| Breast lesion removal (open) (19120) |
$5,335.21 |
$8,208.01 |
1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,098.11 |
$1,689.40 |
1.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,908.42 |
$2,936.03 |
2.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,543.39 |
$2,374.44 |
1.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,585.30 |
$3,977.38 |
2.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,893.96 |
$2,913.79 |
3.2× |
| CT head/brain without contrast (70450) |
$1,372.20 |
$2,111.08 |
12.3× |
| MRI brain without contrast (70551) |
$1,769.57 |
$2,722.41 |
7.0× |
| MRI brain with contrast (70552) |
$2,221.10 |
$3,417.08 |
6.0× |
| MRI brain without and with contrast (70553) |
$2,525.13 |
$3,884.81 |
6.8× |
| X-ray lower spine, 4+ views (72110) |
$716.05 |
$1,101.61 |
6.4× |
| MRI lumbar spine without contrast (72148) |
$2,396.86 |
$3,687.48 |
9.4× |
| CT pelvis with contrast (72193) |
$2,921.37 |
$4,494.41 |
15.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,584.35 |
$2,437.46 |
6.2× |
| CT abdomen and pelvis with contrast (74177) |
$3,223.68 |
$4,959.51 |
8.7× |
| Ultrasound, abdomen complete (76700) |
$751.87 |
$1,156.73 |
6.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$884.64 |
$1,360.99 |
7.9× |
| Ultrasound, transvaginal (76830) |
$707.40 |
$1,088.31 |
6.4× |
| Mammography, one breast (diagnostic) (77065) |
$418.78 |
$644.27 |
4.9× |
| Mammography, both breasts (diagnostic) (77066) |
$535.72 |
$824.18 |
4.8× |
| Mammography, screening (bilateral) (77067) |
$447.11 |
$687.86 |
4.9× |
| Basic metabolic panel (80048) |
$181.41 |
$279.09 |
21.4× |
| Comprehensive metabolic panel (80053) |
$202.27 |
$311.18 |
19.2× |
| Obstetric panel (80055) |
$465.76 |
$716.56 |
9.7× |
| Lipid panel (80061) |
$104.04 |
$160.06 |
7.8× |
| Renal function panel (80069) |
$195.70 |
$301.08 |
22.5× |
| Hepatic function panel (80076) |
$243.96 |
$375.32 |
29.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$25.43 |
$39.12 |
6.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$19.44 |
$29.91 |
5.6× |
| PSA, total (84153) |
$207.96 |
$319.94 |
11.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$189.15 |
$291 |
11.3× |
| CBC with automated differential (85025) |
$92.24 |
$141.91 |
11.9× |
| CBC, automated (85027) |
$107.06 |
$164.70 |
16.5× |
| Prothrombin time (PT) (85610) |
$62.61 |
$96.32 |
14.6× |
| Partial thromboplastin time (PTT) (85730) |
$93.10 |
$143.23 |
15.5× |
| Psychotherapy, 30 minutes (90832) |
$298.10 |
$458.62 |
1.6× |
| Psychotherapy, 45 minutes (90834) |
$386.01 |
$593.86 |
2.0× |
| Psychotherapy, 60 minutes (90837) |
$353.91 |
$544.48 |
1.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$215.35 |
$331.30 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$241.38 |
$371.36 |
1.3× |
| Group psychotherapy (90853) |
$258.45 |
$397.62 |
2.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$129.97 |
$199.95 |
4.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$209.43 |
$322.20 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$250.96 |
$386.09 |
1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$298.58 |
$459.36 |
2.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$237.34 |
$365.14 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$237.34 |
$365.14 |
— |