| Breast lesion removal (open) (19120) |
$6,876.24 |
$8,186 |
1.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,236.08 |
$2,662 |
2.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,236.08 |
$2,662 |
2.3× |
| Diagnostic colonoscopy (45378) |
$2,373 |
$2,825 |
2.4× |
| Colonoscopy with biopsy (45380) |
$2,373 |
$2,825 |
1.8× |
| Colonoscopy with lesion removal (45385) |
$2,373 |
$2,825 |
1.8× |
| Colonoscopy with endoscopic ultrasound (45391) |
$4,026.12 |
$4,793 |
3.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,220.96 |
$2,644 |
2.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,859.72 |
$4,594.91 |
4.0× |
| CT head/brain without contrast (70450) |
$1,564.08 |
$1,862 |
13.8× |
| MRI brain without contrast (70551) |
$2,648.10 |
$3,152.50 |
10.3× |
| MRI brain with contrast (70552) |
$2,989.56 |
$3,559 |
7.9× |
| MRI brain without and with contrast (70553) |
$4,416.72 |
$5,258 |
11.7× |
| X-ray lower spine, 4+ views (72110) |
$473.34 |
$563.50 |
4.2× |
| MRI lumbar spine without contrast (72148) |
$2,865.24 |
$3,411 |
11.1× |
| CT pelvis with contrast (72193) |
$2,068.08 |
$2,462 |
10.9× |
| MRI lower-extremity joint without contrast (73721) |
$3,408.30 |
$4,057.50 |
13.2× |
| CT abdomen and pelvis with contrast (74177) |
$4,536 |
$5,400 |
12.0× |
| Ultrasound, abdomen complete (76700) |
$874.44 |
$1,041 |
7.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$750.12 |
$893 |
6.6× |
| Ultrasound, transvaginal (76830) |
$874.44 |
$1,041 |
7.7× |
| Mammography, one breast (diagnostic) (77065) |
$591.78 |
$704.50 |
6.9× |
| Mammography, both breasts (diagnostic) (77066) |
$736.68 |
$877 |
6.7× |
| Mammography, screening (bilateral) (77067) |
$559.86 |
$666.50 |
6.1× |
| Basic metabolic panel (80048) |
$74.76 |
$89 |
8.8× |
| Comprehensive metabolic panel (80053) |
$84.84 |
$101 |
8.0× |
| Lipid panel (80061) |
$72.24 |
$86 |
5.4× |
| Renal function panel (80069) |
$80.64 |
$96 |
9.3× |
| Hepatic function panel (80076) |
$80.64 |
$96 |
9.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$54.60 |
$65 |
15.7× |
| PSA, total (84153) |
$115.08 |
$137 |
6.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$191.52 |
$228 |
11.4× |
| CBC with automated differential (85025) |
$134.40 |
$160 |
17.3× |
| CBC, automated (85027) |
$62.16 |
$74 |
9.6× |
| Prothrombin time (PT) (85610) |
$33.60 |
$40 |
7.8× |
| Partial thromboplastin time (PTT) (85730) |
$81.48 |
$97 |
13.6× |
| Left heart catheterization (93452) |
$10,774.68 |
$12,827 |
3.1× |
| Sleep study (attended polysomnography) (95810) |
$5,859.84 |
$6,976 |
6.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$104.16 |
$124 |
3.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$231.84 |
$276 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$271.32 |
$323 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$310.80 |
$370 |
2.2× |