| Breast lesion removal (open) (19120) |
$4,896 |
$9,792 |
1.3× |
| Diagnostic colonoscopy (45378) |
$1,164.50 |
$2,329 |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,938 |
$3,876 |
2.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,824.50 |
$3,649 |
2.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,077.50 |
$2,155 |
2.0× |
| CT head/brain without contrast (70450) |
$1,328 |
$2,656 |
13.0× |
| MRI brain without contrast (70551) |
$1,932.50 |
$3,865 |
8.3× |
| MRI brain with contrast (70552) |
$2,548.50 |
$5,097 |
7.5× |
| MRI brain without and with contrast (70553) |
$2,705.50 |
$5,411 |
7.9× |
| X-ray lower spine, 4+ views (72110) |
$528 |
$1,056 |
5.2× |
| MRI lumbar spine without contrast (72148) |
$2,000 |
$4,000 |
8.6× |
| CT pelvis with contrast (72193) |
$1,694 |
$3,388 |
9.9× |
| MRI lower-extremity joint without contrast (73721) |
$1,932.50 |
$3,865 |
8.3× |
| CT abdomen and pelvis with contrast (74177) |
$3,334 |
$6,668 |
9.8× |
| Ultrasound, abdomen complete (76700) |
$868.50 |
$1,737 |
8.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$604.50 |
$1,209 |
5.9× |
| Ultrasound, transvaginal (76830) |
$583.50 |
$1,167 |
5.7× |
| Mammography, one breast (diagnostic) (77065) |
$383 |
$766 |
4.4× |
| Mammography, both breasts (diagnostic) (77066) |
$487.50 |
$975 |
4.4× |
| Mammography, screening (bilateral) (77067) |
$415 |
$830 |
4.6× |
| Basic metabolic panel (80048) |
$121.50 |
$243 |
14.4× |
| Comprehensive metabolic panel (80053) |
$246.50 |
$493 |
23.3× |
| Obstetric panel (80055) |
$220 |
$440 |
4.6× |
| Lipid panel (80061) |
$85 |
$170 |
6.3× |
| Renal function panel (80069) |
$232 |
$464 |
26.7× |
| Hepatic function panel (80076) |
$155 |
$310 |
19.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$10 |
$20 |
2.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$20.50 |
$41 |
5.9× |
| PSA, total (84153) |
$86 |
$172 |
4.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$106 |
$212 |
6.3× |
| CBC with automated differential (85025) |
$53 |
$106 |
6.8× |
| CBC, automated (85027) |
$92 |
$184 |
14.2× |
| Prothrombin time (PT) (85610) |
$92 |
$184 |
21.4× |
| Partial thromboplastin time (PTT) (85730) |
$58.50 |
$117 |
9.7× |
| Psychotherapy, 30 minutes (90832) |
$150.50 |
$301 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$207 |
$414 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$219.50 |
$439 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$229.50 |
$459 |
1.3× |
| Left heart catheterization (93452) |
$12,858 |
$25,716 |
4.1× |
| Sleep study (attended polysomnography) (95810) |
$2,188 |
$4,376 |
2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$92.50 |
$185 |
3.2× |