| Breast lesion removal (open) (19120) |
$541.20 |
$3,608 |
0.1× |
| CT head/brain without contrast (70450) |
$696 |
$4,640 |
6.4× |
| MRI brain without contrast (70551) |
$716.10 |
$4,774 |
2.9× |
| MRI brain with contrast (70552) |
$780.30 |
$5,202 |
2.1× |
| MRI brain without and with contrast (70553) |
$860.70 |
$5,738 |
2.4× |
| X-ray lower spine, 4+ views (72110) |
$176.10 |
$1,174 |
1.6× |
| MRI lumbar spine without contrast (72148) |
$918 |
$6,120 |
3.7× |
| CT pelvis with contrast (72193) |
$915 |
$6,100 |
5.0× |
| MRI lower-extremity joint without contrast (73721) |
$795.60 |
$5,304 |
3.2× |
| CT abdomen and pelvis with contrast (74177) |
$2,100 |
$14,000 |
5.8× |
| Ultrasound, abdomen complete (76700) |
$638.40 |
$4,256 |
5.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$72.90 |
$486 |
0.7× |
| Ultrasound, transvaginal (76830) |
$148.80 |
$992 |
1.4× |
| Mammography, one breast (diagnostic) (77065) |
$103.50 |
$690 |
1.2× |
| Mammography, both breasts (diagnostic) (77066) |
$159.60 |
$1,064 |
1.4× |
| Mammography, screening (bilateral) (77067) |
$107.85 |
$719 |
1.2× |
| Basic metabolic panel (80048) |
$15.30 |
$102 |
1.8× |
| Comprehensive metabolic panel (80053) |
$4.50 |
$30 |
0.4× |
| Obstetric panel (80055) |
$85.95 |
$573 |
1.8× |
| Lipid panel (80061) |
$3.13 |
$20.86 |
0.2× |
| Renal function panel (80069) |
$50.40 |
$336 |
5.8× |
| Hepatic function panel (80076) |
$18 |
$120 |
2.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$1.50 |
$10 |
0.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$0.75 |
$5 |
0.2× |
| PSA, total (84153) |
$15.22 |
$101.50 |
0.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$6.90 |
$46.04 |
0.4× |
| CBC with automated differential (85025) |
$3.30 |
$22 |
0.4× |
| CBC, automated (85027) |
$29.55 |
$197 |
4.6× |
| Prothrombin time (PT) (85610) |
$1.65 |
$11 |
0.4× |
| Partial thromboplastin time (PTT) (85730) |
$7.59 |
$50.58 |
1.3× |
| Left heart catheterization (93452) |
$3,446.70 |
$22,978 |
1.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$27 |
$180 |
0.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$44.55 |
$297 |
0.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$75.15 |
$501 |
0.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$127.35 |
$849 |
0.9× |