| Breast lesion removal (open) (19120) |
$2,978.24 |
$4,639 |
0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,508.06 |
$2,349 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,987.63 |
$3,096 |
2.1× |
| Diagnostic colonoscopy (45378) |
$1,814.93 |
$2,827 |
1.9× |
| Colonoscopy with biopsy (45380) |
$1,967.09 |
$3,064 |
1.6× |
| Colonoscopy with lesion removal (45385) |
$2,145.56 |
$3,342 |
1.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,111.30 |
$1,731 |
1.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,239.70 |
$1,931 |
1.4× |
| CT head/brain without contrast (70450) |
$1,162.66 |
$1,811 |
10.8× |
| MRI brain without contrast (70551) |
$1,902.89 |
$2,964 |
7.7× |
| MRI brain with contrast (70552) |
$1,990.20 |
$3,100 |
5.5× |
| MRI brain without and with contrast (70553) |
$2,664.30 |
$4,150 |
7.4× |
| X-ray lower spine, 4+ views (72110) |
$188.75 |
$294 |
1.7× |
| MRI lumbar spine without contrast (72148) |
$1,852.81 |
$2,886 |
7.5× |
| CT pelvis with contrast (72193) |
$1,262.17 |
$1,966 |
7.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,931.78 |
$3,009 |
7.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,508.29 |
$3,907 |
7.0× |
| Ultrasound, abdomen complete (76700) |
$626.59 |
$976 |
5.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$491.77 |
$766 |
4.6× |
| Ultrasound, transvaginal (76830) |
$389.05 |
$606 |
3.6× |
| Mammography, one breast (diagnostic) (77065) |
$284.41 |
$443 |
3.3× |
| Mammography, both breasts (diagnostic) (77066) |
$297.89 |
$464 |
2.7× |
| Mammography, screening (bilateral) (77067) |
$288.90 |
$450 |
3.2× |
| Basic metabolic panel (80048) |
$89.24 |
$139 |
10.5× |
| Comprehensive metabolic panel (80053) |
$163.71 |
$255 |
15.5× |
| Lipid panel (80061) |
$94.37 |
$147 |
7.0× |
| Renal function panel (80069) |
$89.88 |
$140 |
10.4× |
| Hepatic function panel (80076) |
$109.14 |
$170 |
13.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$17.98 |
$28 |
5.2× |
| PSA, total (84153) |
$73.83 |
$115 |
4.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$137.39 |
$214 |
8.2× |
| CBC with automated differential (85025) |
$109.14 |
$170 |
14.0× |
| CBC, automated (85027) |
$64.84 |
$101 |
10.0× |
| Prothrombin time (PT) (85610) |
$41.73 |
$65 |
9.7× |
| Partial thromboplastin time (PTT) (85730) |
$66.13 |
$103 |
11.0× |
| Psychotherapy, 60 minutes (90837) |
$160.50 |
$250 |
0.9× |
| Sleep study (attended polysomnography) (95810) |
$2,517.92 |
$3,922 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$87.95 |
$137 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$89.88 |
$140 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$122.62 |
$191 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$173.34 |
$270 |
1.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$127.12 |
$198 |
0.9× |