| Breast lesion removal (open) (19120) |
$29,833.93 |
$42,619.89 |
7.9× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,312.09 |
$3,302.98 |
2.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,312.09 |
$3,302.98 |
2.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,424.72 |
$2,035.31 |
2.7× |
| Cataract removal with lens insertion (66984) |
$5,923.06 |
$8,461.51 |
2.7× |
| CT head/brain without contrast (70450) |
$1,979.66 |
$2,828.08 |
19.7× |
| MRI brain without contrast (70551) |
$3,245.11 |
$4,635.86 |
14.2× |
| MRI brain with contrast (70552) |
$2,978.36 |
$4,254.79 |
8.9× |
| MRI brain without and with contrast (70553) |
$5,037.14 |
$7,195.91 |
15.1× |
| X-ray lower spine, 4+ views (72110) |
$421.66 |
$602.37 |
4.2× |
| MRI lumbar spine without contrast (72148) |
$3,245.11 |
$4,635.86 |
14.2× |
| CT pelvis with contrast (72193) |
$2,090.22 |
$2,986.02 |
12.4× |
| MRI lower-extremity joint without contrast (73721) |
$3,245.11 |
$4,635.86 |
14.2× |
| CT abdomen and pelvis with contrast (74177) |
$2,568.84 |
$3,669.77 |
7.7× |
| Ultrasound, abdomen complete (76700) |
$646.29 |
$923.26 |
6.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$607.70 |
$868.14 |
6.1× |
| Ultrasound, transvaginal (76830) |
$414.41 |
$592.01 |
4.1× |
| Mammography, one breast (diagnostic) (77065) |
$172.15 |
$245.92 |
2.0× |
| Mammography, both breasts (diagnostic) (77066) |
$230.77 |
$329.66 |
2.1× |
| Mammography, screening (bilateral) (77067) |
$230.77 |
$329.66 |
2.5× |
| Basic metabolic panel (80048) |
$144.69 |
$206.70 |
17.1× |
| Comprehensive metabolic panel (80053) |
$27.43 |
$39.18 |
2.6× |
| Obstetric panel (80055) |
$241.15 |
$344.50 |
5.0× |
| Lipid panel (80061) |
$34.78 |
$49.68 |
2.6× |
| Renal function panel (80069) |
$83.11 |
$118.72 |
9.6× |
| Hepatic function panel (80076) |
$86.82 |
$124.02 |
10.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$25.97 |
$37.10 |
7.5× |
| PSA, total (84153) |
$122.06 |
$174.37 |
6.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$43.64 |
$62.33 |
2.6× |
| CBC with automated differential (85025) |
$20.19 |
$28.83 |
2.6× |
| CBC, automated (85027) |
$42.30 |
$60.42 |
6.5× |
| Prothrombin time (PT) (85610) |
$27.10 |
$38.70 |
6.3× |
| Partial thromboplastin time (PTT) (85730) |
$109.82 |
$156.88 |
18.3× |
| Psychotherapy, 30 minutes (90832) |
$170.66 |
$243.80 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$170.66 |
$243.80 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$172.52 |
$246.45 |
1.0× |
| Group psychotherapy (90853) |
$209.62 |
$299.45 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$83.85 |
$119.78 |
2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$206.66 |
$295.22 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$241.15 |
$344.50 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$498.63 |
$712.32 |
3.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$456.33 |
$651.90 |
3.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$548.16 |
$783.08 |
4.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$153.05 |
$218.63 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$153.05 |
$218.63 |
— |