| Breast lesion removal (open) (19120) |
$3,535.20 |
$8,838 |
0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,216 |
$5,540 |
2.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,067.60 |
$5,169 |
2.2× |
| Diagnostic colonoscopy (45378) |
$3,344 |
$8,360 |
3.4× |
| Colonoscopy with biopsy (45380) |
$3,470.80 |
$8,677 |
2.8× |
| Colonoscopy with lesion removal (45385) |
$3,470.80 |
$8,677 |
2.8× |
| Colonoscopy with endoscopic ultrasound (45391) |
$3,344 |
$8,360 |
2.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$3,182.80 |
$7,957 |
3.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,203.20 |
$5,508 |
2.4× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,294.40 |
$3,236 |
2.3× |
| CT head/brain without contrast (70450) |
$1,460 |
$3,650 |
13.4× |
| MRI brain without contrast (70551) |
$1,813.40 |
$4,533.50 |
7.3× |
| MRI brain with contrast (70552) |
$2,611.40 |
$6,528.50 |
7.2× |
| MRI brain without and with contrast (70553) |
$2,953.60 |
$7,384 |
8.1× |
| X-ray lower spine, 4+ views (72110) |
$470.80 |
$1,177 |
4.3× |
| MRI lumbar spine without contrast (72148) |
$1,813.40 |
$4,533.50 |
7.3× |
| CT pelvis with contrast (72193) |
$2,406.60 |
$6,016.50 |
13.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,813.40 |
$4,533.50 |
7.3× |
| CT abdomen and pelvis with contrast (74177) |
$3,442.60 |
$8,606.50 |
9.4× |
| Ultrasound, abdomen complete (76700) |
$804 |
$2,010 |
7.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$807.20 |
$2,018 |
7.4× |
| Ultrasound, transvaginal (76830) |
$754.80 |
$1,887 |
6.9× |
| Mammography, one breast (diagnostic) (77065) |
$397.20 |
$993 |
4.6× |
| Mammography, both breasts (diagnostic) (77066) |
$499.20 |
$1,248 |
4.5× |
| Mammography, screening (bilateral) (77067) |
$92.80 |
$232 |
1.0× |
| Basic metabolic panel (80048) |
$62.60 |
$156.50 |
7.4× |
| Comprehensive metabolic panel (80053) |
$75.20 |
$188 |
7.1× |
| Obstetric panel (80055) |
$192 |
$480 |
4.0× |
| Lipid panel (80061) |
$16.40 |
$41 |
1.2× |
| Renal function panel (80069) |
$65 |
$162.50 |
7.5× |
| Hepatic function panel (80076) |
$51.20 |
$128 |
6.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$19.80 |
$49.50 |
5.7× |
| PSA, total (84153) |
$61.80 |
$154.50 |
3.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$32.40 |
$81 |
1.9× |
| CBC with automated differential (85025) |
$48.60 |
$121.50 |
6.3× |
| CBC, automated (85027) |
$33.60 |
$84 |
5.2× |
| Prothrombin time (PT) (85610) |
$33.80 |
$84.50 |
7.9× |
| Partial thromboplastin time (PTT) (85730) |
$63.20 |
$158 |
10.5× |
| Left heart catheterization (93452) |
$6,894 |
$17,235 |
2.0× |
| Sleep study (attended polysomnography) (95810) |
$2,487.60 |
$6,219 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$100.80 |
$252 |
3.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$102.40 |
$256 |
0.7× |