| Breast lesion removal (open) (19120) |
$4,273.50 |
$7,770 |
1.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,005.40 |
$1,828 |
1.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$993.85 |
$1,807 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$993.85 |
$1,807 |
1.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$653.95 |
$1,189 |
1.2× |
| Cataract removal with lens insertion (66984) |
$2,483.25 |
$4,515 |
1.1× |
| CT head/brain without contrast (70450) |
$449.35 |
$817 |
4.3× |
| MRI brain without contrast (70551) |
$825.55 |
$1,501 |
3.5× |
| MRI brain with contrast (70552) |
$889.90 |
$1,618 |
2.5× |
| MRI brain without and with contrast (70553) |
$1,179.75 |
$2,145 |
3.4× |
| X-ray lower spine, 4+ views (72110) |
$178.20 |
$324 |
1.7× |
| MRI lumbar spine without contrast (72148) |
$825.55 |
$1,501 |
3.5× |
| CT pelvis with contrast (72193) |
$592.90 |
$1,078 |
3.4× |
| MRI lower-extremity joint without contrast (73721) |
$825.55 |
$1,501 |
3.5× |
| CT abdomen and pelvis with contrast (74177) |
$592.90 |
$1,078 |
1.7× |
| Ultrasound, abdomen complete (76700) |
$227.15 |
$413 |
2.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$235.95 |
$429 |
2.3× |
| Ultrasound, transvaginal (76830) |
$255.20 |
$464 |
2.4× |
| Mammography, one breast (diagnostic) (77065) |
$138.60 |
$252 |
1.6× |
| Mammography, both breasts (diagnostic) (77066) |
$192.50 |
$350 |
1.7× |
| Mammography, screening (bilateral) (77067) |
$154 |
$280 |
1.7× |
| Basic metabolic panel (80048) |
$41.80 |
$76 |
4.9× |
| Comprehensive metabolic panel (80053) |
$95.70 |
$174 |
9.1× |
| Obstetric panel (80055) |
$197.45 |
$359 |
4.1× |
| Lipid panel (80061) |
$64.90 |
$118 |
4.8× |
| Renal function panel (80069) |
$53.90 |
$98 |
6.2× |
| Hepatic function panel (80076) |
$68.20 |
$124 |
8.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$8.80 |
$16 |
2.5× |
| PSA, total (84153) |
$49.50 |
$90 |
2.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$33.82 |
$61.50 |
2.0× |
| CBC with automated differential (85025) |
$22.55 |
$41 |
2.9× |
| CBC, automated (85027) |
$18.70 |
$34 |
2.9× |
| Prothrombin time (PT) (85610) |
$20.90 |
$38 |
4.9× |
| Partial thromboplastin time (PTT) (85730) |
$18.70 |
$34 |
3.1× |
| Psychotherapy, 30 minutes (90832) |
$109.15 |
$198.45 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$146.11 |
$265.65 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$146.11 |
$265.65 |
0.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$228.69 |
$415.80 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$228.69 |
$415.80 |
1.3× |
| Group psychotherapy (90853) |
$93.56 |
$170.10 |
0.9× |
| Left heart catheterization (93452) |
$4,677.20 |
$8,504 |
1.4× |
| Sleep study (attended polysomnography) (95810) |
$2,187.35 |
$3,977 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$64.35 |
$117 |
2.2× |