| Breast lesion removal (open) (19120) |
$988.12 |
$1,317.49 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$446.51 |
$595.35 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,357.73 |
$1,810.31 |
0.4× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$726 |
$968 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$607.76 |
$810.34 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$321.65 |
$428.87 |
0.4× |
| Diagnostic colonoscopy (45378) |
$469.66 |
$626.22 |
0.5× |
| Colonoscopy with biopsy (45380) |
$490.34 |
$653.78 |
0.4× |
| Colonoscopy with lesion removal (45385) |
$898.82 |
$1,198.42 |
0.8× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,499.96 |
$1,999.94 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,117.94 |
$1,490.58 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,207.14 |
$5,609.52 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,538.72 |
$6,051.62 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$428.33 |
$571.10 |
0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$487.86 |
$650.48 |
0.6× |
| CT head/brain without contrast (70450) |
$1,272 |
$1,696 |
12.3× |
| MRI brain without contrast (70551) |
$2,253.75 |
$3,005 |
9.6× |
| MRI brain without and with contrast (70553) |
$2,253.75 |
$3,005 |
6.5× |
| X-ray lower spine, 4+ views (72110) |
$504.40 |
$672.53 |
4.9× |
| MRI lumbar spine without contrast (72148) |
$1,270.50 |
$1,694 |
5.4× |
| CT pelvis with contrast (72193) |
$1,041.38 |
$1,388.50 |
6.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,215 |
$1,620 |
5.2× |
| CT abdomen and pelvis with contrast (74177) |
$2,514.75 |
$3,353 |
7.3× |
| Ultrasound, abdomen complete (76700) |
$477.22 |
$636.30 |
4.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$692.21 |
$922.95 |
6.7× |
| Ultrasound, transvaginal (76830) |
$341.78 |
$455.70 |
3.3× |
| Basic metabolic panel (80048) |
$72.19 |
$96.25 |
8.5× |
| Comprehensive metabolic panel (80053) |
$84.36 |
$112.48 |
8.0× |
| Lipid panel (80061) |
$77.87 |
$103.82 |
5.8× |
| Renal function panel (80069) |
$109.50 |
$146 |
12.6× |
| Hepatic function panel (80076) |
$94.09 |
$125.45 |
11.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$28.94 |
$38.59 |
7.2× |
| PSA, total (84153) |
$109.50 |
$146 |
6.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$81.11 |
$108.15 |
4.8× |
| CBC with automated differential (85025) |
$63.27 |
$84.36 |
8.1× |
| CBC, automated (85027) |
$42.18 |
$56.24 |
6.5× |
| Prothrombin time (PT) (85610) |
$28.94 |
$38.59 |
6.7× |
| Partial thromboplastin time (PTT) (85730) |
$51.50 |
$68.68 |
8.6× |
| Psychotherapy, 30 minutes (90832) |
$127.62 |
$170.16 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$168.96 |
$225.27 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$248.06 |
$330.75 |
1.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$169.51 |
$226.01 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$174.47 |
$232.63 |
1.0× |
| Electrocardiogram (ECG), complete (93000) |
$31.50 |
$42 |
0.5× |
| Sleep study (attended polysomnography) (95810) |
$3,389.36 |
$4,519.15 |
4.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$150.50 |
$200.66 |
5.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$148.84 |
$198.45 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$199.72 |
$266.28 |
1.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$261.90 |
$349.20 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$258.81 |
$345.08 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$300.16 |
$400.21 |
— |