| Breast lesion removal (open) (19120) |
$4,173.50 |
$8,347 |
1.1× |
| Diagnostic colonoscopy (45378) |
$931.50 |
$1,863 |
1.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,831.50 |
$3,663 |
2.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,586.50 |
$3,173 |
1.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$948.50 |
$1,897 |
1.8× |
| CT head/brain without contrast (70450) |
$989.50 |
$1,979 |
9.9× |
| MRI brain without contrast (70551) |
$1,477 |
$2,954 |
6.5× |
| MRI brain with contrast (70552) |
$1,592.50 |
$3,185 |
4.8× |
| MRI brain without and with contrast (70553) |
$2,003.50 |
$4,007 |
6.0× |
| X-ray lower spine, 4+ views (72110) |
$458.75 |
$917.50 |
4.6× |
| MRI lumbar spine without contrast (72148) |
$1,518 |
$3,036 |
6.7× |
| CT pelvis with contrast (72193) |
$1,626 |
$3,252 |
9.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,501.50 |
$3,003 |
6.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,046 |
$4,092 |
6.1× |
| Ultrasound, abdomen complete (76700) |
$697.25 |
$1,394.50 |
7.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$634.75 |
$1,269.50 |
6.4× |
| Ultrasound, transvaginal (76830) |
$461 |
$922 |
4.6× |
| Mammography, one breast (diagnostic) (77065) |
$291.50 |
$583 |
3.4× |
| Mammography, both breasts (diagnostic) (77066) |
$377.50 |
$755 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$339.50 |
$679 |
3.7× |
| Basic metabolic panel (80048) |
$50.50 |
$101 |
6.0× |
| Comprehensive metabolic panel (80053) |
$67.50 |
$135 |
6.4× |
| Obstetric panel (80055) |
$149 |
$298 |
3.1× |
| Lipid panel (80061) |
$88.50 |
$177 |
6.6× |
| Renal function panel (80069) |
$75.50 |
$151 |
8.7× |
| Hepatic function panel (80076) |
$114 |
$228 |
14.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$11 |
$22 |
2.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$18 |
$36 |
5.2× |
| PSA, total (84153) |
$100 |
$200 |
5.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$112 |
$224 |
6.7× |
| CBC with automated differential (85025) |
$39.75 |
$79.50 |
5.1× |
| CBC, automated (85027) |
$33 |
$66 |
5.1× |
| Prothrombin time (PT) (85610) |
$40 |
$80 |
9.3× |
| Partial thromboplastin time (PTT) (85730) |
$27.75 |
$55.50 |
4.6× |
| Psychotherapy, 30 minutes (90832) |
$164.50 |
$329 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$247 |
$494 |
1.5× |
| Psychotherapy, 60 minutes (90837) |
$327.50 |
$655 |
1.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$226 |
$452 |
1.3× |
| Left heart catheterization (93452) |
$8,035.50 |
$16,071 |
2.6× |
| Sleep study (attended polysomnography) (95810) |
$2,033 |
$4,066 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$105.50 |
$211 |
3.6× |