| Breast lesion removal (open) (19120) |
$2,379.63 |
$4,759.25 |
0.6× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,008.13 |
$2,016.25 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,544.88 |
$3,089.75 |
1.6× |
| CT head/brain without contrast (70450) |
$1,253.13 |
$2,506.25 |
11.2× |
| MRI brain without contrast (70551) |
$1,330.13 |
$2,660.25 |
5.2× |
| MRI brain with contrast (70552) |
$1,739.13 |
$3,478.25 |
4.7× |
| MRI brain without and with contrast (70553) |
$2,280.13 |
$4,560.25 |
6.1× |
| X-ray lower spine, 4+ views (72110) |
$347.25 |
$694.50 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$1,653.25 |
$3,306.50 |
6.5× |
| CT pelvis with contrast (72193) |
$1,580 |
$3,160 |
8.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,483.13 |
$2,966.25 |
5.8× |
| CT abdomen and pelvis with contrast (74177) |
$1,492.50 |
$2,985 |
4.0× |
| Ultrasound, abdomen complete (76700) |
$524.75 |
$1,049.50 |
4.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$448.25 |
$896.50 |
4.0× |
| Ultrasound, transvaginal (76830) |
$423.63 |
$847.25 |
3.8× |
| Mammography, one breast (diagnostic) (77065) |
$156.63 |
$313.25 |
1.8× |
| Mammography, both breasts (diagnostic) (77066) |
$212.13 |
$424.25 |
1.9× |
| Mammography, screening (bilateral) (77067) |
$176.50 |
$353 |
1.9× |
| Basic metabolic panel (80048) |
$118.88 |
$237.75 |
14.1× |
| Comprehensive metabolic panel (80053) |
$158.13 |
$316.25 |
15.0× |
| Lipid panel (80061) |
$137.25 |
$274.50 |
10.3× |
| Renal function panel (80069) |
$110 |
$220 |
12.7× |
| Hepatic function panel (80076) |
$124.63 |
$249.25 |
15.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$11 |
$22 |
2.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$20.38 |
$40.75 |
5.9× |
| PSA, total (84153) |
$64.38 |
$128.75 |
3.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$157.13 |
$314.25 |
9.4× |
| CBC with automated differential (85025) |
$78 |
$156 |
10.0× |
| CBC, automated (85027) |
$22 |
$44 |
3.4× |
| Prothrombin time (PT) (85610) |
$59.13 |
$118.25 |
13.8× |
| Partial thromboplastin time (PTT) (85730) |
$69.63 |
$139.25 |
11.6× |
| Left heart catheterization (93452) |
$4,721 |
$9,442 |
1.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$70.75 |
$141.50 |
2.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$274.38 |
$548.75 |
1.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$344.63 |
$689.25 |
2.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$494.38 |
$988.75 |
3.5× |