| Breast lesion removal (open) (19120) |
$7,082.40 |
$11,804 |
1.8× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,684.20 |
$2,807 |
1.8× |
| Laparoscopic gallbladder removal (47562) |
$10,720.80 |
$17,868 |
1.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,693.80 |
$2,823 |
1.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,693.80 |
$2,823 |
1.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,080 |
$1,800 |
2.0× |
| Cataract removal with lens insertion (66984) |
$4,330.20 |
$7,217 |
1.9× |
| CT head/brain without contrast (70450) |
$630 |
$1,050 |
6.0× |
| MRI brain without contrast (70551) |
$1,019.40 |
$1,699 |
4.3× |
| MRI brain with contrast (70552) |
$1,621.80 |
$2,703 |
4.6× |
| MRI brain without and with contrast (70553) |
$2,224.20 |
$3,707 |
6.3× |
| X-ray lower spine, 4+ views (72110) |
$204.60 |
$341 |
1.9× |
| MRI lumbar spine without contrast (72148) |
$1,019.40 |
$1,699 |
4.3× |
| CT pelvis with contrast (72193) |
$834 |
$1,390 |
4.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,019.40 |
$1,699 |
4.3× |
| CT abdomen and pelvis with contrast (74177) |
$1,668 |
$2,780 |
4.8× |
| Ultrasound, abdomen complete (76700) |
$204.60 |
$341 |
1.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$204.60 |
$341 |
1.9× |
| Ultrasound, transvaginal (76830) |
$204.60 |
$341 |
1.9× |
| Mammography, one breast (diagnostic) (77065) |
$160.80 |
$268 |
1.9× |
| Mammography, both breasts (diagnostic) (77066) |
$206.40 |
$344 |
1.9× |
| Mammography, screening (bilateral) (77067) |
$170.40 |
$284 |
1.9× |
| Basic metabolic panel (80048) |
$16.80 |
$28 |
2.0× |
| Comprehensive metabolic panel (80053) |
$93.60 |
$156 |
8.9× |
| Obstetric panel (80055) |
$17.40 |
$29 |
0.4× |
| Lipid panel (80061) |
$26.40 |
$44 |
2.0× |
| Renal function panel (80069) |
$17.40 |
$29 |
2.0× |
| Hepatic function panel (80076) |
$16.20 |
$27 |
2.0× |
| PSA, total (84153) |
$36 |
$60 |
2.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$33 |
$55 |
2.0× |
| CBC with automated differential (85025) |
$15.60 |
$26 |
2.0× |
| CBC, automated (85027) |
$13.20 |
$22 |
2.0× |
| Prothrombin time (PT) (85610) |
$8.40 |
$14 |
2.0× |
| Partial thromboplastin time (PTT) (85730) |
$12 |
$20 |
2.0× |
| Psychotherapy, 30 minutes (90832) |
$296.40 |
$494 |
1.7× |
| Psychotherapy, 45 minutes (90834) |
$296.40 |
$494 |
1.7× |
| Psychotherapy, 60 minutes (90837) |
$296.40 |
$494 |
1.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$296.40 |
$494 |
1.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$296.40 |
$494 |
1.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$55.80 |
$93 |
1.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$276.60 |
$461 |
2.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$293.40 |
$489 |
2.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$310.80 |
$518 |
2.3× |