| Breast lesion removal (open) (19120) |
$4,644.40 |
$5,464 |
1.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$949.88 |
$1,117.50 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,499.40 |
$1,764 |
1.6× |
| CT head/brain without contrast (70450) |
$1,586.95 |
$1,867 |
14.7× |
| MRI brain without contrast (70551) |
$2,782.90 |
$3,274 |
11.3× |
| MRI brain with contrast (70552) |
$2,782.90 |
$3,274 |
7.7× |
| MRI brain without and with contrast (70553) |
$3,847.10 |
$4,526 |
10.7× |
| X-ray lower spine, 4+ views (72110) |
$512.55 |
$603 |
4.8× |
| MRI lumbar spine without contrast (72148) |
$2,782.90 |
$3,274 |
11.3× |
| CT pelvis with contrast (72193) |
$2,102.05 |
$2,473 |
11.6× |
| MRI lower-extremity joint without contrast (73721) |
$2,782.90 |
$3,274 |
11.3× |
| CT abdomen and pelvis with contrast (74177) |
$3,372.80 |
$3,968 |
9.4× |
| Ultrasound, abdomen complete (76700) |
$911.20 |
$1,072 |
8.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$665.55 |
$783 |
6.2× |
| Ultrasound, transvaginal (76830) |
$708.05 |
$833 |
6.6× |
| Mammography, one breast (diagnostic) (77065) |
$379.95 |
$447 |
4.4× |
| Mammography, both breasts (diagnostic) (77066) |
$379.95 |
$447 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$362.10 |
$426 |
4.0× |
| Basic metabolic panel (80048) |
$190.40 |
$224 |
22.5× |
| Comprehensive metabolic panel (80053) |
$263.50 |
$310 |
25.0× |
| Lipid panel (80061) |
$155.55 |
$183 |
11.6× |
| Renal function panel (80069) |
$153.85 |
$181 |
17.7× |
| Hepatic function panel (80076) |
$144.50 |
$170 |
17.7× |
| PSA, total (84153) |
$190.40 |
$224 |
10.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$170 |
$200 |
10.1× |
| CBC with automated differential (85025) |
$169.15 |
$199 |
21.8× |
| CBC, automated (85027) |
$105.40 |
$124 |
16.3× |
| Prothrombin time (PT) (85610) |
$84.15 |
$99 |
19.6× |
| Partial thromboplastin time (PTT) (85730) |
$63.75 |
$75 |
10.6× |
| Psychotherapy, 30 minutes (90832) |
$190.40 |
$224 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$252.45 |
$297 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$75 |
$446 |
0.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$300.05 |
$353 |
1.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$316.20 |
$372 |
1.7× |
| Sleep study (attended polysomnography) (95810) |
$3,827.55 |
$4,503 |
4.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$129.20 |
$152 |
4.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$207.82 |
$244.50 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$256.28 |
$301.50 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$310.68 |
$365.50 |
2.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$266.05 |
$313 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$323.85 |
$381 |
— |