| Breast lesion removal (open) (19120) |
$1,005.60 |
$1,676 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$367.80 |
$613 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,114.80 |
$1,858 |
0.3× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$599.40 |
$999 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,418.10 |
$2,363.50 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$691.20 |
$1,152 |
0.8× |
| Diagnostic colonoscopy (45378) |
$482.10 |
$803.50 |
0.5× |
| Colonoscopy with biopsy (45380) |
$819.60 |
$1,366 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$1,324.80 |
$2,208 |
1.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$550.20 |
$917 |
0.5× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,366.20 |
$2,277 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$1,078.80 |
$1,798 |
0.3× |
Laparoscopic radical prostatectomy (55866)
likely a partial charge, not the full procedure |
$3,039 |
$5,065 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,323 |
$7,205 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,793.40 |
$7,989 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$4,545 |
$7,575 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$612.90 |
$1,021.50 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$826.20 |
$1,377 |
0.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$669 |
$1,115 |
1.2× |
| Cataract removal with lens insertion (66984) |
$1,310.40 |
$2,184 |
0.6× |
| CT head/brain without contrast (70450) |
$190.20 |
$317 |
1.8× |
| MRI brain without contrast (70551) |
$361.80 |
$603 |
1.5× |
| MRI brain with contrast (70552) |
$462 |
$770 |
1.3× |
| MRI brain without and with contrast (70553) |
$527.40 |
$879 |
1.5× |
| X-ray lower spine, 4+ views (72110) |
$82.80 |
$138 |
0.8× |
| MRI lumbar spine without contrast (72148) |
$398.10 |
$663.50 |
1.7× |
| CT pelvis with contrast (72193) |
$393.60 |
$656 |
2.2× |
| MRI lower-extremity joint without contrast (73721) |
$439.50 |
$732.50 |
1.8× |
| CT abdomen and pelvis with contrast (74177) |
$531.90 |
$886.50 |
1.5× |
| Ultrasound, abdomen complete (76700) |
$207 |
$345 |
2.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$186 |
$310 |
1.8× |
| Ultrasound, transvaginal (76830) |
$212.10 |
$353.50 |
2.0× |
| Mammography, one breast (diagnostic) (77065) |
$162 |
$270 |
1.9× |
| Mammography, both breasts (diagnostic) (77066) |
$207.60 |
$346 |
1.9× |
| Mammography, screening (bilateral) (77067) |
$173.40 |
$289 |
1.9× |
| Basic metabolic panel (80048) |
$28.50 |
$47.50 |
3.4× |
| Comprehensive metabolic panel (80053) |
$42.60 |
$71 |
4.0× |
| Obstetric panel (80055) |
$124.20 |
$207 |
2.6× |
| Lipid panel (80061) |
$65.10 |
$108.50 |
4.9× |
| Renal function panel (80069) |
$45.30 |
$75.50 |
5.2× |
| Hepatic function panel (80076) |
$59.10 |
$98.50 |
7.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$8.40 |
$14 |
2.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$11.40 |
$19 |
3.3× |
| PSA, total (84153) |
$87.60 |
$146 |
4.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$54.30 |
$90.50 |
3.2× |
| CBC with automated differential (85025) |
$25.20 |
$42 |
3.2× |
| CBC, automated (85027) |
$66 |
$110 |
10.2× |
| Prothrombin time (PT) (85610) |
$26.10 |
$43.50 |
6.1× |
| Partial thromboplastin time (PTT) (85730) |
$45 |
$75 |
7.5× |
| Psychotherapy, 30 minutes (90832) |
$133.20 |
$222 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$177 |
$295 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$265.20 |
$442 |
1.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$213.60 |
$356 |
1.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$222 |
$370 |
1.2× |
| Group psychotherapy (90853) |
$53.40 |
$89 |
0.5× |
| Electrocardiogram (ECG), complete (93000) |
$34.20 |
$57 |
0.6× |
| Left heart catheterization (93452) |
$531.30 |
$885.50 |
0.2× |
| Sleep study (attended polysomnography) (95810) |
$1,000.80 |
$1,668 |
1.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$60.60 |
$101 |
2.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$200.40 |
$334 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$288.60 |
$481 |
2.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$364.20 |
$607 |
2.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$210 |
$350 |
1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$330 |
$550 |
2.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$207 |
$345 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$257.40 |
$429 |
— |