion removal (open) (19120) |
$900.90 |
$1,001 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$363.60 |
$404 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,184.40 |
$1,316 |
0.4× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge — not the full procedure |
$635.40 |
$706 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$260.10 |
$289 |
0.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$292.50 |
$325 |
0.3× |
| Diagnostic colonoscopy (45378) |
$1,660.50 |
$1,845 |
1.7× |
| Colonoscopy with biopsy (45380) |
$1,804.05 |
$2,004.50 |
1.5× |
| Colonoscopy with lesion removal (45385) |
$1,866.15 |
$2,073.50 |
1.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,587.50 |
$2,875 |
2.1× |
Laparoscopic gallbladder removal (47562)
likely a partial charge — not the full procedure |
$1,410.30 |
$1,567 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,122.30 |
$1,247 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,108.40 |
$5,676 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,653.80 |
$6,282 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$359.10 |
$399 |
0.4× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$667.80 |
$742 |
1.2× |
| Cataract removal with lens insertion (66984) |
$1,163.70 |
$1,293 |
0.5× |
| CT head/brain without contrast (70450) |
$1,628.10 |
$1,809 |
15.2× |
| MRI brain without contrast (70551) |
$2,741.40 |
$3,046 |
11.2× |
| MRI brain with contrast (70552) |
$3,015 |
$3,350 |
8.5× |
| MRI brain without and with contrast (70553) |
$3,749.40 |
$4,166 |
10.5× |
| X-ray lower spine, 4+ views (72110) |
$599.40 |
$666 |
5.6× |
| MRI lumbar spine without contrast (72148) |
$2,682.90 |
$2,981 |
11.0× |
| CT pelvis with contrast (72193) |
$2,118.60 |
$2,354 |
11.8× |
| MRI lower-extremity joint without contrast (73721) |
$2,837.25 |
$3,152.50 |
11.6× |
| CT abdomen and pelvis with contrast (74177) |
$3,579.30 |
$3,977 |
10.0× |
| Ultrasound, abdomen complete (76700) |
$1,013.40 |
$1,126 |
9.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$485.10 |
$539 |
4.5× |
| Ultrasound, transvaginal (76830) |
$561.60 |
$624 |
5.3× |
| Mammography, one breast (diagnostic) (77065) |
$351.90 |
$391 |
4.1× |
| Mammography, both breasts (diagnostic) (77066) |
$432 |
$480 |
3.9× |
| Mammography, screening (bilateral) (77067) |
$305.10 |
$339 |
3.3× |
| Basic metabolic panel (80048) |
$57.60 |
$64 |
6.8× |
| Comprehensive metabolic panel (80053) |
$43.20 |
$48 |
4.1× |
| Obstetric panel (80055) |
$432 |
$480 |
9.0× |
| Lipid panel (80061) |
$81.90 |
$91 |
6.1× |
| Renal function panel (80069) |
$62.10 |
$69 |
7.2× |
| Hepatic function panel (80076) |
$57.60 |
$64 |
7.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$38.70 |
$43 |
9.6× |
| PSA, total (84153) |
$130.50 |
$145 |
7.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$121.50 |
$135 |
7.2× |
| CBC with automated differential (85025) |
$57.60 |
$64 |
7.4× |
| CBC, automated (85027) |
$47.70 |
$53 |
7.4× |
| Prothrombin time (PT) (85610) |
$22.50 |
$25 |
5.2× |
| Partial thromboplastin time (PTT) (85730) |
$108.90 |
$121 |
18.1× |
| Electrocardiogram (ECG), complete (93000) |
$171 |
$190 |
2.8× |
| Sleep study (attended polysomnography) (95810) |
$2,250.45 |
$2,500.50 |
2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$121.50 |
$135 |
4.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$175.50 |
$195 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$286.20 |
$318 |
2.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$388.80 |
$432 |
2.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$227.70 |
$253 |
1.7× |