| Breast lesion removal (open) (19120) |
$8,320.80 |
$10,401 |
1.8× |
| Laparoscopic gallbladder removal (47562) |
$13,360 |
$16,700 |
1.9× |
| Laparoscopic radical prostatectomy (55866) |
$23,760 |
$29,700 |
1.9× |
| CT head/brain without contrast (70450) |
$1,600 |
$2,000 |
13.2× |
| MRI brain without contrast (70551) |
$1,840 |
$2,300 |
6.6× |
| MRI brain with contrast (70552) |
$2,320 |
$2,900 |
5.7× |
| MRI brain without and with contrast (70553) |
$2,800 |
$3,500 |
6.9× |
| X-ray lower spine, 4+ views (72110) |
$368 |
$460 |
3.0× |
| MRI lumbar spine without contrast (72148) |
$2,080 |
$2,600 |
7.5× |
| CT pelvis with contrast (72193) |
$1,920 |
$2,400 |
9.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,760 |
$2,200 |
6.4× |
| CT abdomen and pelvis with contrast (74177) |
$3,600 |
$4,500 |
8.9× |
| Ultrasound, abdomen complete (76700) |
$714.40 |
$893 |
5.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$411.20 |
$514 |
3.4× |
| Ultrasound, transvaginal (76830) |
$511.20 |
$639 |
4.2× |
| Mammography, one breast (diagnostic) (77065) |
$400 |
$500 |
4.6× |
| Mammography, both breasts (diagnostic) (77066) |
$440 |
$550 |
4.0× |
| Mammography, screening (bilateral) (77067) |
$300 |
$375 |
3.3× |
| Basic metabolic panel (80048) |
$87.20 |
$109 |
10.3× |
| Comprehensive metabolic panel (80053) |
$104.80 |
$131 |
9.9× |
| Obstetric panel (80055) |
$215.20 |
$269 |
4.5× |
| Lipid panel (80061) |
$100.80 |
$126 |
7.5× |
| Renal function panel (80069) |
$76 |
$95 |
8.8× |
| Hepatic function panel (80076) |
$92.80 |
$116 |
11.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$12.80 |
$16 |
3.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$16.80 |
$21 |
4.8× |
| PSA, total (84153) |
$124.80 |
$156 |
6.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$124.80 |
$156 |
7.4× |
| CBC with automated differential (85025) |
$88.80 |
$111 |
11.4× |
| CBC, automated (85027) |
$60 |
$75 |
9.3× |
| Prothrombin time (PT) (85610) |
$49.12 |
$61.40 |
11.4× |
| Partial thromboplastin time (PTT) (85730) |
$52.20 |
$65.25 |
8.7× |
| Psychotherapy, 30 minutes (90832) |
$132 |
$165 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$161.60 |
$202 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$188 |
$235 |
0.9× |
| Electrocardiogram (ECG), complete (93000) |
$61.60 |
$77 |
0.9× |
| Left heart catheterization (93452) |
$7,760 |
$9,700 |
2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$120.80 |
$151 |
4.2× |