| Breast lesion removal (open) (19120) |
$3,912.70 |
$7,114 |
1.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,288.32 |
$2,342.40 |
1.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,773.55 |
$6,861 |
4.3× |
| CT head/brain without contrast (70450) |
$819.72 |
$1,490.40 |
7.8× |
| MRI brain without contrast (70551) |
$1,032.57 |
$1,877.40 |
4.3× |
| MRI brain with contrast (70552) |
$1,366.20 |
$2,484 |
3.9× |
| MRI brain without and with contrast (70553) |
$1,552.32 |
$2,822.40 |
4.4× |
| X-ray lower spine, 4+ views (72110) |
$456.06 |
$829.20 |
4.4× |
| MRI lumbar spine without contrast (72148) |
$957.55 |
$1,741 |
4.0× |
| CT pelvis with contrast (72193) |
$882.20 |
$1,604 |
5.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,180.08 |
$2,145.60 |
4.9× |
| CT abdomen and pelvis with contrast (74177) |
$2,117.28 |
$3,849.60 |
6.1× |
| Ultrasound, abdomen complete (76700) |
$711.71 |
$1,294.02 |
6.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$605 |
$1,100 |
5.8× |
| Ultrasound, transvaginal (76830) |
$541.20 |
$984 |
5.2× |
| Mammography, one breast (diagnostic) (77065) |
$165 |
$300 |
1.9× |
| Mammography, both breasts (diagnostic) (77066) |
$330 |
$600 |
3.0× |
| Mammography, screening (bilateral) (77067) |
$85.80 |
$156 |
0.9× |
| Basic metabolic panel (80048) |
$67.65 |
$123 |
8.0× |
| Comprehensive metabolic panel (80053) |
$82.50 |
$150 |
7.8× |
| Lipid panel (80061) |
$68.75 |
$125 |
5.1× |
| Renal function panel (80069) |
$45.10 |
$82 |
5.2× |
| Hepatic function panel (80076) |
$45.10 |
$82 |
5.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$11.22 |
$20.40 |
3.2× |
| PSA, total (84153) |
$81.95 |
$149 |
4.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$52.80 |
$96 |
3.1× |
| CBC with automated differential (85025) |
$39.05 |
$71 |
5.0× |
| CBC, automated (85027) |
$27.50 |
$50 |
4.3× |
| Prothrombin time (PT) (85610) |
$20.35 |
$37 |
4.7× |
| Partial thromboplastin time (PTT) (85730) |
$28.88 |
$52.50 |
4.8× |
| Psychotherapy, 30 minutes (90832) |
$118.32 |
$215.13 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$210.35 |
$382.45 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$118.01 |
$214.56 |
0.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$276.08 |
$501.96 |
1.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$196.13 |
$356.60 |
1.1× |
| Group psychotherapy (90853) |
$392.88 |
$714.32 |
3.9× |
| Sleep study (attended polysomnography) (95810) |
$1,925 |
$3,500 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$75.35 |
$137 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$161.43 |
$293.51 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$190.06 |
$345.55 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$214.54 |
$390.08 |
1.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$146.85 |
$267 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$192.50 |
$350 |
1.4× |