| Breast lesion removal (open) (19120) |
$1,684.82 |
$5,105.50 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,108.80 |
$3,360 |
1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,217.37 |
$3,689 |
1.3× |
| Diagnostic colonoscopy (45378) |
$1,178.92 |
$3,572.50 |
1.3× |
| Colonoscopy with biopsy (45380) |
$1,648.35 |
$4,995 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$1,290.96 |
$3,912 |
1.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$857.01 |
$2,597 |
0.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,228.59 |
$3,723 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,834.37 |
$8,589 |
3.2× |
| CT head/brain without contrast (70450) |
$464.97 |
$1,409 |
4.4× |
| MRI brain without contrast (70551) |
$1,379.73 |
$4,181 |
5.8× |
| MRI brain with contrast (70552) |
$1,474.44 |
$4,468 |
4.2× |
| MRI brain without and with contrast (70553) |
$1,863.18 |
$5,646 |
5.3× |
| X-ray lower spine, 4+ views (72110) |
$871.86 |
$2,642 |
8.3× |
| MRI lumbar spine without contrast (72148) |
$2,115.96 |
$6,412 |
8.8× |
| CT pelvis with contrast (72193) |
$882.75 |
$2,675 |
5.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,703.46 |
$5,162 |
7.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,914.33 |
$5,801 |
5.5× |
| Ultrasound, abdomen complete (76700) |
$746.79 |
$2,263 |
7.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$700.59 |
$2,123 |
6.7× |
| Ultrasound, transvaginal (76830) |
$701.25 |
$2,125 |
6.7× |
| Mammography, one breast (diagnostic) (77065) |
$149.82 |
$454 |
1.7× |
| Mammography, both breasts (diagnostic) (77066) |
$211.86 |
$642 |
1.9× |
| Mammography, screening (bilateral) (77067) |
$171.10 |
$518.50 |
1.9× |
| Basic metabolic panel (80048) |
$90.92 |
$275.50 |
10.7× |
| Comprehensive metabolic panel (80053) |
$132.82 |
$402.50 |
12.6× |
| Obstetric panel (80055) |
$148.50 |
$450 |
3.1× |
| Lipid panel (80061) |
$86.46 |
$262 |
6.5× |
| Renal function panel (80069) |
$99.66 |
$302 |
11.5× |
| Hepatic function panel (80076) |
$93.88 |
$284.50 |
11.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$75.24 |
$228 |
18.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$71.78 |
$217.50 |
20.6× |
| PSA, total (84153) |
$75.57 |
$229 |
4.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$104.44 |
$316.50 |
6.2× |
| CBC with automated differential (85025) |
$100.98 |
$306 |
13.0× |
| CBC, automated (85027) |
$50.82 |
$154 |
7.9× |
| Prothrombin time (PT) (85610) |
$41.91 |
$127 |
9.8× |
| Partial thromboplastin time (PTT) (85730) |
$74.25 |
$225 |
12.4× |
| Left heart catheterization (93452) |
$3,157.11 |
$9,567 |
1.0× |
| Sleep study (attended polysomnography) (95810) |
$4,271.52 |
$12,944 |
5.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$47.52 |
$144 |
1.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$53.46 |
$162 |
0.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$71.28 |
$216 |
0.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$109.23 |
$331 |
0.8× |