| Breast lesion removal (open) (19120) |
$3,280.20 |
$5,467 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$720 |
$1,200 |
0.9× |
| Cataract removal with lens insertion (66984) |
$1,205.04 |
$2,008.40 |
0.6× |
| CT head/brain without contrast (70450) |
$1,261.79 |
$2,102.98 |
13.0× |
| MRI brain without contrast (70551) |
$1,047.60 |
$1,746 |
4.7× |
| MRI brain with contrast (70552) |
$1,216.50 |
$2,027.50 |
3.8× |
| MRI brain without and with contrast (70553) |
$1,216.50 |
$2,027.50 |
3.8× |
| X-ray lower spine, 4+ views (72110) |
$303.86 |
$506.44 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$1,047.60 |
$1,746 |
4.7× |
| CT pelvis with contrast (72193) |
$1,221.79 |
$2,036.32 |
7.5× |
| MRI lower-extremity joint without contrast (73721) |
$882.60 |
$1,471 |
4.0× |
| CT abdomen and pelvis with contrast (74177) |
$2,904 |
$4,840 |
9.0× |
| Ultrasound, abdomen complete (76700) |
$541.96 |
$903.27 |
5.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$335.61 |
$559.35 |
3.5× |
| Ultrasound, transvaginal (76830) |
$238.33 |
$397.21 |
2.5× |
| Mammography, one breast (diagnostic) (77065) |
$192 |
$320 |
2.2× |
| Mammography, both breasts (diagnostic) (77066) |
$192 |
$320 |
1.7× |
| Mammography, screening (bilateral) (77067) |
$184.40 |
$307.34 |
2.0× |
| Basic metabolic panel (80048) |
$186.03 |
$310.05 |
22.0× |
| Comprehensive metabolic panel (80053) |
$302.94 |
$504.90 |
28.7× |
| Obstetric panel (80055) |
$382.80 |
$638 |
8.0× |
| Lipid panel (80061) |
$115.83 |
$193.05 |
8.7× |
| Renal function panel (80069) |
$163.89 |
$273.15 |
18.9× |
| Hepatic function panel (80076) |
$255.09 |
$425.15 |
31.2× |
| PSA, total (84153) |
$46.53 |
$77.55 |
2.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$197.67 |
$329.45 |
11.8× |
| CBC with automated differential (85025) |
$108.27 |
$180.45 |
13.9× |
| CBC, automated (85027) |
$73.17 |
$121.95 |
11.3× |
| Prothrombin time (PT) (85610) |
$40.77 |
$67.95 |
9.5× |
| Partial thromboplastin time (PTT) (85730) |
$91.26 |
$152.10 |
15.2× |
| Psychotherapy, 30 minutes (90832) |
$105.30 |
$175.50 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$147.30 |
$245.50 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$105.03 |
$175.05 |
0.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$141.22 |
$235.38 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$152.24 |
$253.72 |
0.9× |
| Group psychotherapy (90853) |
$105.90 |
$176.50 |
1.1× |
| Electrocardiogram (ECG), complete (93000) |
$36 |
$60 |
0.7× |
| Left heart catheterization (93452) |
$1,416 |
$2,360 |
0.5× |
| Sleep study (attended polysomnography) (95810) |
$2,149.34 |
$3,582.24 |
2.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$53.40 |
$89 |
1.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$136.80 |
$228 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$274.80 |
$458 |
2.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$291.31 |
$485.52 |
2.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$270 |
$450 |
2.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$328.20 |
$547 |
2.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$315.90 |
$526.50 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$340.50 |
$567.50 |
— |