| Breast lesion removal (open) (19120) |
$6,054 |
$6,054 |
1.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$3,082 |
$3,082 |
3.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$885 |
$885 |
1.1× |
| CT head/brain without contrast (70450) |
$1,699 |
$1,699 |
17.9× |
| MRI brain without contrast (70551) |
$3,076 |
$3,076 |
14.2× |
| MRI brain with contrast (70552) |
$4,920 |
$4,920 |
15.6× |
| MRI brain without and with contrast (70553) |
$4,920 |
$4,920 |
15.6× |
| X-ray lower spine, 4+ views (72110) |
$971 |
$971 |
10.3× |
| MRI lumbar spine without contrast (72148) |
$3,076 |
$3,076 |
14.2× |
| CT pelvis with contrast (72193) |
$2,784 |
$2,784 |
17.5× |
| MRI lower-extremity joint without contrast (73721) |
$3,076 |
$3,076 |
14.2× |
| CT abdomen and pelvis with contrast (74177) |
$5,740 |
$5,740 |
18.2× |
| Ultrasound, abdomen complete (76700) |
$463.50 |
$463.50 |
4.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$830 |
$830 |
8.8× |
| Ultrasound, transvaginal (76830) |
$830 |
$830 |
8.8× |
| Mammography, one breast (diagnostic) (77065) |
$617 |
$617 |
7.2× |
| Mammography, both breasts (diagnostic) (77066) |
$786 |
$786 |
7.1× |
| Mammography, screening (bilateral) (77067) |
$651 |
$651 |
7.1× |
| Basic metabolic panel (80048) |
$203 |
$203 |
24.0× |
| Comprehensive metabolic panel (80053) |
$224 |
$224 |
21.2× |
| Obstetric panel (80055) |
$443 |
$443 |
9.3× |
| Lipid panel (80061) |
$149 |
$149 |
11.1× |
| Renal function panel (80069) |
$113 |
$113 |
13.0× |
| Hepatic function panel (80076) |
$106 |
$106 |
13.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$29 |
$29 |
7.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$17 |
$17 |
4.9× |
| PSA, total (84153) |
$204 |
$204 |
11.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$187 |
$187 |
11.1× |
| CBC with automated differential (85025) |
$80 |
$80 |
10.3× |
| CBC, automated (85027) |
$84 |
$84 |
13.0× |
| Prothrombin time (PT) (85610) |
$55 |
$55 |
12.8× |
| Partial thromboplastin time (PTT) (85730) |
$78 |
$78 |
13.0× |
| Psychotherapy, 30 minutes (90832) |
$260 |
$260 |
1.6× |
| Psychotherapy, 45 minutes (90834) |
$232.50 |
$232.50 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$93 |
$93 |
0.6× |
| Group psychotherapy (90853) |
$295 |
$295 |
3.2× |
| Electrocardiogram (ECG), complete (93000) |
$35 |
$35 |
0.7× |
| Left heart catheterization (93452) |
$18,544 |
$18,544 |
6.3× |
| Sleep study (attended polysomnography) (95810) |
$5,340 |
$5,340 |
6.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$173 |
$173 |
6.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$325 |
$325 |
2.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$344 |
$344 |
2.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$325 |
$325 |
2.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$491 |
$491 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$596 |
$596 |
— |