| Breast lesion removal (open) (19120) |
$2,939.42 |
$4,741 |
0.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,080.10 |
$3,355 |
2.3× |
| CT head/brain without contrast (70450) |
$968.44 |
$1,562 |
8.9× |
| MRI brain without contrast (70551) |
$2,153.26 |
$3,473 |
8.6× |
| MRI brain with contrast (70552) |
$2,493.02 |
$4,021 |
6.8× |
| MRI brain without and with contrast (70553) |
$2,814.80 |
$4,540 |
7.7× |
| X-ray lower spine, 4+ views (72110) |
$996.96 |
$1,608 |
9.1× |
| MRI lumbar spine without contrast (72148) |
$1,853.18 |
$2,989 |
7.4× |
| CT pelvis with contrast (72193) |
$1,519 |
$2,450 |
8.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,849.46 |
$2,983 |
7.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,681.50 |
$4,325 |
7.4× |
| Ultrasound, abdomen complete (76700) |
$1,540.70 |
$2,485 |
14.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$699.98 |
$1,129 |
6.4× |
| Ultrasound, transvaginal (76830) |
$1,116 |
$1,800 |
10.2× |
| Mammography, one breast (diagnostic) (77065) |
$515.84 |
$832 |
6.0× |
| Mammography, both breasts (diagnostic) (77066) |
$820.88 |
$1,324 |
7.4× |
| Mammography, screening (bilateral) (77067) |
$543.12 |
$876 |
6.0× |
| Basic metabolic panel (80048) |
$115.94 |
$187 |
13.7× |
| Lipid panel (80061) |
$243.66 |
$393 |
18.2× |
| Renal function panel (80069) |
$121.52 |
$196 |
14.0× |
| Hepatic function panel (80076) |
$88.04 |
$142 |
10.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$53.94 |
$87 |
15.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$232.50 |
$375 |
13.8× |
| CBC with automated differential (85025) |
$75.02 |
$121 |
9.7× |
| CBC, automated (85027) |
$98.58 |
$159 |
15.2× |
| Prothrombin time (PT) (85610) |
$44.64 |
$72 |
10.4× |
| Partial thromboplastin time (PTT) (85730) |
$53.94 |
$87 |
9.0× |
| Psychotherapy, 30 minutes (90832) |
$130.20 |
$210 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$172.36 |
$278 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$360.84 |
$582 |
1.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$256.06 |
$413 |
1.4× |
| Group psychotherapy (90853) |
$210.18 |
$339 |
2.0× |
| Sleep study (attended polysomnography) (95810) |
$5,731.90 |
$9,245 |
6.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$181.04 |
$292 |
6.2× |