| Breast lesion removal (open) (19120) |
$5,445 |
$9,075 |
1.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,338.40 |
$5,564 |
3.6× |
| CT head/brain without contrast (70450) |
$1,042.20 |
$1,737 |
9.6× |
| MRI brain without contrast (70551) |
$2,013 |
$3,355 |
8.1× |
| MRI brain with contrast (70552) |
$2,344.20 |
$3,907 |
6.5× |
| MRI brain without and with contrast (70553) |
$2,595 |
$4,325 |
7.2× |
| X-ray lower spine, 4+ views (72110) |
$414.60 |
$691 |
3.8× |
| MRI lumbar spine without contrast (72148) |
$2,097.60 |
$3,496 |
8.5× |
| CT pelvis with contrast (72193) |
$1,650 |
$2,750 |
9.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,851.60 |
$3,086 |
7.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,796.60 |
$4,661 |
7.7× |
| Ultrasound, abdomen complete (76700) |
$503.40 |
$839 |
4.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$755.40 |
$1,259 |
7.0× |
| Ultrasound, transvaginal (76830) |
$403.20 |
$672 |
3.7× |
| Mammography, one breast (diagnostic) (77065) |
$243.60 |
$406 |
2.8× |
| Mammography, both breasts (diagnostic) (77066) |
$214.80 |
$358 |
1.9× |
| Mammography, screening (bilateral) (77067) |
$192 |
$320 |
2.1× |
| Basic metabolic panel (80048) |
$40.20 |
$67 |
4.8× |
| Comprehensive metabolic panel (80053) |
$197.40 |
$329 |
18.7× |
| Obstetric panel (80055) |
$285 |
$475 |
6.0× |
| Lipid panel (80061) |
$123 |
$205 |
9.2× |
| Renal function panel (80069) |
$138.60 |
$231 |
16.0× |
| Hepatic function panel (80076) |
$118.80 |
$198 |
14.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$26.70 |
$44.50 |
7.7× |
| PSA, total (84153) |
$87.30 |
$145.50 |
4.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$96.90 |
$161.50 |
5.8× |
| CBC with automated differential (85025) |
$108 |
$180 |
13.9× |
| CBC, automated (85027) |
$72.60 |
$121 |
11.2× |
| Prothrombin time (PT) (85610) |
$55.80 |
$93 |
13.0× |
| Partial thromboplastin time (PTT) (85730) |
$51.90 |
$86.50 |
8.6× |
| Left heart catheterization (93452) |
$11,532.60 |
$19,221 |
3.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$86.40 |
$144 |
3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$216 |
$360 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$351.60 |
$586 |
2.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$441 |
$735 |
3.2× |