| Breast lesion removal (open) (19120) |
$5,771.45 |
$15,108.50 |
1.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,382.08 |
$3,618 |
1.4× |
| Diagnostic colonoscopy (45378) |
$1,390.87 |
$3,641 |
1.4× |
| Colonoscopy with biopsy (45380) |
$1,812.59 |
$4,745 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$1,812.59 |
$4,745 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$763.24 |
$1,998 |
0.8× |
| CT head/brain without contrast (70450) |
$1,268.63 |
$3,321 |
11.4× |
| MRI brain without contrast (70551) |
$1,263.66 |
$3,308 |
5.0× |
| MRI brain with contrast (70552) |
$1,748.80 |
$4,578 |
4.7× |
| MRI brain without and with contrast (70553) |
$2,256.48 |
$5,907 |
6.1× |
| X-ray lower spine, 4+ views (72110) |
$372.84 |
$976 |
3.3× |
| MRI lumbar spine without contrast (72148) |
$1,564.68 |
$4,096 |
6.1× |
| CT pelvis with contrast (72193) |
$1,586.07 |
$4,152 |
8.5× |
| MRI lower-extremity joint without contrast (73721) |
$2,169.58 |
$5,679.50 |
8.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,115.14 |
$5,537 |
5.7× |
| Ultrasound, abdomen complete (76700) |
$877.46 |
$2,297 |
7.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$441.60 |
$1,156 |
4.0× |
| Ultrasound, transvaginal (76830) |
$501.57 |
$1,313 |
4.5× |
| Mammography, one breast (diagnostic) (77065) |
$276.19 |
$723 |
3.2× |
| Mammography, both breasts (diagnostic) (77066) |
$349.53 |
$915 |
3.2× |
| Mammography, screening (bilateral) (77067) |
$186.80 |
$489 |
2.0× |
| Basic metabolic panel (80048) |
$123.77 |
$324 |
14.6× |
| Comprehensive metabolic panel (80053) |
$131.41 |
$344 |
12.4× |
| Lipid panel (80061) |
$187.56 |
$491 |
14.0× |
| Renal function panel (80069) |
$152.04 |
$398 |
17.5× |
| Hepatic function panel (80076) |
$111.93 |
$293 |
13.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$12.23 |
$32 |
3.5× |
| PSA, total (84153) |
$72.58 |
$190 |
3.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$170.38 |
$446 |
10.1× |
| CBC with automated differential (85025) |
$96.27 |
$252 |
12.4× |
| CBC, automated (85027) |
$73.35 |
$192 |
11.3× |
| Prothrombin time (PT) (85610) |
$50.42 |
$132 |
11.8× |
| Partial thromboplastin time (PTT) (85730) |
$62.08 |
$162.50 |
10.3× |
| Left heart catheterization (93452) |
$6,630 |
$17,356 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$89.39 |
$234 |
3.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$210.87 |
$552 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$267.02 |
$699 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$323.56 |
$847 |
2.3× |