| Breast lesion removal (open) (19120) |
$4,363.20 |
$7,272 |
1.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$622.80 |
$1,038 |
0.7× |
| Diagnostic colonoscopy (45378) |
$2,137.20 |
$3,562 |
2.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,147.80 |
$1,913 |
1.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,506.60 |
$2,511 |
1.7× |
| CT head/brain without contrast (70450) |
$1,356.60 |
$2,261 |
13.1× |
| MRI brain without contrast (70551) |
$2,305.80 |
$3,843 |
9.7× |
| MRI brain with contrast (70552) |
$2,650.20 |
$4,417 |
7.7× |
| MRI brain without and with contrast (70553) |
$3,117.60 |
$5,196 |
9.0× |
| X-ray lower spine, 4+ views (72110) |
$425.40 |
$709 |
4.1× |
| MRI lumbar spine without contrast (72148) |
$2,113.80 |
$3,523 |
8.9× |
| CT pelvis with contrast (72193) |
$1,719 |
$2,865 |
9.9× |
| MRI lower-extremity joint without contrast (73721) |
$2,205 |
$3,675 |
9.3× |
| CT abdomen and pelvis with contrast (74177) |
$3,827.40 |
$6,379 |
11.1× |
| Ultrasound, abdomen complete (76700) |
$684.60 |
$1,141 |
6.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$495.60 |
$826 |
4.8× |
| Ultrasound, transvaginal (76830) |
$580.20 |
$967 |
5.6× |
| Mammography, one breast (diagnostic) (77065) |
$236.40 |
$394 |
2.7× |
| Mammography, both breasts (diagnostic) (77066) |
$278.40 |
$464 |
2.5× |
| Mammography, screening (bilateral) (77067) |
$226.20 |
$377 |
2.5× |
| Basic metabolic panel (80048) |
$159 |
$265 |
18.8× |
| Comprehensive metabolic panel (80053) |
$258.60 |
$431 |
24.5× |
| Lipid panel (80061) |
$151.80 |
$253 |
11.3× |
| Renal function panel (80069) |
$172.80 |
$288 |
19.9× |
| Hepatic function panel (80076) |
$168.60 |
$281 |
20.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$30.60 |
$51 |
8.8× |
| PSA, total (84153) |
$129.60 |
$216 |
7.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$114 |
$190 |
6.8× |
| CBC with automated differential (85025) |
$90 |
$150 |
11.6× |
| CBC, automated (85027) |
$70.80 |
$118 |
10.9× |
| Prothrombin time (PT) (85610) |
$47.40 |
$79 |
11.0× |
| Partial thromboplastin time (PTT) (85730) |
$57 |
$95 |
9.5× |
| Psychotherapy, 30 minutes (90832) |
$103.80 |
$173 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$151.80 |
$253 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$250.80 |
$418 |
1.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$150.30 |
$250.50 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$150.30 |
$250.50 |
0.9× |
| Group psychotherapy (90853) |
$63.60 |
$106 |
0.6× |
| Left heart catheterization (93452) |
$6,628.80 |
$11,048 |
2.1× |
| Sleep study (attended polysomnography) (95810) |
$2,511.30 |
$4,185.50 |
2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$98.10 |
$163.50 |
3.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$149.40 |
$249 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$190.20 |
$317 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$222.60 |
$371 |
1.7× |