| Breast lesion removal (open) (19120) |
$4,157.10 |
$4,619 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,148.30 |
$2,387 |
2.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$616.50 |
$685 |
1.0× |
| CT head/brain without contrast (70450) |
$1,052.10 |
$1,169 |
8.8× |
| MRI brain without contrast (70551) |
$2,170.80 |
$2,412 |
7.9× |
| MRI brain with contrast (70552) |
$2,646 |
$2,940 |
6.6× |
| MRI brain without and with contrast (70553) |
$2,646 |
$2,940 |
6.6× |
| X-ray lower spine, 4+ views (72110) |
$464.40 |
$516 |
3.9× |
| MRI lumbar spine without contrast (72148) |
$2,170.80 |
$2,412 |
7.9× |
| CT pelvis with contrast (72193) |
$1,404.90 |
$1,561 |
7.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,170.80 |
$2,412 |
7.9× |
| CT abdomen and pelvis with contrast (74177) |
$2,910.60 |
$3,234 |
7.3× |
| Ultrasound, abdomen complete (76700) |
$526.50 |
$585 |
4.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$323.10 |
$359 |
2.7× |
| Ultrasound, transvaginal (76830) |
$323.10 |
$359 |
2.7× |
| Mammography, one breast (diagnostic) (77065) |
$229.50 |
$255 |
2.7× |
| Mammography, both breasts (diagnostic) (77066) |
$397.80 |
$442 |
3.6× |
| Mammography, screening (bilateral) (77067) |
$327.60 |
$364 |
3.6× |
| Basic metabolic panel (80048) |
$36 |
$40 |
4.3× |
| Comprehensive metabolic panel (80053) |
$45 |
$50 |
4.3× |
| Obstetric panel (80055) |
$321.30 |
$357 |
6.7× |
| Lipid panel (80061) |
$57.60 |
$64 |
4.3× |
| Renal function panel (80069) |
$36.90 |
$41 |
4.3× |
| Hepatic function panel (80076) |
$35.10 |
$39 |
4.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$17.10 |
$19 |
4.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$12.15 |
$13.50 |
3.5× |
| PSA, total (84153) |
$78.30 |
$87 |
4.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$72 |
$80 |
4.3× |
| CBC with automated differential (85025) |
$42.30 |
$47 |
5.4× |
| CBC, automated (85027) |
$42.30 |
$47 |
6.5× |
| Prothrombin time (PT) (85610) |
$13.95 |
$15.50 |
3.3× |
| Partial thromboplastin time (PTT) (85730) |
$32.40 |
$36 |
5.4× |
| Psychotherapy, 30 minutes (90832) |
$180.90 |
$201 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$180.90 |
$201 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$180.90 |
$201 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$180.90 |
$201 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$180.90 |
$201 |
0.9× |
| Group psychotherapy (90853) |
$112.50 |
$125 |
1.0× |
| Left heart catheterization (93452) |
$5,031 |
$5,590 |
1.3× |
| Sleep study (attended polysomnography) (95810) |
$1,201.50 |
$1,335 |
1.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$173.70 |
$193 |
6.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$68.99 |
$76.66 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$118.01 |
$131.12 |
0.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$154.17 |
$171.30 |
1.0× |