| Breast lesion removal (open) (19120) |
$794.97 |
$803 |
0.2× |
| Shoulder arthroscopy with decompression (29826) |
$371.40 |
$375.15 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,138.50 |
$1,150 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$239.58 |
$242 |
0.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$270.27 |
$273 |
0.3× |
| Diagnostic colonoscopy (45378) |
$361.35 |
$365 |
0.3× |
| Colonoscopy with biopsy (45380) |
$392.04 |
$396 |
0.3× |
| Colonoscopy with lesion removal (45385) |
$496.98 |
$502 |
0.4× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,263.24 |
$1,276 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$997.92 |
$1,008 |
0.3× |
Laparoscopic radical prostatectomy (55866)
likely a partial charge, not the full procedure |
$2,491.83 |
$2,517 |
0.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,424.06 |
$4,468.75 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,853.57 |
$4,902.60 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$582.12 |
$588 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$353.43 |
$357 |
0.4× |
| CT head/brain without contrast (70450) |
$677.16 |
$684 |
5.8× |
| MRI brain without contrast (70551) |
$1,308.28 |
$1,321.50 |
4.9× |
| MRI brain with contrast (70552) |
$1,401.26 |
$1,415.41 |
3.6× |
| MRI brain without and with contrast (70553) |
$1,900.80 |
$1,920 |
4.9× |
| X-ray lower spine, 4+ views (72110) |
$255.08 |
$257.66 |
2.2× |
| MRI lumbar spine without contrast (72148) |
$1,308.28 |
$1,321.50 |
4.9× |
| CT pelvis with contrast (72193) |
$736.02 |
$743.45 |
3.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,301.85 |
$1,315 |
4.9× |
| CT abdomen and pelvis with contrast (74177) |
$1,584.99 |
$1,601 |
4.1× |
| Ultrasound, abdomen complete (76700) |
$424.71 |
$429 |
3.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$380.30 |
$384.14 |
3.3× |
| Ultrasound, transvaginal (76830) |
$418.77 |
$423 |
3.6× |
| Mammography, one breast (diagnostic) (77065) |
$410.36 |
$414.50 |
4.8× |
| Mammography, both breasts (diagnostic) (77066) |
$517.28 |
$522.50 |
4.7× |
| Mammography, screening (bilateral) (77067) |
$245.76 |
$248.24 |
2.7× |
| Basic metabolic panel (80048) |
$76.82 |
$77.60 |
9.1× |
| Comprehensive metabolic panel (80053) |
$69.45 |
$70.15 |
6.6× |
| Lipid panel (80061) |
$146.46 |
$147.94 |
10.9× |
| Renal function panel (80069) |
$99.64 |
$100.64 |
11.5× |
| Hepatic function panel (80076) |
$68.18 |
$68.88 |
8.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$8.42 |
$8.50 |
2.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$8.47 |
$8.56 |
2.4× |
| PSA, total (84153) |
$52.39 |
$52.92 |
2.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$133.82 |
$135.18 |
8.0× |
| CBC with automated differential (85025) |
$60.80 |
$61.42 |
7.8× |
| CBC, automated (85027) |
$56.38 |
$56.95 |
8.7× |
| Prothrombin time (PT) (85610) |
$49.50 |
$50 |
11.5× |
| Partial thromboplastin time (PTT) (85730) |
$49.70 |
$50.20 |
8.3× |
| Psychotherapy, 30 minutes (90832) |
$121.77 |
$123 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$183.15 |
$185 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$269.28 |
$272 |
1.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$177.21 |
$179 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$184.14 |
$186 |
0.9× |
| Electrocardiogram (ECG), complete (93000) |
$110.88 |
$112 |
1.7× |
| Sleep study (attended polysomnography) (95810) |
$2,415.30 |
$2,439.70 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$74.27 |
$75.02 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$169.78 |
$171.50 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$254.43 |
$257 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$344.52 |
$348 |
2.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$227.70 |
$230 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$263.34 |
$266 |
— |