| Breast lesion removal (open) (19120) |
$3,190.50 |
$7,090 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$770.40 |
$1,712 |
0.8× |
| Diagnostic colonoscopy (45378) |
$1,150.65 |
$2,557 |
1.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,363.05 |
$3,029 |
1.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$796.50 |
$1,770 |
0.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$706.05 |
$1,569 |
1.2× |
| CT head/brain without contrast (70450) |
$403.20 |
$896 |
3.7× |
| MRI brain without contrast (70551) |
$707.85 |
$1,573 |
2.8× |
| MRI brain with contrast (70552) |
$909 |
$2,020 |
2.5× |
| MRI brain without and with contrast (70553) |
$872.10 |
$1,938 |
2.4× |
| X-ray lower spine, 4+ views (72110) |
$72.90 |
$162 |
0.7× |
| MRI lumbar spine without contrast (72148) |
$523.35 |
$1,163 |
2.1× |
| CT pelvis with contrast (72193) |
$529.20 |
$1,176 |
2.9× |
| MRI lower-extremity joint without contrast (73721) |
$784.80 |
$1,744 |
3.1× |
| CT abdomen and pelvis with contrast (74177) |
$806.40 |
$1,792 |
2.2× |
| Ultrasound, abdomen complete (76700) |
$235.35 |
$523 |
2.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$300.15 |
$667 |
2.7× |
| Ultrasound, transvaginal (76830) |
$165.60 |
$368 |
1.5× |
| Mammography, one breast (diagnostic) (77065) |
$234.45 |
$521 |
2.7× |
| Mammography, both breasts (diagnostic) (77066) |
$312.75 |
$695 |
2.8× |
| Mammography, screening (bilateral) (77067) |
$181.80 |
$404 |
2.0× |
| Basic metabolic panel (80048) |
$109.35 |
$243 |
12.9× |
| Comprehensive metabolic panel (80053) |
$144.22 |
$320.50 |
13.7× |
| Lipid panel (80061) |
$34.20 |
$76 |
2.6× |
| Renal function panel (80069) |
$50.62 |
$112.50 |
5.8× |
| Hepatic function panel (80076) |
$78.98 |
$175.50 |
9.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$8.32 |
$18.50 |
2.4× |
| PSA, total (84153) |
$28.35 |
$63 |
1.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$46.35 |
$103 |
2.8× |
| CBC with automated differential (85025) |
$41.85 |
$93 |
5.4× |
| CBC, automated (85027) |
$91.35 |
$203 |
14.1× |
| Prothrombin time (PT) (85610) |
$40.05 |
$89 |
9.3× |
| Partial thromboplastin time (PTT) (85730) |
$33.98 |
$75.50 |
5.7× |
| Psychotherapy, 30 minutes (90832) |
$95.85 |
$213 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$112.05 |
$249 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$148.28 |
$329.50 |
0.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$182.70 |
$406 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$130.72 |
$290.50 |
0.7× |
| Group psychotherapy (90853) |
$61.65 |
$137 |
0.6× |
| Left heart catheterization (93452) |
$4,489.20 |
$9,976 |
1.3× |
| Sleep study (attended polysomnography) (95810) |
$2,418.30 |
$5,374 |
2.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$101.70 |
$226 |
3.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$164.02 |
$364.50 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$254.70 |
$566 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$277.65 |
$617 |
2.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$175.28 |
$389.50 |
1.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$268.42 |
$596.50 |
1.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$178.65 |
$397 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$218.70 |
$486 |
— |