| Breast lesion removal (open) (19120) |
$2,884.23 |
$6,409.39 |
0.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$861.98 |
$1,915.50 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$853.84 |
$1,897.43 |
0.8× |
| Diagnostic colonoscopy (45378) |
$793.18 |
$1,762.62 |
0.7× |
| Colonoscopy with biopsy (45380) |
$787.95 |
$1,751 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$787.95 |
$1,751 |
0.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$787.95 |
$1,751 |
0.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$890.79 |
$1,979.54 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$918 |
$2,040.01 |
0.9× |
| CT head/brain without contrast (70450) |
$193.06 |
$429.03 |
1.5× |
| MRI brain without contrast (70551) |
$403.04 |
$895.64 |
1.4× |
| MRI brain with contrast (70552) |
$593.26 |
$1,318.36 |
1.4× |
| MRI brain without and with contrast (70553) |
$757.55 |
$1,683.45 |
1.8× |
| X-ray lower spine, 4+ views (72110) |
$205.48 |
$456.61 |
1.6× |
| MRI lumbar spine without contrast (72148) |
$403.04 |
$895.64 |
1.4× |
| CT pelvis with contrast (72193) |
$374.26 |
$831.70 |
1.8× |
| MRI lower-extremity joint without contrast (73721) |
$403.04 |
$895.64 |
1.4× |
| CT abdomen and pelvis with contrast (74177) |
$573.92 |
$1,275.38 |
1.4× |
| Ultrasound, abdomen complete (76700) |
$250.71 |
$557.14 |
2.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$217.30 |
$482.90 |
1.7× |
| Ultrasound, transvaginal (76830) |
$193.87 |
$430.83 |
1.5× |
| Mammography, one breast (diagnostic) (77065) |
$179.47 |
$398.82 |
2.1× |
| Mammography, both breasts (diagnostic) (77066) |
$229.23 |
$509.40 |
2.1× |
| Mammography, screening (bilateral) (77067) |
$92.97 |
$206.60 |
1.0× |
| Basic metabolic panel (80048) |
$14.19 |
$31.53 |
1.7× |
| Comprehensive metabolic panel (80053) |
$17.72 |
$39.37 |
1.7× |
| Obstetric panel (80055) |
$75.28 |
$167.29 |
1.6× |
| Lipid panel (80061) |
$22.46 |
$49.90 |
1.7× |
| Renal function panel (80069) |
$14.57 |
$32.37 |
1.7× |
| Hepatic function panel (80076) |
$13.70 |
$30.44 |
1.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$4.43 |
$9.85 |
1.3× |
| PSA, total (84153) |
$30.86 |
$68.57 |
1.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$28.19 |
$62.65 |
1.7× |
| CBC with automated differential (85025) |
$13.03 |
$28.96 |
1.7× |
| CBC, automated (85027) |
$10.84 |
$24.09 |
1.7× |
| Prothrombin time (PT) (85610) |
$6.59 |
$14.64 |
1.5× |
| Partial thromboplastin time (PTT) (85730) |
$10.08 |
$22.40 |
1.7× |
| Group psychotherapy (90853) |
$88.89 |
$197.53 |
0.7× |
| Left heart catheterization (93452) |
$3,242.27 |
$7,205.04 |
0.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$68.25 |
$151.67 |
2.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$93.50 |
$207.78 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$143.83 |
$319.63 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$197.04 |
$437.86 |
1.2× |