| Breast lesion removal (open) (19120) |
$2,681 |
$3,830 |
0.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$878.92 |
$1,255.60 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,438.99 |
$2,055.70 |
1.8× |
| CT head/brain without contrast (70450) |
$1,891.75 |
$2,702.50 |
19.7× |
| MRI brain without contrast (70551) |
$2,988.72 |
$4,269.60 |
13.6× |
| MRI brain with contrast (70552) |
$2,988.72 |
$4,269.60 |
9.3× |
| MRI brain without and with contrast (70553) |
$3,960.39 |
$5,657.70 |
12.3× |
| X-ray lower spine, 4+ views (72110) |
$708.96 |
$1,012.80 |
7.4× |
| MRI lumbar spine without contrast (72148) |
$1,849.61 |
$2,642.30 |
8.4× |
| CT pelvis with contrast (72193) |
$1,891.75 |
$2,702.50 |
11.7× |
| MRI lower-extremity joint without contrast (73721) |
$2,741.90 |
$3,917 |
12.5× |
| CT abdomen and pelvis with contrast (74177) |
$1,891.75 |
$2,702.50 |
5.9× |
| Ultrasound, abdomen complete (76700) |
$1,178.03 |
$1,682.90 |
12.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$480.27 |
$686.10 |
5.0× |
| Ultrasound, transvaginal (76830) |
$392.07 |
$560.10 |
4.1× |
| Mammography, one breast (diagnostic) (77065) |
$413.35 |
$590.50 |
4.8× |
| Mammography, both breasts (diagnostic) (77066) |
$515.69 |
$736.70 |
4.7× |
| Mammography, screening (bilateral) (77067) |
$251.02 |
$358.60 |
2.8× |
| Basic metabolic panel (80048) |
$84.28 |
$120.40 |
10.0× |
| Comprehensive metabolic panel (80053) |
$143.71 |
$205.30 |
13.6× |
| Obstetric panel (80055) |
$175 |
$250 |
3.7× |
| Lipid panel (80061) |
$126.35 |
$180.50 |
9.4× |
| Renal function panel (80069) |
$54.11 |
$77.30 |
6.2× |
| Hepatic function panel (80076) |
$99.96 |
$142.80 |
12.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$7.35 |
$10.50 |
2.1× |
| PSA, total (84153) |
$126.21 |
$180.30 |
6.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$73.78 |
$105.40 |
4.4× |
| CBC with automated differential (85025) |
$25.90 |
$37 |
3.3× |
| CBC, automated (85027) |
$65.10 |
$93 |
10.1× |
| Prothrombin time (PT) (85610) |
$28.28 |
$40.40 |
6.6× |
| Partial thromboplastin time (PTT) (85730) |
$64.05 |
$91.50 |
10.7× |
| Psychotherapy, 30 minutes (90832) |
$162.26 |
$231.80 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$179.76 |
$256.80 |
1.1× |
| Psychotherapy, 60 minutes (90837) |
$232.54 |
$332.20 |
1.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$175.70 |
$251 |
1.1× |
| Left heart catheterization (93452) |
$11,413.85 |
$16,305.50 |
3.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$68.67 |
$98.10 |
2.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$82.32 |
$117.60 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$111.58 |
$159.40 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$249.69 |
$356.70 |
2.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$164.08 |
$234.40 |
1.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$229.25 |
$327.50 |
1.9× |