| Breast lesion removal (open) (19120) |
$4,877.28 |
$10,161 |
1.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$997.44 |
$2,078 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,828.80 |
$3,810 |
1.7× |
| Diagnostic colonoscopy (45378) |
$1,932.48 |
$4,026 |
1.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,141.44 |
$2,378 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,387.20 |
$2,890 |
1.4× |
| CT head/brain without contrast (70450) |
$192.48 |
$401 |
1.6× |
| MRI brain without contrast (70551) |
$538.56 |
$1,122 |
1.9× |
| MRI brain with contrast (70552) |
$660 |
$1,375 |
1.6× |
| MRI brain without and with contrast (70553) |
$1,151.52 |
$2,399 |
2.8× |
| X-ray lower spine, 4+ views (72110) |
$195.36 |
$407 |
1.6× |
| MRI lumbar spine without contrast (72148) |
$518.88 |
$1,081 |
1.9× |
| CT pelvis with contrast (72193) |
$584.16 |
$1,217 |
2.9× |
| MRI lower-extremity joint without contrast (73721) |
$498.24 |
$1,038 |
1.8× |
| CT abdomen and pelvis with contrast (74177) |
$584.16 |
$1,217 |
1.4× |
| Ultrasound, abdomen complete (76700) |
$630.24 |
$1,313 |
5.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$338.40 |
$705 |
2.8× |
| Ultrasound, transvaginal (76830) |
$338.40 |
$705 |
2.8× |
| Mammography, one breast (diagnostic) (77065) |
$186.24 |
$388 |
2.2× |
| Mammography, both breasts (diagnostic) (77066) |
$229.44 |
$478 |
2.1× |
| Mammography, screening (bilateral) (77067) |
$174.24 |
$363 |
1.9× |
| Basic metabolic panel (80048) |
$41.76 |
$87 |
4.9× |
| Comprehensive metabolic panel (80053) |
$55.68 |
$116 |
5.3× |
| Lipid panel (80061) |
$86.88 |
$181 |
6.5× |
| Renal function panel (80069) |
$41.76 |
$87 |
4.8× |
| Hepatic function panel (80076) |
$41.76 |
$87 |
5.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$17.28 |
$36 |
5.0× |
| PSA, total (84153) |
$132.96 |
$277 |
7.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$120 |
$250 |
7.1× |
| CBC with automated differential (85025) |
$50.40 |
$105 |
6.5× |
| CBC, automated (85027) |
$42.24 |
$88 |
6.5× |
| Prothrombin time (PT) (85610) |
$25.44 |
$53 |
5.9× |
| Partial thromboplastin time (PTT) (85730) |
$37.92 |
$79 |
6.3× |
| Psychotherapy, 30 minutes (90832) |
$204.24 |
$425.50 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$382.56 |
$797 |
1.9× |
| Psychotherapy, 60 minutes (90837) |
$382.56 |
$797 |
1.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$269.28 |
$561 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$355.68 |
$741 |
1.7× |
| Group psychotherapy (90853) |
$210.24 |
$438 |
1.8× |
| Left heart catheterization (93452) |
$6,174.72 |
$12,864 |
1.6× |
| Sleep study (attended polysomnography) (95810) |
$1,946.40 |
$4,055 |
2.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$44.64 |
$93 |
1.5× |