| Breast lesion removal (open) (19120) |
$1,179.86 |
$4,068.50 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$873.48 |
$3,012 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$844.48 |
$2,912 |
0.3× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$284.78 |
$982 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$486.04 |
$1,676 |
0.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$800.98 |
$2,762 |
0.9× |
| Diagnostic colonoscopy (45378) |
$653.52 |
$2,253.50 |
0.7× |
| Colonoscopy with biopsy (45380) |
$797.50 |
$2,750 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$789.09 |
$2,721 |
0.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$719.78 |
$2,482 |
0.6× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$690.78 |
$2,382 |
0.1× |
| Inguinal hernia repair (age 5+) (49505) |
$479.37 |
$1,653 |
0.1× |
Laparoscopic radical prostatectomy (55866)
likely a partial charge, not the full procedure |
$1,737.97 |
$5,993 |
0.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$2,280.27 |
$7,863 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$2,507.63 |
$8,647 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$2,142.52 |
$7,388 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$396.86 |
$1,368.50 |
0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$704.12 |
$2,428 |
0.8× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$713.69 |
$2,461 |
1.4× |
| Cataract removal with lens insertion (66984) |
$832.88 |
$2,872 |
0.4× |
| CT head/brain without contrast (70450) |
$193.28 |
$666.50 |
1.9× |
| MRI brain without contrast (70551) |
$509.24 |
$1,756 |
2.2× |
| MRI brain with contrast (70552) |
$584.35 |
$2,015 |
1.8× |
| MRI brain without and with contrast (70553) |
$723.98 |
$2,496.50 |
2.2× |
| X-ray lower spine, 4+ views (72110) |
$58.58 |
$202 |
0.6× |
| MRI lumbar spine without contrast (72148) |
$457.91 |
$1,579 |
2.0× |
| CT pelvis with contrast (72193) |
$312.33 |
$1,077 |
1.9× |
| MRI lower-extremity joint without contrast (73721) |
$498.66 |
$1,719.50 |
2.2× |
| CT abdomen and pelvis with contrast (74177) |
$346.26 |
$1,194 |
1.0× |
| Ultrasound, abdomen complete (76700) |
$131.52 |
$453.50 |
1.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$137.75 |
$475 |
1.4× |
| Ultrasound, transvaginal (76830) |
$120.50 |
$415.50 |
1.2× |
| Mammography, one breast (diagnostic) (77065) |
$131.08 |
$452 |
1.5× |
| Mammography, both breasts (diagnostic) (77066) |
$166.75 |
$575 |
1.5× |
| Mammography, screening (bilateral) (77067) |
$136.01 |
$469 |
1.5× |
| Basic metabolic panel (80048) |
$54.23 |
$187 |
6.4× |
| Comprehensive metabolic panel (80053) |
$65.54 |
$226 |
6.2× |
| Lipid panel (80061) |
$46.98 |
$162 |
3.5× |
| Renal function panel (80069) |
$69.02 |
$238 |
8.0× |
| Hepatic function panel (80076) |
$40.89 |
$141 |
5.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$12.90 |
$44.50 |
3.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$10 |
$34.50 |
2.9× |
| PSA, total (84153) |
$55.68 |
$192 |
3.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$40.89 |
$141 |
2.4× |
| CBC with automated differential (85025) |
$44.66 |
$154 |
5.7× |
| CBC, automated (85027) |
$33.64 |
$116 |
5.2× |
| Prothrombin time (PT) (85610) |
$20.01 |
$69 |
4.7× |
| Partial thromboplastin time (PTT) (85730) |
$28.42 |
$98 |
4.7× |
| Psychotherapy, 30 minutes (90832) |
$53.22 |
$183.50 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$91.64 |
$316 |
0.5× |
| Psychotherapy, 60 minutes (90837) |
$122.52 |
$422.50 |
0.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$103.96 |
$358.50 |
0.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$127.16 |
$438.50 |
0.8× |
| Group psychotherapy (90853) |
$35.96 |
$124 |
0.4× |
| Electrocardiogram (ECG), complete (93000) |
$20.59 |
$71 |
0.4× |
| Left heart catheterization (93452) |
$768.21 |
$2,649 |
0.2× |
| Sleep study (attended polysomnography) (95810) |
$785.46 |
$2,708.50 |
1.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$68.44 |
$236 |
2.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$89.32 |
$308 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$114.84 |
$396 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$133.11 |
$459 |
1.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$90.77 |
$313 |
0.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$134.85 |
$465 |
1.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$88.02 |
$303.50 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$109.04 |
$376 |
— |