| Breast lesion removal (open) (19120) |
$437.01 |
$1,248.60 |
0.1× |
| Shoulder arthroscopy with decompression (29826) |
$778.26 |
$2,223.60 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$818.58 |
$2,338.80 |
0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$236.25 |
$675 |
0.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$266.49 |
$761.40 |
0.3× |
| Diagnostic colonoscopy (45378) |
$351.54 |
$1,004.40 |
0.4× |
| Colonoscopy with biopsy (45380) |
$381.15 |
$1,089 |
0.3× |
| Colonoscopy with lesion removal (45385) |
$481.32 |
$1,375.20 |
0.4× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,100.82 |
$3,145.20 |
0.2× |
| Inguinal hernia repair (age 5+) (49505) |
$949.41 |
$2,712.60 |
0.3× |
| Obstetric care, vaginal delivery (global) (59400) |
$1,260 |
$3,600 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$1,528.80 |
$4,368 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$1,191.96 |
$3,405.60 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$252.70 |
$722 |
0.3× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$294 |
$840 |
0.5× |
| Cataract removal with lens insertion (66984) |
$855.75 |
$2,445 |
0.4× |
| CT head/brain without contrast (70450) |
$285.25 |
$815 |
2.6× |
| MRI brain without contrast (70551) |
$594.65 |
$1,699 |
2.4× |
| MRI brain with contrast (70552) |
$578.55 |
$1,653 |
1.6× |
| MRI brain without and with contrast (70553) |
$598.15 |
$1,709 |
1.7× |
| X-ray lower spine, 4+ views (72110) |
$24.85 |
$71 |
0.2× |
| MRI lumbar spine without contrast (72148) |
$621.08 |
$1,774.50 |
2.5× |
| CT pelvis with contrast (72193) |
$384.30 |
$1,098 |
2.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,062.25 |
$3,035 |
4.3× |
| CT abdomen and pelvis with contrast (74177) |
$663.25 |
$1,895 |
1.8× |
| Ultrasound, abdomen complete (76700) |
$172.38 |
$492.50 |
1.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$78.75 |
$225 |
0.7× |
| Ultrasound, transvaginal (76830) |
$90.82 |
$259.50 |
0.8× |
| Mammography, one breast (diagnostic) (77065) |
$60.90 |
$174 |
0.7× |
| Mammography, both breasts (diagnostic) (77066) |
$98.88 |
$282.50 |
0.9× |
| Mammography, screening (bilateral) (77067) |
$56.70 |
$162 |
0.6× |
| Basic metabolic panel (80048) |
$34.65 |
$99 |
4.1× |
| Comprehensive metabolic panel (80053) |
$44.62 |
$127.50 |
4.2× |
| Lipid panel (80061) |
$46.02 |
$131.50 |
3.4× |
| Renal function panel (80069) |
$43.75 |
$125 |
5.0× |
| Hepatic function panel (80076) |
$50.40 |
$144 |
6.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$18.90 |
$54 |
4.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$11.72 |
$33.50 |
3.4× |
| PSA, total (84153) |
$51.10 |
$146 |
2.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$45.15 |
$129 |
2.7× |
| CBC with automated differential (85025) |
$29.40 |
$84 |
3.8× |
| CBC, automated (85027) |
$26.95 |
$77 |
4.2× |
| Prothrombin time (PT) (85610) |
$14 |
$40 |
3.3× |
| Partial thromboplastin time (PTT) (85730) |
$18.20 |
$52 |
3.0× |
| Psychotherapy, 30 minutes (90832) |
$70 |
$200 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$105 |
$300 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$122.50 |
$350 |
0.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$86.10 |
$246 |
0.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$88.90 |
$254 |
0.5× |
| Group psychotherapy (90853) |
$43.75 |
$125 |
0.4× |
| Electrocardiogram (ECG), complete (93000) |
$8.61 |
$24.60 |
0.1× |
| Sleep study (attended polysomnography) (95810) |
$991.02 |
$2,831.50 |
1.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$39.20 |
$112 |
1.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$99.47 |
$284.20 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$147.52 |
$421.50 |
1.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$194.64 |
$556.10 |
1.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$80.46 |
$229.90 |
0.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$92.19 |
$263.40 |
0.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$87.78 |
$250.80 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$101.22 |
$289.20 |
— |