| Breast lesion removal (open) (19120) |
$2,324.78 |
$4,488 |
0.6× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$719.94 |
$2,011 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$653.71 |
$1,826 |
0.7× |
| CT head/brain without contrast (70450) |
$271.54 |
$1,626 |
2.4× |
| MRI brain without contrast (70551) |
$385.42 |
$2,424 |
1.5× |
| MRI brain with contrast (70552) |
$481.77 |
$3,030 |
1.3× |
| MRI brain without and with contrast (70553) |
$578.12 |
$3,636 |
1.6× |
| X-ray lower spine, 4+ views (72110) |
$141.85 |
$503 |
1.3× |
| MRI lumbar spine without contrast (72148) |
$348.05 |
$2,417 |
1.4× |
| CT pelvis with contrast (72193) |
$406.20 |
$2,447 |
2.2× |
| MRI lower-extremity joint without contrast (73721) |
$456.77 |
$2,379 |
1.8× |
| CT abdomen and pelvis with contrast (74177) |
$525.72 |
$3,167 |
1.4× |
| Ultrasound, abdomen complete (76700) |
$303.28 |
$869 |
2.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$250.58 |
$718 |
2.2× |
| Ultrasound, transvaginal (76830) |
$238.02 |
$682 |
2.1× |
| Mammography, one breast (diagnostic) (77065) |
$185.95 |
$406 |
2.2× |
| Mammography, both breasts (diagnostic) (77066) |
$281.67 |
$615 |
2.5× |
| Mammography, screening (bilateral) (77067) |
$224.12 |
$407.50 |
2.5× |
| Basic metabolic panel (80048) |
$71.36 |
$446 |
8.4× |
| Comprehensive metabolic panel (80053) |
$126.24 |
$789 |
12.0× |
| Lipid panel (80061) |
$28.80 |
$180 |
2.2× |
| Renal function panel (80069) |
$43.20 |
$270 |
5.0× |
| Hepatic function panel (80076) |
$45.92 |
$287 |
5.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$3.03 |
$11 |
0.9× |
| PSA, total (84153) |
$8.96 |
$56 |
0.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$30.32 |
$189.50 |
1.8× |
| CBC with automated differential (85025) |
$19.49 |
$106.50 |
2.5× |
| CBC, automated (85027) |
$25.80 |
$141 |
4.0× |
| Prothrombin time (PT) (85610) |
$12.72 |
$69.50 |
3.0× |
| Partial thromboplastin time (PTT) (85730) |
$18.76 |
$102.50 |
3.1× |
| Left heart catheterization (93452) |
$2,788.60 |
$10,523 |
0.8× |
| Sleep study (attended polysomnography) (95810) |
$2,329.46 |
$5,507 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$17.30 |
$143 |
0.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$930.16 |
$1,292.50 |
6.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,126.37 |
$1,570 |
7.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,495 |
$2,075 |
10.5× |