| Breast lesion removal (open) (19120) |
$1,637 |
$3,274 |
0.4× |
| Diagnostic colonoscopy (45378) |
$1,164.50 |
$2,329 |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,144.50 |
$2,289 |
1.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$779 |
$1,558 |
0.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$897 |
$1,794 |
1.7× |
| CT head/brain without contrast (70450) |
$845.50 |
$1,691 |
8.3× |
| MRI brain without contrast (70551) |
$1,629.50 |
$3,259 |
7.0× |
| MRI brain with contrast (70552) |
$1,812 |
$3,624 |
5.3× |
| MRI brain without and with contrast (70553) |
$2,977.50 |
$5,955 |
8.7× |
| X-ray lower spine, 4+ views (72110) |
$335 |
$670 |
3.3× |
| MRI lumbar spine without contrast (72148) |
$1,735.50 |
$3,471 |
7.5× |
| CT pelvis with contrast (72193) |
$1,131 |
$2,262 |
6.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,757 |
$3,514 |
7.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,319 |
$4,638 |
6.8× |
| Ultrasound, abdomen complete (76700) |
$500 |
$1,000 |
4.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$428 |
$856 |
4.2× |
| Ultrasound, transvaginal (76830) |
$423.50 |
$847 |
4.2× |
| Mammography, one breast (diagnostic) (77065) |
$278 |
$556 |
3.2× |
| Mammography, both breasts (diagnostic) (77066) |
$340.50 |
$681 |
3.1× |
| Mammography, screening (bilateral) (77067) |
$307.50 |
$615 |
3.4× |
| Basic metabolic panel (80048) |
$47 |
$94 |
5.6× |
| Comprehensive metabolic panel (80053) |
$63.50 |
$127 |
6.0× |
| Obstetric panel (80055) |
$144.50 |
$289 |
3.0× |
| Lipid panel (80061) |
$73.50 |
$147 |
5.5× |
| Renal function panel (80069) |
$52 |
$104 |
6.0× |
| Hepatic function panel (80076) |
$49 |
$98 |
6.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$11 |
$22 |
2.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$24.50 |
$49 |
7.0× |
| PSA, total (84153) |
$84 |
$168 |
4.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$77 |
$154 |
4.6× |
| CBC with automated differential (85025) |
$27.50 |
$55 |
3.5× |
| CBC, automated (85027) |
$39 |
$78 |
6.0× |
| Prothrombin time (PT) (85610) |
$25.50 |
$51 |
5.9× |
| Partial thromboplastin time (PTT) (85730) |
$20.25 |
$40.50 |
3.4× |
| Psychotherapy, 30 minutes (90832) |
$114.50 |
$229 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$247 |
$494 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$308.50 |
$617 |
1.8× |
| Group psychotherapy (90853) |
$78 |
$156 |
0.8× |
| Left heart catheterization (93452) |
$6,582.50 |
$13,165 |
2.1× |
| Sleep study (attended polysomnography) (95810) |
$2,370.50 |
$4,741 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$65.50 |
$131 |
2.3× |