| Breast lesion removal (open) (19120) |
$2,084.21 |
$5,633 |
0.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,227.66 |
$3,318 |
1.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,517.37 |
$4,101 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,407.11 |
$3,803 |
1.4× |
| Colonoscopy with biopsy (45380) |
$1,680.91 |
$4,543 |
1.3× |
| Colonoscopy with lesion removal (45385) |
$1,798.20 |
$4,860 |
1.4× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,678.32 |
$4,536 |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$936.84 |
$2,532 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,804.12 |
$4,876 |
1.9× |
| CT head/brain without contrast (70450) |
$650.46 |
$1,758 |
5.8× |
| MRI brain without contrast (70551) |
$1,670.55 |
$4,515 |
6.6× |
| MRI brain with contrast (70552) |
$1,965.07 |
$5,311 |
5.3× |
| MRI brain without and with contrast (70553) |
$2,140.82 |
$5,786 |
5.7× |
| X-ray lower spine, 4+ views (72110) |
$377.77 |
$1,021 |
3.4× |
| MRI lumbar spine without contrast (72148) |
$1,582.49 |
$4,277 |
6.2× |
| CT pelvis with contrast (72193) |
$1,132.57 |
$3,061 |
6.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,608.39 |
$4,347 |
6.3× |
| CT abdomen and pelvis with contrast (74177) |
$1,787.84 |
$4,832 |
4.8× |
| Ultrasound, abdomen complete (76700) |
$523.18 |
$1,414 |
4.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$450.29 |
$1,217 |
4.0× |
| Ultrasound, transvaginal (76830) |
$374.44 |
$1,012 |
3.4× |
| Mammography, one breast (diagnostic) (77065) |
$276.76 |
$748 |
3.2× |
| Mammography, both breasts (diagnostic) (77066) |
$347.43 |
$939 |
3.1× |
| Mammography, screening (bilateral) (77067) |
$314.50 |
$850 |
3.4× |
| Basic metabolic panel (80048) |
$36.26 |
$98 |
4.3× |
| Comprehensive metabolic panel (80053) |
$45.14 |
$122 |
4.3× |
| Lipid panel (80061) |
$56.24 |
$152 |
4.2× |
| Renal function panel (80069) |
$45.14 |
$122 |
5.2× |
| Hepatic function panel (80076) |
$39.22 |
$106 |
4.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$18.50 |
$50 |
4.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$18.87 |
$51 |
5.4× |
| PSA, total (84153) |
$85.10 |
$230 |
4.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$72.89 |
$197 |
4.3× |
| CBC with automated differential (85025) |
$40.70 |
$110 |
5.2× |
| CBC, automated (85027) |
$29.97 |
$81 |
4.6× |
| Prothrombin time (PT) (85610) |
$35.52 |
$96 |
8.3× |
| Partial thromboplastin time (PTT) (85730) |
$43.66 |
$118 |
7.3× |
| Psychotherapy, 30 minutes (90832) |
$79.55 |
$215 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$107.67 |
$291 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$146.52 |
$396 |
0.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$81.40 |
$220 |
0.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$84.73 |
$229 |
0.4× |
| Left heart catheterization (93452) |
$2,665.85 |
$7,205 |
0.8× |
| Sleep study (attended polysomnography) (95810) |
$2,602.21 |
$7,033 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$64.01 |
$173 |
2.2× |