| Breast lesion removal (open) (19120) |
$2,650.90 |
$7,574 |
0.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,424.85 |
$4,071 |
1.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,600.55 |
$4,573 |
1.7× |
| Diagnostic colonoscopy (45378) |
$1,853.95 |
$5,297 |
1.9× |
| Colonoscopy with biopsy (45380) |
$2,016.35 |
$5,761 |
1.6× |
| Colonoscopy with lesion removal (45385) |
$2,540.65 |
$7,259 |
2.0× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,574.60 |
$7,356 |
2.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$624.05 |
$1,783 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,354.50 |
$3,870 |
1.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$910.70 |
$2,602 |
1.6× |
| CT head/brain without contrast (70450) |
$2,049.95 |
$5,857 |
18.6× |
| MRI brain without contrast (70551) |
$2,613.10 |
$7,466 |
10.4× |
| MRI brain with contrast (70552) |
$2,743.65 |
$7,839 |
7.5× |
| MRI brain without and with contrast (70553) |
$3,549 |
$10,140 |
9.6× |
| X-ray lower spine, 4+ views (72110) |
$514.15 |
$1,469 |
4.7× |
| MRI lumbar spine without contrast (72148) |
$2,576.70 |
$7,362 |
10.2× |
| CT pelvis with contrast (72193) |
$2,181.20 |
$6,232 |
11.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,598.80 |
$4,568 |
6.4× |
| CT abdomen and pelvis with contrast (74177) |
$5,220.95 |
$14,917 |
14.2× |
| Ultrasound, abdomen complete (76700) |
$944.65 |
$2,699 |
8.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$764.40 |
$2,184 |
6.9× |
| Ultrasound, transvaginal (76830) |
$806.05 |
$2,303 |
7.3× |
| Mammography, one breast (diagnostic) (77065) |
$374.15 |
$1,069 |
4.3× |
| Mammography, both breasts (diagnostic) (77066) |
$514.15 |
$1,469 |
4.7× |
| Mammography, screening (bilateral) (77067) |
$368.20 |
$1,052 |
4.0× |
| Basic metabolic panel (80048) |
$101.50 |
$290 |
12.0× |
| Comprehensive metabolic panel (80053) |
$173.60 |
$496 |
16.4× |
| Lipid panel (80061) |
$135.10 |
$386 |
10.1× |
| Renal function panel (80069) |
$76.30 |
$218 |
8.8× |
| Hepatic function panel (80076) |
$102.20 |
$292 |
12.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$10.50 |
$30 |
3.0× |
| PSA, total (84153) |
$73.35 |
$209.57 |
4.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$101.85 |
$291 |
6.1× |
| CBC with automated differential (85025) |
$84 |
$240 |
10.8× |
| CBC, automated (85027) |
$49 |
$140 |
7.6× |
| Prothrombin time (PT) (85610) |
$16.45 |
$47 |
3.8× |
| Partial thromboplastin time (PTT) (85730) |
$25.20 |
$72 |
4.2× |
| Psychotherapy, 30 minutes (90832) |
$133.86 |
$382.44 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$152.39 |
$435.40 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$162.23 |
$463.49 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$149.03 |
$425.80 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$158.41 |
$452.58 |
0.8× |
| Group psychotherapy (90853) |
$59.15 |
$169 |
0.6× |
| Left heart catheterization (93452) |
$8,397.90 |
$23,994 |
2.5× |
| Sleep study (attended polysomnography) (95810) |
$3,799.25 |
$10,855 |
4.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$146.65 |
$419 |
5.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$52.15 |
$149 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$61.95 |
$177 |
— |