| Breast lesion removal (open) (19120) |
$5,543.85 |
$8,529 |
1.4× |
| 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) |
$3,054.35 |
$4,699 |
28.0× |
| 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) |
$1,119.95 |
$1,723 |
10.3× |
| MRI lumbar spine without contrast (72148) |
$3,775.20 |
$5,808 |
15.2× |
| CT pelvis with contrast (72193) |
$3,380.65 |
$5,201 |
18.5× |
| MRI lower-extremity joint without contrast (73721) |
$3,591.90 |
$5,526 |
14.4× |
| CT abdomen and pelvis with contrast (74177) |
$5,964.40 |
$9,176 |
16.4× |
| Ultrasound, abdomen complete (76700) |
$1,479.40 |
$2,276 |
13.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$818.35 |
$1,259 |
7.5× |
| Ultrasound, transvaginal (76830) |
$880.10 |
$1,354 |
8.1× |
| 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) |
$383.50 |
$590 |
46.9× |
| PSA, total (84153) |
$24.05 |
$37 |
1.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$93.28 |
$143.50 |
5.6× |
| CBC with automated differential (85025) |
$252.85 |
$389 |
32.5× |
| CBC, automated (85027) |
$160.55 |
$247 |
24.8× |
| Prothrombin time (PT) (85610) |
$53.95 |
$83 |
12.6× |
| Partial thromboplastin time (PTT) (85730) |
$64.35 |
$99 |
10.7× |
| Left heart catheterization (93452) |
$13,518.05 |
$20,797 |
4.0× |
| Sleep study (attended polysomnography) (95810) |
$4,228.25 |
$6,505 |
4.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$161.20 |
$248 |
5.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$547.30 |
$842 |
3.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$746.85 |
$1,149 |
5.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$770.90 |
$1,186 |
5.5× |