| Breast lesion removal (open) (19120) |
$4,620 |
$7,700 |
1.2× |
| Diagnostic colonoscopy (45378) |
$1,291.20 |
$2,152 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$1,612.80 |
$2,688 |
1.3× |
| Laparoscopic gallbladder removal (47562) |
$10,939.80 |
$18,233 |
1.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,662.60 |
$2,771 |
1.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,329 |
$2,215 |
1.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$751.80 |
$1,253 |
1.4× |
| CT head/brain without contrast (70450) |
$2,661.60 |
$4,436 |
25.3× |
| MRI brain without contrast (70551) |
$1,026 |
$1,710 |
4.3× |
| MRI brain with contrast (70552) |
$1,036.20 |
$1,727 |
3.0× |
| MRI brain without and with contrast (70553) |
$1,237.80 |
$2,063 |
3.5× |
| X-ray lower spine, 4+ views (72110) |
$407.40 |
$679 |
3.9× |
| MRI lumbar spine without contrast (72148) |
$762.60 |
$1,271 |
3.2× |
| CT pelvis with contrast (72193) |
$1,089.60 |
$1,816 |
6.2× |
| MRI lower-extremity joint without contrast (73721) |
$1,483.20 |
$2,472 |
6.2× |
| CT abdomen and pelvis with contrast (74177) |
$1,624.80 |
$2,708 |
4.6× |
| Ultrasound, abdomen complete (76700) |
$673.80 |
$1,123 |
6.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$256.80 |
$428 |
2.4× |
| Ultrasound, transvaginal (76830) |
$217.20 |
$362 |
2.1× |
| Mammography, one breast (diagnostic) (77065) |
$517.20 |
$862 |
6.0× |
| Mammography, both breasts (diagnostic) (77066) |
$582.60 |
$971 |
5.3× |
| Mammography, screening (bilateral) (77067) |
$420 |
$700 |
4.6× |
| Basic metabolic panel (80048) |
$87.60 |
$146 |
10.4× |
| Comprehensive metabolic panel (80053) |
$139.20 |
$232 |
13.2× |
| Lipid panel (80061) |
$54.90 |
$91.50 |
4.1× |
| Renal function panel (80069) |
$101.40 |
$169 |
11.7× |
| Hepatic function panel (80076) |
$96.60 |
$161 |
11.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$33 |
$55 |
9.5× |
| PSA, total (84153) |
$45.30 |
$75.50 |
2.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$48.60 |
$81 |
2.9× |
| CBC with automated differential (85025) |
$83.40 |
$139 |
10.7× |
| CBC, automated (85027) |
$76.80 |
$128 |
11.9× |
| Prothrombin time (PT) (85610) |
$54.60 |
$91 |
12.7× |
| Partial thromboplastin time (PTT) (85730) |
$35.40 |
$59 |
5.9× |
| Psychotherapy, 30 minutes (90832) |
$253.20 |
$422 |
1.4× |
| Psychotherapy, 45 minutes (90834) |
$423.60 |
$706 |
2.4× |
| Psychotherapy, 60 minutes (90837) |
$514.80 |
$858 |
2.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$336.60 |
$561 |
1.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$488.40 |
$814 |
2.7× |
| Group psychotherapy (90853) |
$285.30 |
$475.50 |
2.8× |
| Left heart catheterization (93452) |
$18,462.60 |
$30,771 |
5.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$112.80 |
$188 |
3.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$454.80 |
$758 |
3.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$650.40 |
$1,084 |
4.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$795.90 |
$1,326.50 |
6.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$139.20 |
$232 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$163.20 |
$272 |
— |