| Breast lesion removal (open) (19120) |
$5,135 |
$10,270 |
1.3× |
| Inguinal hernia repair (age 5+) (49505) |
$3,617.50 |
$7,235 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,226 |
$2,452 |
1.4× |
| CT head/brain without contrast (70450) |
$1,342 |
$2,684 |
13.0× |
| MRI brain without contrast (70551) |
$2,294 |
$4,588 |
9.8× |
| MRI brain with contrast (70552) |
$2,513 |
$5,026 |
7.3× |
| MRI brain without and with contrast (70553) |
$3,019 |
$6,038 |
8.8× |
| X-ray lower spine, 4+ views (72110) |
$283.50 |
$567 |
2.8× |
| MRI lumbar spine without contrast (72148) |
$2,101.50 |
$4,203 |
9.0× |
| CT pelvis with contrast (72193) |
$1,506.50 |
$3,013 |
8.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,790.50 |
$3,581 |
7.6× |
| CT abdomen and pelvis with contrast (74177) |
$3,464 |
$6,928 |
10.1× |
| Ultrasound, abdomen complete (76700) |
$468.50 |
$937 |
4.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$414 |
$828 |
4.0× |
| Ultrasound, transvaginal (76830) |
$491.50 |
$983 |
4.8× |
| Mammography, one breast (diagnostic) (77065) |
$353 |
$706 |
4.1× |
| Mammography, both breasts (diagnostic) (77066) |
$370 |
$740 |
3.3× |
| Mammography, screening (bilateral) (77067) |
$343.50 |
$687 |
3.8× |
| Basic metabolic panel (80048) |
$112 |
$224 |
13.2× |
| Comprehensive metabolic panel (80053) |
$124.50 |
$249 |
11.8× |
| Lipid panel (80061) |
$87.50 |
$175 |
6.5× |
| Renal function panel (80069) |
$124.50 |
$249 |
14.3× |
| Hepatic function panel (80076) |
$138.50 |
$277 |
17.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$19 |
$38 |
5.5× |
| PSA, total (84153) |
$73 |
$146 |
4.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$117.50 |
$235 |
7.0× |
| CBC with automated differential (85025) |
$92.50 |
$185 |
11.9× |
| CBC, automated (85027) |
$63.50 |
$127 |
9.8× |
| Prothrombin time (PT) (85610) |
$60 |
$120 |
14.0× |
| Partial thromboplastin time (PTT) (85730) |
$58 |
$116 |
9.7× |
| Psychotherapy, 30 minutes (90832) |
$121.50 |
$243 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$205.50 |
$411 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$224.50 |
$449 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$235 |
$470 |
1.3× |
| Group psychotherapy (90853) |
$103.50 |
$207 |
1.0× |
| Left heart catheterization (93452) |
$7,314.50 |
$14,629 |
2.3× |
| Sleep study (attended polysomnography) (95810) |
$2,108.50 |
$4,217 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$70.50 |
$141 |
2.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$208 |
$416 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$293 |
$586 |
2.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$439.50 |
$879 |
3.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$232.50 |
$465 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$253 |
$506 |
— |