| Breast lesion removal (open) (19120) |
$4,386 |
$7,310 |
1.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,488 |
$2,480 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,352.40 |
$2,254 |
1.5× |
| Diagnostic colonoscopy (45378) |
$1,264.80 |
$2,108 |
1.4× |
| Colonoscopy with biopsy (45380) |
$1,491 |
$2,485 |
1.2× |
| Colonoscopy with lesion removal (45385) |
$1,650 |
$2,750 |
1.4× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,563 |
$2,605 |
1.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,114.20 |
$1,857 |
1.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,476 |
$2,460 |
1.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$766.20 |
$1,277 |
1.4× |
| CT head/brain without contrast (70450) |
$699 |
$1,165 |
6.7× |
| MRI brain without contrast (70551) |
$1,240.80 |
$2,068 |
5.2× |
| MRI brain with contrast (70552) |
$2,166 |
$3,610 |
6.2× |
| MRI brain without and with contrast (70553) |
$2,646 |
$4,410 |
7.6× |
| X-ray lower spine, 4+ views (72110) |
$477.60 |
$796 |
4.6× |
| MRI lumbar spine without contrast (72148) |
$1,464 |
$2,440 |
6.1× |
| CT pelvis with contrast (72193) |
$1,329 |
$2,215 |
7.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,437.60 |
$2,396 |
6.0× |
| CT abdomen and pelvis with contrast (74177) |
$2,218.20 |
$3,697 |
6.3× |
| Ultrasound, abdomen complete (76700) |
$636.60 |
$1,061 |
6.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$570.60 |
$951 |
5.4× |
| Ultrasound, transvaginal (76830) |
$517.80 |
$863 |
4.9× |
| Mammography, one breast (diagnostic) (77065) |
$232.80 |
$388 |
2.7× |
| Mammography, both breasts (diagnostic) (77066) |
$300.60 |
$501 |
2.7× |
| Mammography, screening (bilateral) (77067) |
$229.20 |
$382 |
2.5× |
| Basic metabolic panel (80048) |
$77.22 |
$128.70 |
9.1× |
| Comprehensive metabolic panel (80053) |
$457.98 |
$763.30 |
43.4× |
| Obstetric panel (80055) |
$196.50 |
$327.50 |
4.1× |
| Lipid panel (80061) |
$76.82 |
$128.02 |
5.7× |
| Renal function panel (80069) |
$48.21 |
$80.35 |
5.6× |
| Hepatic function panel (80076) |
$36.96 |
$61.60 |
4.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$21 |
$35 |
5.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$20.16 |
$33.60 |
5.8× |
| PSA, total (84153) |
$95.98 |
$159.98 |
5.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$96.78 |
$161.30 |
5.8× |
| CBC with automated differential (85025) |
$40.80 |
$68 |
5.3× |
| CBC, automated (85027) |
$32.28 |
$53.80 |
5.0× |
| Prothrombin time (PT) (85610) |
$26.70 |
$44.50 |
6.2× |
| Partial thromboplastin time (PTT) (85730) |
$34.04 |
$56.72 |
5.7× |
| Psychotherapy, 30 minutes (90832) |
$162.60 |
$271 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$166.20 |
$277 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$184.80 |
$308 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$177.60 |
$296 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$187.80 |
$313 |
1.1× |
| Group psychotherapy (90853) |
$131.40 |
$219 |
1.3× |
| Left heart catheterization (93452) |
$7,387.80 |
$12,313 |
2.3× |
| Sleep study (attended polysomnography) (95810) |
$3,150.60 |
$5,251 |
3.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$94.20 |
$157 |
3.2× |