| Breast lesion removal (open) (19120) |
$6,234.60 |
$10,391 |
1.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,181 |
$3,635 |
2.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,804.40 |
$4,674 |
3.3× |
| Diagnostic colonoscopy (45378) |
$2,809.80 |
$4,683 |
3.2× |
| Colonoscopy with biopsy (45380) |
$2,408.40 |
$4,014 |
2.1× |
| Colonoscopy with lesion removal (45385) |
$2,809.80 |
$4,683 |
2.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,809.80 |
$4,683 |
2.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,232.60 |
$3,721 |
2.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,872.60 |
$3,121 |
2.2× |
| CT head/brain without contrast (70450) |
$1,251.60 |
$2,086 |
12.6× |
| MRI brain without contrast (70551) |
$1,668 |
$2,780 |
7.4× |
| MRI brain with contrast (70552) |
$1,705.80 |
$2,843 |
5.1× |
| MRI brain without and with contrast (70553) |
$2,707.80 |
$4,513 |
8.2× |
| X-ray lower spine, 4+ views (72110) |
$475.80 |
$793 |
4.8× |
| MRI lumbar spine without contrast (72148) |
$1,754.40 |
$2,924 |
7.7× |
| CT pelvis with contrast (72193) |
$1,420.20 |
$2,367 |
8.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,672.80 |
$2,788 |
7.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,766.60 |
$4,611 |
8.3× |
| Ultrasound, abdomen complete (76700) |
$975 |
$1,625 |
9.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$527.40 |
$879 |
5.3× |
| Ultrasound, transvaginal (76830) |
$562.20 |
$937 |
5.7× |
| Mammography, one breast (diagnostic) (77065) |
$303 |
$505 |
3.5× |
| Mammography, both breasts (diagnostic) (77066) |
$407.40 |
$679 |
3.7× |
Mammography, screening (bilateral) (77067)
range across 3 matching MRF lines |
$294–$309 |
$490–$515 |
varies |
| Basic metabolic panel (80048) |
$93.60 |
$156 |
11.1× |
| Comprehensive metabolic panel (80053) |
$105.60 |
$176 |
10.0× |
| Lipid panel (80061) |
$58.80 |
$98 |
4.4× |
| Renal function panel (80069) |
$66 |
$110 |
7.6× |
| Hepatic function panel (80076) |
$74.40 |
$124 |
9.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$22.80 |
$38 |
5.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$19.20 |
$32 |
5.5× |
| PSA, total (84153) |
$65.40 |
$109 |
3.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$69.60 |
$116 |
4.1× |
| CBC with automated differential (85025) |
$43.80 |
$73 |
5.6× |
| CBC, automated (85027) |
$38.40 |
$64 |
5.9× |
| Prothrombin time (PT) (85610) |
$34.20 |
$57 |
8.0× |
| Partial thromboplastin time (PTT) (85730) |
$49.20 |
$82 |
8.2× |
| Psychotherapy, 30 minutes (90832) |
$246 |
$410 |
1.5× |
| Psychotherapy, 45 minutes (90834) |
$276.60 |
$461 |
1.6× |
| Psychotherapy, 60 minutes (90837) |
$307.80 |
$513 |
1.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$221.40 |
$369 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$223.80 |
$373 |
1.3× |
| Group psychotherapy (90853) |
$125.40 |
$209 |
1.3× |
| Electrocardiogram (ECG), complete (93000) |
$235.80 |
$393 |
4.2× |
| Left heart catheterization (93452) |
$11,833.80 |
$19,723 |
3.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$138 |
$230 |
4.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$133.80 |
$223 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$133.80 |
$223 |
— |