| Breast lesion removal (open) (19120) |
$1,157.82 |
$4,195 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$962.69 |
$3,488 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$962.69 |
$3,488 |
1.0× |
| Diagnostic colonoscopy (45378) |
$1,092.41 |
$3,958 |
1.1× |
| Colonoscopy with biopsy (45380) |
$1,188.73 |
$4,307 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,188.73 |
$4,307 |
0.9× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,033.62 |
$3,745 |
0.8× |
| Obstetric care, vaginal delivery (global) (59400) |
$1,867.69 |
$6,767 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$2,076.35 |
$7,523 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$1,867.69 |
$6,767 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$688.90 |
$2,496 |
0.7× |
| CT head/brain without contrast (70450) |
$599.20 |
$2,171 |
5.4× |
| MRI brain without contrast (70551) |
$1,355.99 |
$4,913 |
5.3× |
| MRI brain with contrast (70552) |
$1,702.64 |
$6,169 |
4.6× |
| MRI brain without and with contrast (70553) |
$2,657.88 |
$9,630 |
7.1× |
| X-ray lower spine, 4+ views (72110) |
$231.01 |
$837 |
2.1× |
| MRI lumbar spine without contrast (72148) |
$1,355.99 |
$4,913 |
5.3× |
| CT pelvis with contrast (72193) |
$878.78 |
$3,184 |
4.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,064.26 |
$3,856 |
4.2× |
| CT abdomen and pelvis with contrast (74177) |
$1,611.56 |
$5,839 |
4.3× |
| Ultrasound, abdomen complete (76700) |
$386.40 |
$1,400 |
3.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$274.62 |
$995 |
2.5× |
| Ultrasound, transvaginal (76830) |
$302.77 |
$1,097 |
2.7× |
| Mammography, one breast (diagnostic) (77065) |
$162.29 |
$588 |
1.9× |
| Mammography, both breasts (diagnostic) (77066) |
$240.95 |
$873 |
2.2× |
| Mammography, screening (bilateral) (77067) |
$218.32 |
$791 |
2.4× |
| Basic metabolic panel (80048) |
$22.63 |
$82 |
2.7× |
| Comprehensive metabolic panel (80053) |
$102.95 |
$373 |
9.7× |
| Lipid panel (80061) |
$35.60 |
$129 |
2.7× |
| Renal function panel (80069) |
$73.97 |
$268 |
8.5× |
| Hepatic function panel (80076) |
$55.75 |
$202 |
6.8× |
| PSA, total (84153) |
$60.44 |
$219 |
3.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$33.67 |
$122 |
2.0× |
| CBC with automated differential (85025) |
$24.01 |
$45 |
3.1× |
| CBC, automated (85027) |
$30.64 |
$111 |
4.7× |
| Prothrombin time (PT) (85610) |
$12.97 |
$47 |
3.0× |
| Partial thromboplastin time (PTT) (85730) |
$32.84 |
$119 |
5.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$52.16 |
$189 |
1.8× |