| Admin hepatitis b vaccine (G0010) |
$33.16 |
$82.88 |
0.8× |
| Admin influenza virus vac (G0008) |
$21.40 |
$53.50 |
0.5× |
| Admin pneumococcal vaccine (G0009) |
$33.16 |
$82.88 |
0.8× |
| Catheterize for urine spec (P9612) |
$65.34 |
$163.33 |
7.0× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) |
$1,832.33 |
$4,580.81 |
5.7× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) |
$1,183.48 |
$2,958.69 |
5.4× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) |
$1,832.33 |
$4,580.81 |
5.7× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) |
$902.48 |
$2,256.18 |
5.6× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) |
$532.78 |
$1,331.93 |
5.5× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) |
$902.48 |
$2,256.18 |
5.6× |
| Covid-19 lab test non-cdc (U0002) |
$39.05 |
$97.62 |
0.8× |
| Direct refer hospital observ (G0379) |
$360.04 |
$900.10 |
0.7× |
| Drug test def 1-7 classes (G0480) |
$61.33 |
$153.32 |
0.5× |
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
likely a partial charge, not the full procedure |
$11,932.33 |
$29,830.81 |
0.3× |
| Hospital outpt clinic visit (G0463) |
$173.68 |
$434.21 |
1.4× |
| Inj for sacroiliac jt anesth (G0260) |
$730.87 |
$1,827.17 |
1.1× |
| Mra w/cont, lwr ext (C8912) |
$2,237.42 |
$5,593.54 |
7.0× |
| Mra w/o cont, lwr ext (C8913) |
$1,794.58 |
$4,486.46 |
8.2× |
| Mra w/o fol w/cont, abd (C8902) |
$1,448.26 |
$3,620.65 |
4.5× |
| Mra w/o fol w/cont, lwr ext (C8914) |
$2,172.39 |
$5,430.98 |
6.8× |
| Mra, w/dye, upper extremity (C8934) |
$1,983.50 |
$4,958.74 |
6.2× |
| Mra, w/o dye, upper extr (C8935) |
$1,794.58 |
$4,486.45 |
8.2× |
| Mra, w/o&w/dye, upper extr (C8936) |
$1,151.66 |
$2,879.14 |
3.6× |
| Pathogen test for platelets (P9100) |
$65.28 |
$163.20 |
1.2× |
| Psa screening (G0103) |
$67.92 |
$169.80 |
3.5× |
| Screen cerv/vag thin layer (G0123) |
$29.86 |
$74.64 |
1.5× |
| Screen pap by tech w md supv (P3000) |
$27.50 |
$68.74 |
1.5× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,318.14 |
$3,295.33 |
1.8× |