| Breast lesion removal (open) (19120) |
$13,728 |
$13,728 |
3.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,502 |
$2,502 |
2.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,596.63 |
$2,596.63 |
2.9× |
| CT head/brain without contrast (70450) |
$2,016 |
$2,016 |
19.3× |
| MRI brain without contrast (70551) |
$2,094.50 |
$2,094.50 |
8.8× |
| MRI brain with contrast (70552) |
$2,804 |
$2,804 |
8.0× |
| MRI brain without and with contrast (70553) |
$4,465 |
$4,465 |
12.8× |
| X-ray lower spine, 4+ views (72110) |
$749 |
$749 |
7.2× |
| MRI lumbar spine without contrast (72148) |
$3,342 |
$3,342 |
14.0× |
| CT pelvis with contrast (72193) |
$1,766 |
$1,766 |
10.1× |
| MRI lower-extremity joint without contrast (73721) |
$3,507 |
$3,507 |
14.7× |
| CT abdomen and pelvis with contrast (74177) |
$1,944 |
$1,944 |
5.6× |
| Ultrasound, abdomen complete (76700) |
$1,425 |
$1,425 |
13.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$930 |
$930 |
8.9× |
| Ultrasound, transvaginal (76830) |
$1,215 |
$1,215 |
11.6× |
| Mammography, one breast (diagnostic) (77065) |
$368 |
$368 |
4.3× |
| Mammography, both breasts (diagnostic) (77066) |
$397 |
$397 |
3.6× |
| Mammography, screening (bilateral) (77067) |
$519 |
$519 |
5.7× |
| Basic metabolic panel (80048) |
$171 |
$171 |
20.2× |
| Comprehensive metabolic panel (80053) |
$151 |
$151 |
14.3× |
| Lipid panel (80061) |
$209.50 |
$209.50 |
15.6× |
| Renal function panel (80069) |
$237.50 |
$237.50 |
27.4× |
| Hepatic function panel (80076) |
$221.50 |
$221.50 |
27.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$29.50 |
$29.50 |
8.5× |
| PSA, total (84153) |
$127 |
$127 |
6.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$91 |
$91 |
5.4× |
| CBC with automated differential (85025) |
$130 |
$130 |
16.7× |
| CBC, automated (85027) |
$162 |
$162 |
25.0× |
| Prothrombin time (PT) (85610) |
$66 |
$66 |
15.4× |
| Partial thromboplastin time (PTT) (85730) |
$139 |
$139 |
23.1× |
| Psychotherapy, 30 minutes (90832) |
$346 |
$346 |
1.9× |
| Psychotherapy, 45 minutes (90834) |
$644 |
$644 |
3.6× |
| Psychotherapy, 60 minutes (90837) |
$689 |
$689 |
3.9× |
| Group psychotherapy (90853) |
$198 |
$198 |
1.9× |
| Left heart catheterization (93452) |
$15,810 |
$15,810 |
4.9× |
| Sleep study (attended polysomnography) (95810) |
$6,665 |
$6,665 |
7.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$189.50 |
$189.50 |
6.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$290.50 |
$290.50 |
2.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$316 |
$316 |
2.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$358 |
$358 |
2.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$416 |
$416 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$420 |
$420 |
— |