| Breast lesion removal (open) (19120) |
$1,023.30 |
$1,137 |
0.3× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$751.50 |
$835 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$682.20 |
$758 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$910.80 |
$1,012 |
1.0× |
| Diagnostic colonoscopy (45378) |
$699.30 |
$777 |
0.8× |
| Colonoscopy with biopsy (45380) |
$897.30 |
$997 |
0.8× |
| Colonoscopy with lesion removal (45385) |
$945.90 |
$1,051 |
0.8× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,655.10 |
$1,839 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,335.60 |
$1,484 |
0.4× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,737.70 |
$4,153 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,123.80 |
$4,582 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$4,275.90 |
$4,751 |
— |
| CT head/brain without contrast (70450) |
$1,086.30 |
$1,207 |
10.5× |
| MRI brain without contrast (70551) |
$2,115 |
$2,350 |
9.0× |
| MRI brain with contrast (70552) |
$2,491.20 |
$2,768 |
7.2× |
| MRI brain without and with contrast (70553) |
$3,060.90 |
$3,401 |
8.9× |
| X-ray lower spine, 4+ views (72110) |
$444.60 |
$494 |
4.3× |
| MRI lumbar spine without contrast (72148) |
$2,115 |
$2,350 |
9.0× |
| CT pelvis with contrast (72193) |
$1,437.30 |
$1,597 |
8.3× |
| MRI lower-extremity joint without contrast (73721) |
$2,115 |
$2,350 |
9.0× |
| CT abdomen and pelvis with contrast (74177) |
$2,527.20 |
$2,808 |
7.3× |
| Ultrasound, abdomen complete (76700) |
$621.90 |
$691 |
6.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$621.90 |
$691 |
6.0× |
| Ultrasound, transvaginal (76830) |
$621.90 |
$691 |
6.0× |
| Basic metabolic panel (80048) |
$58.95 |
$65.50 |
7.0× |
| Comprehensive metabolic panel (80053) |
$72 |
$80 |
6.8× |
| Obstetric panel (80055) |
$435.15 |
$483.50 |
9.1× |
| Lipid panel (80061) |
$84.60 |
$94 |
6.3× |
| Renal function panel (80069) |
$62.10 |
$69 |
7.2× |
| Hepatic function panel (80076) |
$59.40 |
$66 |
7.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$23.40 |
$26 |
5.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$19.35 |
$21.50 |
5.6× |
| PSA, total (84153) |
$133.20 |
$148 |
7.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$117 |
$130 |
7.0× |
| CBC with automated differential (85025) |
$53.10 |
$59 |
6.8× |
| CBC, automated (85027) |
$41.40 |
$46 |
6.4× |
| Prothrombin time (PT) (85610) |
$29.70 |
$33 |
6.9× |
| Partial thromboplastin time (PTT) (85730) |
$44.10 |
$49 |
7.3× |
| Psychotherapy, 30 minutes (90832) |
$135 |
$150 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$178.20 |
$198 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$262.80 |
$292 |
1.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$71.55 |
$79.50 |
2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$207.90 |
$231 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$296.10 |
$329 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$390.60 |
$434 |
3.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$236.70 |
$263 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$275.40 |
$306 |
— |