| Shoulder arthroscopy with decompression (29826) |
$316.35 |
$351.50 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$794.25 |
$882.50 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$608.40 |
$676 |
0.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$795.60 |
$884 |
0.8× |
| Diagnostic colonoscopy (45378) |
$718.20 |
$798 |
0.7× |
| Colonoscopy with biopsy (45380) |
$1,483.20 |
$1,648 |
1.2× |
| Colonoscopy with lesion removal (45385) |
$960.30 |
$1,067 |
0.8× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,594.35 |
$1,771.50 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$2,621.25 |
$2,912.50 |
0.7× |
| Obstetric care, vaginal delivery (global) (59400) |
$5,040 |
$5,600 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$5,547.60 |
$6,164 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$5,224.50 |
$5,805 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,152.45 |
$1,280.50 |
1.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$974.70 |
$1,083 |
1.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,119.60 |
$1,244 |
2.0× |
| Cataract removal with lens insertion (66984) |
$3,896.10 |
$4,329 |
1.6× |
| CT head/brain without contrast (70450) |
$2,715.30 |
$3,017 |
25.0× |
| MRI brain without contrast (70551) |
$3,708 |
$4,120 |
15.0× |
| MRI brain with contrast (70552) |
$3,893.40 |
$4,326 |
10.7× |
| MRI brain without and with contrast (70553) |
$4,171.50 |
$4,635 |
11.5× |
| X-ray lower spine, 4+ views (72110) |
$858.60 |
$954 |
7.9× |
| MRI lumbar spine without contrast (72148) |
$3,615.30 |
$4,017 |
14.6× |
| CT pelvis with contrast (72193) |
$4,050.90 |
$4,501 |
22.2× |
| MRI lower-extremity joint without contrast (73721) |
$2,781 |
$3,090 |
11.2× |
| CT abdomen and pelvis with contrast (74177) |
$5,056.20 |
$5,618 |
14.0× |
| Ultrasound, abdomen complete (76700) |
$1,064.70 |
$1,183 |
9.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$828 |
$920 |
7.6× |
| Ultrasound, transvaginal (76830) |
$990.90 |
$1,101 |
9.1× |
| Mammography, one breast (diagnostic) (77065) |
$427.50 |
$475 |
5.0× |
| Mammography, both breasts (diagnostic) (77066) |
$535.50 |
$595 |
4.8× |
| Mammography, screening (bilateral) (77067) |
$554.40 |
$616 |
6.1× |
| Basic metabolic panel (80048) |
$172.80 |
$192 |
20.4× |
| Comprehensive metabolic panel (80053) |
$188.10 |
$209 |
17.8× |
| Obstetric panel (80055) |
$352.80 |
$392 |
7.4× |
| Lipid panel (80061) |
$135 |
$150 |
10.1× |
| Renal function panel (80069) |
$214.20 |
$238 |
24.7× |
| Hepatic function panel (80076) |
$183.60 |
$204 |
22.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$58.50 |
$65 |
14.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$36.90 |
$41 |
10.6× |
| PSA, total (84153) |
$224.10 |
$249 |
12.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$179.55 |
$199.50 |
10.7× |
| CBC with automated differential (85025) |
$149.85 |
$166.50 |
19.3× |
| CBC, automated (85027) |
$136.80 |
$152 |
21.1× |
| Prothrombin time (PT) (85610) |
$87.30 |
$97 |
20.3× |
| Partial thromboplastin time (PTT) (85730) |
$103.50 |
$115 |
17.2× |
| Psychotherapy, 30 minutes (90832) |
$605.70 |
$673 |
3.3× |
| Psychotherapy, 45 minutes (90834) |
$749.70 |
$833 |
4.1× |
| Psychotherapy, 60 minutes (90837) |
$764.10 |
$849 |
4.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$799.20 |
$888 |
4.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$839.70 |
$933 |
4.6× |
| Group psychotherapy (90853) |
$729.90 |
$811 |
6.9× |
| Sleep study (attended polysomnography) (95810) |
$4,769.10 |
$5,299 |
5.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$167.40 |
$186 |
5.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$248.40 |
$276 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$349.65 |
$388.50 |
2.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$433.35 |
$481.50 |
3.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$286.20 |
$318 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$323.10 |
$359 |
— |