| Breast lesion removal (open) (19120) |
$3,488.50 |
$6,977 |
0.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,826 |
$3,652 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,915 |
$3,830 |
1.8× |
| Diagnostic colonoscopy (45378) |
$1,423 |
$2,846 |
1.3× |
| Colonoscopy with biopsy (45380) |
$1,388.50 |
$2,777 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,518 |
$3,036 |
1.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,166.50 |
$2,333 |
0.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,155.50 |
$2,311 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,725 |
$3,450 |
1.7× |
| CT head/brain without contrast (70450) |
$585.50 |
$1,171 |
4.8× |
| MRI brain without contrast (70551) |
$951 |
$1,902 |
3.4× |
| MRI brain with contrast (70552) |
$1,042.50 |
$2,085 |
2.6× |
| MRI brain without and with contrast (70553) |
$1,228.50 |
$2,457 |
3.0× |
| X-ray lower spine, 4+ views (72110) |
$235.50 |
$471 |
1.9× |
| MRI lumbar spine without contrast (72148) |
$979 |
$1,958 |
3.5× |
| CT pelvis with contrast (72193) |
$778 |
$1,556 |
3.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,407.50 |
$2,815 |
5.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,600 |
$3,200 |
3.9× |
| Ultrasound, abdomen complete (76700) |
$308.50 |
$617 |
2.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$299 |
$598 |
2.5× |
| Ultrasound, transvaginal (76830) |
$199 |
$398 |
1.6× |
| Mammography, one breast (diagnostic) (77065) |
$171 |
$342 |
2.0× |
| Mammography, both breasts (diagnostic) (77066) |
$216.50 |
$433 |
2.0× |
| Mammography, screening (bilateral) (77067) |
$198.25 |
$396.50 |
2.2× |
| Basic metabolic panel (80048) |
$27.38 |
$54.77 |
3.2× |
| Comprehensive metabolic panel (80053) |
$29.98 |
$59.96 |
2.8× |
| Lipid panel (80061) |
$11.47 |
$22.94 |
0.9× |
| Renal function panel (80069) |
$43 |
$86 |
5.0× |
| Hepatic function panel (80076) |
$22.63 |
$45.26 |
2.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$19 |
$38 |
5.5× |
| PSA, total (84153) |
$13.71 |
$27.42 |
0.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$13.25 |
$26.50 |
0.8× |
| CBC with automated differential (85025) |
$54.50 |
$109 |
7.0× |
| CBC, automated (85027) |
$24.60 |
$49.20 |
3.8× |
| Prothrombin time (PT) (85610) |
$28 |
$56 |
6.5× |
| Partial thromboplastin time (PTT) (85730) |
$59.68 |
$119.35 |
9.9× |
| Psychotherapy, 45 minutes (90834) |
$180.50 |
$361 |
0.9× |
| Group psychotherapy (90853) |
$680 |
$1,360 |
5.8× |
| Left heart catheterization (93452) |
$7,806 |
$15,612 |
2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$63 |
$126 |
2.2× |