| Breast lesion removal (open) (19120) |
$8,315.78 |
$12,793.50 |
2.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,198.30 |
$3,382 |
2.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,280.88 |
$5,047.50 |
3.6× |
| CT head/brain without contrast (70450) |
$3,155.75 |
$4,855 |
28.9× |
| MRI brain without contrast (70551) |
$3,469.05 |
$5,337 |
13.9× |
| MRI brain with contrast (70552) |
$3,900.65 |
$6,001 |
10.7× |
| MRI brain without and with contrast (70553) |
$4,919.85 |
$7,569 |
13.5× |
| X-ray lower spine, 4+ views (72110) |
$843.05 |
$1,297 |
7.7× |
| MRI lumbar spine without contrast (72148) |
$3,775.20 |
$5,808 |
15.2× |
| CT pelvis with contrast (72193) |
$3,491.48 |
$5,371.50 |
19.1× |
| MRI lower-extremity joint without contrast (73721) |
$3,591.90 |
$5,526 |
14.4× |
| CT abdomen and pelvis with contrast (74177) |
$6,331.98 |
$9,741.50 |
17.4× |
| Ultrasound, abdomen complete (76700) |
$1,418.95 |
$2,183 |
13.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$784.55 |
$1,207 |
7.2× |
| Ultrasound, transvaginal (76830) |
$843.70 |
$1,298 |
7.7× |
| Mammography, one breast (diagnostic) (77065) |
$432.25 |
$665 |
5.0× |
| Mammography, both breasts (diagnostic) (77066) |
$560.30 |
$862 |
5.1× |
| Mammography, screening (bilateral) (77067) |
$475.15 |
$731 |
5.2× |
| Basic metabolic panel (80048) |
$438.75 |
$675 |
51.9× |
| Comprehensive metabolic panel (80053) |
$765.70 |
$1,178 |
72.5× |
| Lipid panel (80061) |
$101.08 |
$155.50 |
7.5× |
| Renal function panel (80069) |
$546.65 |
$841 |
63.0× |
| Hepatic function panel (80076) |
$324.68 |
$499.50 |
39.7× |
| PSA, total (84153) |
$117.32 |
$180.50 |
6.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$120.90 |
$186 |
7.2× |
| CBC with automated differential (85025) |
$141.05 |
$217 |
18.2× |
| CBC, automated (85027) |
$122.20 |
$188 |
18.9× |
| Prothrombin time (PT) (85610) |
$53.95 |
$83 |
12.6× |
| Partial thromboplastin time (PTT) (85730) |
$64.35 |
$99 |
10.7× |
| Psychotherapy, 30 minutes (90832) |
$418.60 |
$644 |
2.3× |
| Psychotherapy, 45 minutes (90834) |
$418.60 |
$644 |
2.3× |
| Psychotherapy, 60 minutes (90837) |
$418.60 |
$644 |
2.3× |
| Left heart catheterization (93452) |
$13,518.05 |
$20,797 |
4.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$161.20 |
$248 |
5.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$257.40 |
$396 |
1.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$269.75 |
$415 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$286 |
$440 |
2.1× |