| Breast lesion removal (open) (19120) |
$1,146.65 |
$1,349 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$869.98 |
$1,023.50 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$2,408.05 |
$2,833 |
0.7× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$686.38 |
$807.50 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$528.28 |
$621.50 |
0.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$707.20 |
$832 |
0.8× |
| Diagnostic colonoscopy (45378) |
$768.82 |
$904.50 |
0.8× |
| Colonoscopy with biopsy (45380) |
$918.42 |
$1,080.50 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$2,178.55 |
$2,563 |
1.8× |
| Laparoscopic gallbladder removal (47562) |
$3,684.75 |
$4,335 |
0.6× |
| Inguinal hernia repair (age 5+) (49505) |
$2,365.55 |
$2,783 |
0.6× |
| Obstetric care, vaginal delivery (global) (59400) |
$381.22 |
$448.50 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$344.25 |
$405 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$485.35 |
$571 |
0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$812.18 |
$955.50 |
0.9× |
| CT head/brain without contrast (70450) |
$1,581.85 |
$1,861 |
14.7× |
| MRI brain without contrast (70551) |
$3,291.20 |
$3,872 |
13.4× |
| MRI brain with contrast (70552) |
$3,510.50 |
$4,130 |
9.7× |
| MRI brain without and with contrast (70553) |
$4,542.40 |
$5,344 |
12.6× |
| X-ray lower spine, 4+ views (72110) |
$433.50 |
$510 |
4.0× |
| MRI lumbar spine without contrast (72148) |
$3,194.30 |
$3,758 |
13.0× |
| CT pelvis with contrast (72193) |
$2,113.95 |
$2,487 |
11.7× |
| MRI lower-extremity joint without contrast (73721) |
$3,042.15 |
$3,579 |
12.4× |
| CT abdomen and pelvis with contrast (74177) |
$3,763.80 |
$4,428 |
10.5× |
| Ultrasound, abdomen complete (76700) |
$935.85 |
$1,101 |
8.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$536.35 |
$631 |
5.0× |
| Ultrasound, transvaginal (76830) |
$680.85 |
$801 |
6.3× |
| Mammography, one breast (diagnostic) (77065) |
$238 |
$280 |
2.8× |
| Mammography, both breasts (diagnostic) (77066) |
$451.35 |
$531 |
4.1× |
| Mammography, screening (bilateral) (77067) |
$396.95 |
$467 |
4.4× |
| Basic metabolic panel (80048) |
$268.60 |
$316 |
31.7× |
| Comprehensive metabolic panel (80053) |
$351.90 |
$414 |
33.3× |
| Lipid panel (80061) |
$169.15 |
$199 |
12.6× |
| Renal function panel (80069) |
$169.15 |
$199 |
19.5× |
| Hepatic function panel (80076) |
$233.75 |
$275 |
28.6× |
| PSA, total (84153) |
$228.65 |
$269 |
12.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$193.80 |
$228 |
11.5× |
| CBC with automated differential (85025) |
$175.10 |
$206 |
22.5× |
| CBC, automated (85027) |
$162.35 |
$191 |
25.1× |
| Prothrombin time (PT) (85610) |
$65.45 |
$77 |
15.3× |
| Partial thromboplastin time (PTT) (85730) |
$90.95 |
$107 |
15.1× |
| Psychotherapy, 30 minutes (90832) |
$82.45 |
$97 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$113.48 |
$133.50 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$133.02 |
$156.50 |
0.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$159.80 |
$188 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$170.42 |
$200.50 |
0.9× |
| Group psychotherapy (90853) |
$105.40 |
$124 |
1.0× |
| Electrocardiogram (ECG), complete (93000) |
$300.05 |
$353 |
4.9× |
| Sleep study (attended polysomnography) (95810) |
$4,263.60 |
$5,016 |
4.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$130.05 |
$153 |
4.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$183.60 |
$216 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$209.95 |
$247 |
1.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$287.30 |
$338 |
2.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$143.22 |
$168.50 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$216.75 |
$255 |
— |