| Breast lesion removal (open) (19120) |
$1,580.50 |
$3,161 |
0.4× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,525.50 |
$3,051 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,594 |
$5,188 |
2.8× |
| Diagnostic colonoscopy (45378) |
$1,287.50 |
$2,575 |
1.4× |
| Colonoscopy with biopsy (45380) |
$2,969 |
$5,938 |
2.5× |
| Colonoscopy with lesion removal (45385) |
$2,969 |
$5,938 |
2.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$631 |
$1,262 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,422 |
$2,844 |
1.6× |
| CT head/brain without contrast (70450) |
$1,062.50 |
$2,125 |
10.1× |
| MRI brain without contrast (70551) |
$1,602.50 |
$3,205 |
6.7× |
| MRI brain with contrast (70552) |
$2,145.50 |
$4,291 |
6.1× |
| MRI brain without and with contrast (70553) |
$2,584.50 |
$5,169 |
7.4× |
| X-ray lower spine, 4+ views (72110) |
$235 |
$470 |
2.2× |
| MRI lumbar spine without contrast (72148) |
$1,423 |
$2,846 |
5.9× |
| CT pelvis with contrast (72193) |
$1,377.50 |
$2,755 |
7.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,384.50 |
$2,769 |
5.8× |
| CT abdomen and pelvis with contrast (74177) |
$1,973 |
$3,946 |
5.6× |
| Ultrasound, abdomen complete (76700) |
$435.50 |
$871 |
4.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$392.50 |
$785 |
3.7× |
| Ultrasound, transvaginal (76830) |
$217 |
$434 |
2.1× |
| Mammography, one breast (diagnostic) (77065) |
$307 |
$614 |
3.6× |
| Mammography, both breasts (diagnostic) (77066) |
$393.50 |
$787 |
3.6× |
| Mammography, screening (bilateral) (77067) |
$260 |
$520 |
2.9× |
| Basic metabolic panel (80048) |
$68.50 |
$137 |
8.1× |
| Comprehensive metabolic panel (80053) |
$76 |
$152 |
7.2× |
| Lipid panel (80061) |
$71 |
$142 |
5.3× |
| Renal function panel (80069) |
$69.50 |
$139 |
8.0× |
| Hepatic function panel (80076) |
$58 |
$116 |
7.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$16 |
$32 |
4.6× |
| PSA, total (84153) |
$96 |
$192 |
5.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$98.50 |
$197 |
5.9× |
| CBC with automated differential (85025) |
$59.50 |
$119 |
7.7× |
| CBC, automated (85027) |
$55 |
$110 |
8.5× |
| Prothrombin time (PT) (85610) |
$35.50 |
$71 |
8.3× |
| Partial thromboplastin time (PTT) (85730) |
$54 |
$108 |
9.0× |
| Psychotherapy, 30 minutes (90832) |
$84 |
$168 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$105 |
$210 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$156 |
$312 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$192.50 |
$385 |
1.1× |
| Group psychotherapy (90853) |
$140 |
$280 |
1.4× |
| Left heart catheterization (93452) |
$7,501 |
$15,002 |
2.3× |
| Sleep study (attended polysomnography) (95810) |
$1,587.50 |
$3,175 |
1.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$119.50 |
$239 |
4.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$309.50 |
$619 |
2.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$378.50 |
$757 |
2.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$447 |
$894 |
3.3× |