| Breast lesion removal (open) (19120) |
$3,502.40 |
$6,368 |
0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,213.30 |
$2,206 |
1.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$932.25 |
$1,695 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,390.95 |
$2,529 |
1.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,772.10 |
$3,222 |
2.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,623.22 |
$4,769.50 |
3.0× |
| CT head/brain without contrast (70450) |
$1,018.60 |
$1,852 |
9.7× |
| MRI brain without contrast (70551) |
$1,260.60 |
$2,292 |
5.3× |
| MRI brain with contrast (70552) |
$1,920.05 |
$3,491 |
5.5× |
| MRI brain without and with contrast (70553) |
$2,358.95 |
$4,289 |
6.8× |
| X-ray lower spine, 4+ views (72110) |
$358.05 |
$651 |
3.4× |
| MRI lumbar spine without contrast (72148) |
$1,613.15 |
$2,933 |
6.7× |
| CT pelvis with contrast (72193) |
$1,018.60 |
$1,852 |
5.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,695.10 |
$3,082 |
7.1× |
| CT abdomen and pelvis with contrast (74177) |
$2,309.45 |
$4,199 |
6.6× |
| Ultrasound, abdomen complete (76700) |
$636.35 |
$1,157 |
6.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$520.30 |
$946 |
5.0× |
| Ultrasound, transvaginal (76830) |
$457.60 |
$832 |
4.4× |
| Mammography, one breast (diagnostic) (77065) |
$232.10 |
$422 |
2.7× |
| Mammography, both breasts (diagnostic) (77066) |
$357.50 |
$650 |
3.2× |
| Mammography, screening (bilateral) (77067) |
$178.48 |
$324.50 |
2.0× |
| Basic metabolic panel (80048) |
$97.90 |
$178 |
11.6× |
| Comprehensive metabolic panel (80053) |
$94.05 |
$171 |
8.9× |
| Obstetric panel (80055) |
$162.25 |
$295 |
3.4× |
| Lipid panel (80061) |
$46.48 |
$84.50 |
3.5× |
| Renal function panel (80069) |
$55 |
$100 |
6.3× |
| Hepatic function panel (80076) |
$78.65 |
$143 |
9.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$18.70 |
$34 |
5.4× |
| PSA, total (84153) |
$57.75 |
$105 |
3.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$60.50 |
$110 |
3.6× |
| CBC with automated differential (85025) |
$44.55 |
$81 |
5.7× |
| CBC, automated (85027) |
$35.20 |
$64 |
5.4× |
| Prothrombin time (PT) (85610) |
$24.75 |
$45 |
5.8× |
| Partial thromboplastin time (PTT) (85730) |
$31.35 |
$57 |
5.2× |
| Psychotherapy, 30 minutes (90832) |
$178.75 |
$325 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$167.75 |
$305 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$234.85 |
$427 |
1.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$250.25 |
$455 |
1.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$250.25 |
$455 |
1.4× |
| Group psychotherapy (90853) |
$181.78 |
$330.50 |
1.8× |
| Left heart catheterization (93452) |
$5,275.60 |
$9,592 |
1.6× |
| Sleep study (attended polysomnography) (95810) |
$3,877.50 |
$7,050 |
4.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$95.15 |
$173 |
3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$141.62 |
$257.50 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$268.40 |
$488 |
2.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$311.85 |
$567 |
2.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$30.80 |
$56 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$30.80 |
$56 |
— |