| Breast lesion removal (open) (19120) |
$1,223.51 |
$1,287.90 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$442.04 |
$465.30 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,347.39 |
$1,418.30 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,251.96 |
$1,317.85 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,499.18 |
$1,578.08 |
1.6× |
| Diagnostic colonoscopy (45378) |
$2,014.84 |
$2,120.88 |
2.1× |
| Colonoscopy with biopsy (45380) |
$2,339.73 |
$2,462.88 |
1.9× |
| Colonoscopy with lesion removal (45385) |
$2,239.26 |
$2,357.11 |
1.9× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,648.44 |
$1,735.20 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,304.07 |
$1,372.70 |
0.4× |
| Obstetric care, vaginal delivery (global) (59400) |
$2,266.22 |
$2,385.50 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$6,979.56 |
$7,346.90 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,504.94 |
$1,584.15 |
1.7× |
| CT head/brain without contrast (70450) |
$1,731 |
$1,822.10 |
16.4× |
| MRI brain without contrast (70551) |
$1,940.47 |
$2,042.60 |
8.0× |
| MRI brain with contrast (70552) |
$2,325.13 |
$2,447.50 |
6.6× |
| MRI brain without and with contrast (70553) |
$4,311.01 |
$4,537.90 |
12.2× |
| X-ray lower spine, 4+ views (72110) |
$564.97 |
$594.70 |
5.3× |
| MRI lumbar spine without contrast (72148) |
$2,564.29 |
$2,699.25 |
10.6× |
| CT pelvis with contrast (72193) |
$1,876.06 |
$1,974.80 |
10.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,914.35 |
$2,015.10 |
7.9× |
| CT abdomen and pelvis with contrast (74177) |
$2,405.69 |
$2,532.30 |
6.8× |
| Ultrasound, abdomen complete (76700) |
$745.18 |
$784.40 |
7.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$601.16 |
$632.80 |
5.7× |
| Ultrasound, transvaginal (76830) |
$679.73 |
$715.50 |
6.4× |
| Basic metabolic panel (80048) |
$77.52 |
$81.60 |
9.2× |
| Comprehensive metabolic panel (80053) |
$85.60 |
$90.10 |
8.1× |
| Obstetric panel (80055) |
$394.73 |
$415.50 |
8.3× |
| Lipid panel (80061) |
$62.42 |
$65.70 |
4.7× |
| Renal function panel (80069) |
$80.56 |
$84.80 |
9.3× |
| Hepatic function panel (80076) |
$77.52 |
$81.60 |
9.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$20.14 |
$21.20 |
5.8× |
| PSA, total (84153) |
$81.61 |
$85.90 |
4.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$78.62 |
$82.75 |
4.7× |
| CBC with automated differential (85025) |
$70.18 |
$73.88 |
9.0× |
| CBC, automated (85027) |
$45.32 |
$47.70 |
7.0× |
| Prothrombin time (PT) (85610) |
$23.18 |
$24.40 |
5.4× |
| Partial thromboplastin time (PTT) (85730) |
$84.55 |
$89 |
14.1× |
| Psychotherapy, 30 minutes (90832) |
$162.17 |
$170.70 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$215.46 |
$226.80 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$314.17 |
$330.70 |
1.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$215.46 |
$226.80 |
1.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$228.57 |
$240.60 |
1.3× |
| Group psychotherapy (90853) |
$125.88 |
$132.50 |
1.2× |
| Sleep study (attended polysomnography) (95810) |
$2,340.28 |
$2,463.45 |
2.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$111.77 |
$117.65 |
3.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$263.82 |
$277.70 |
2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$351.93 |
$370.45 |
2.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$500.46 |
$526.80 |
3.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$300.11 |
$315.90 |
2.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$447.07 |
$470.60 |
3.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$159.60 |
$168 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$210.71 |
$221.80 |
— |