| Breast lesion removal (open) (19120) |
$2,536 |
$5,072 |
0.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,085.50 |
$2,171 |
1.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,904 |
$3,808 |
2.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$577 |
$1,154 |
1.1× |
| CT head/brain without contrast (70450) |
$1,138 |
$2,276 |
11.2× |
| MRI brain without contrast (70551) |
$1,175.50 |
$2,351 |
5.1× |
| MRI brain with contrast (70552) |
$2,879 |
$5,758 |
8.5× |
| MRI brain without and with contrast (70553) |
$2,398.50 |
$4,797 |
7.1× |
| X-ray lower spine, 4+ views (72110) |
$322 |
$644 |
3.2× |
| MRI lumbar spine without contrast (72148) |
$1,427.50 |
$2,855 |
6.2× |
| CT pelvis with contrast (72193) |
$1,463.50 |
$2,927 |
8.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,747.50 |
$3,495 |
7.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,896 |
$5,792 |
8.6× |
| Ultrasound, abdomen complete (76700) |
$500 |
$1,000 |
4.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$349.50 |
$699 |
3.4× |
| Ultrasound, transvaginal (76830) |
$410 |
$820 |
4.0× |
| Mammography, one breast (diagnostic) (77065) |
$495 |
$990 |
5.7× |
| Mammography, both breasts (diagnostic) (77066) |
$750.50 |
$1,501 |
6.8× |
| Mammography, screening (bilateral) (77067) |
$182 |
$364 |
2.0× |
| Basic metabolic panel (80048) |
$102 |
$204 |
12.1× |
| Comprehensive metabolic panel (80053) |
$227.50 |
$455 |
21.5× |
| Lipid panel (80061) |
$146 |
$292 |
10.9× |
| Renal function panel (80069) |
$89.50 |
$179 |
10.3× |
| Hepatic function panel (80076) |
$85 |
$170 |
10.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$43 |
$86 |
10.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$20.50 |
$41 |
5.9× |
| PSA, total (84153) |
$91.50 |
$183 |
5.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$101 |
$202 |
6.0× |
| CBC with automated differential (85025) |
$88.50 |
$177 |
11.4× |
| CBC, automated (85027) |
$53 |
$106 |
8.2× |
| Prothrombin time (PT) (85610) |
$10.50 |
$21 |
2.4× |
| Partial thromboplastin time (PTT) (85730) |
$45.50 |
$91 |
7.6× |
| Psychotherapy, 30 minutes (90832) |
$58.75 |
$117.50 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$76.50 |
$153 |
0.4× |
| Psychotherapy, 60 minutes (90837) |
$114 |
$228 |
0.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$166.50 |
$333 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$186.50 |
$373 |
1.1× |
| Group psychotherapy (90853) |
$71 |
$142 |
0.7× |
| Left heart catheterization (93452) |
$7,541 |
$15,082 |
2.4× |
| Sleep study (attended polysomnography) (95810) |
$2,052 |
$4,104 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$89 |
$178 |
3.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$188.50 |
$377 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$105.50 |
$211 |
— |