| Breast lesion removal (open) (19120) |
$1,271.62 |
$9,083 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$1,831.34 |
$13,081 |
— |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,048.20 |
$14,630 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$398.58 |
$2,847 |
0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$450.38 |
$3,217 |
0.5× |
| Diagnostic colonoscopy (45378) |
$600.32 |
$4,288 |
0.7× |
| Colonoscopy with biopsy (45380) |
$651.14 |
$4,651 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$825.58 |
$5,897 |
0.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$687.40 |
$4,910 |
0.6× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,560.30 |
$11,145 |
0.3× |
Laparoscopic radical prostatectomy (55866)
unusually low: confirm this is the full procedure |
$3,898.30 |
$27,845 |
0.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$366.94 |
$2,621 |
0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$520.38 |
$3,717 |
0.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$311.64 |
$2,226 |
0.6× |
| Cataract removal with lens insertion (66984) |
$837.34 |
$5,981 |
0.4× |
| CT head/brain without contrast (70450) |
$410.06 |
$2,929 |
4.2× |
| MRI brain without contrast (70551) |
$763.42 |
$5,453 |
3.4× |
| MRI brain with contrast (70552) |
$914.34 |
$6,531 |
2.8× |
| MRI brain without and with contrast (70553) |
$1,112.72 |
$7,948 |
3.4× |
| X-ray lower spine, 4+ views (72110) |
$249.06 |
$1,779 |
2.5× |
| MRI lumbar spine without contrast (72148) |
$692.58 |
$4,947 |
3.1× |
| CT pelvis with contrast (72193) |
$685.02 |
$4,893 |
4.2× |
| MRI lower-extremity joint without contrast (73721) |
$599.62 |
$4,283 |
2.7× |
| CT abdomen and pelvis with contrast (74177) |
$818.58 |
$5,847 |
2.5× |
| Ultrasound, abdomen complete (76700) |
$305.34 |
$2,181 |
3.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$171.22 |
$1,223 |
1.7× |
| Ultrasound, transvaginal (76830) |
$181.72 |
$1,298 |
1.9× |
| Mammography, one breast (diagnostic) (77065) |
$59.36 |
$424 |
0.7× |
| Mammography, both breasts (diagnostic) (77066) |
$91.98 |
$657 |
0.8× |
| Mammography, screening (bilateral) (77067) |
$36.26 |
$259 |
0.4× |
| Basic metabolic panel (80048) |
$75.39 |
$538.50 |
8.9× |
| Comprehensive metabolic panel (80053) |
$92.40 |
$660 |
8.8× |
| Obstetric panel (80055) |
$47.46 |
$339 |
1.0× |
| Lipid panel (80061) |
$105.84 |
$756 |
7.9× |
| Renal function panel (80069) |
$67.90 |
$485 |
7.8× |
| Hepatic function panel (80076) |
$75.32 |
$538 |
9.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$4.48 |
$32 |
1.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$4.62 |
$33 |
1.3× |
| PSA, total (84153) |
$41.30 |
$295 |
2.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$58.59 |
$418.50 |
3.5× |
| CBC with automated differential (85025) |
$34.58 |
$247 |
4.5× |
| CBC, automated (85027) |
$16.80 |
$120 |
2.6× |
| Prothrombin time (PT) (85610) |
$20.02 |
$143 |
4.7× |
| Partial thromboplastin time (PTT) (85730) |
$25.62 |
$183 |
4.3× |
| Psychotherapy, 30 minutes (90832) |
$42.70 |
$305 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$59.36 |
$424 |
0.4× |
| Psychotherapy, 60 minutes (90837) |
$73.78 |
$527 |
0.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$73.64 |
$526 |
0.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$82.32 |
$588 |
0.5× |
| Group psychotherapy (90853) |
$82.32 |
$588 |
0.9× |
| Electrocardiogram (ECG), complete (93000) |
$85.68 |
$612 |
1.5× |
| Left heart catheterization (93452) |
$2,116.52 |
$15,118 |
0.7× |
| Sleep study (attended polysomnography) (95810) |
$1,008.42 |
$7,203 |
1.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$33.18 |
$237 |
1.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$21.98 |
$157 |
0.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$21.98 |
$157 |
0.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$21.98 |
$157 |
0.2× |
| Preventive visit, new patient (age 40–64) (99386) |
$40.46 |
$289 |
— |