| Obstetric care, vaginal delivery (global) (59400) |
$2,650.50 |
$6,975 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$634.22 |
$1,669 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$859.18 |
$2,261 |
1.0× |
| CT head/brain without contrast (70450) |
$679.06 |
$1,787 |
6.5× |
| MRI brain without contrast (70551) |
$968.62 |
$2,549 |
4.1× |
| MRI brain with contrast (70552) |
$1,322.40 |
$3,480 |
3.8× |
| MRI brain without and with contrast (70553) |
$1,594.48 |
$4,196 |
4.6× |
| X-ray lower spine, 4+ views (72110) |
$180.50 |
$475 |
1.7× |
| MRI lumbar spine without contrast (72148) |
$994.46 |
$2,617 |
4.2× |
| CT pelvis with contrast (72193) |
$843.60 |
$2,220 |
4.8× |
| MRI lower-extremity joint without contrast (73721) |
$964.06 |
$2,537 |
4.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,569.78 |
$4,131 |
4.5× |
| Ultrasound, abdomen complete (76700) |
$377.34 |
$993 |
3.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$240.16 |
$632 |
2.3× |
| Ultrasound, transvaginal (76830) |
$272.08 |
$716 |
2.6× |
| Mammography, one breast (diagnostic) (77065) |
$175.94 |
$463 |
2.0× |
| Mammography, both breasts (diagnostic) (77066) |
$220.02 |
$579 |
2.0× |
| Mammography, screening (bilateral) (77067) |
$146.30 |
$385 |
1.6× |
| Basic metabolic panel (80048) |
$98.42 |
$259 |
11.6× |
| Comprehensive metabolic panel (80053) |
$103.36 |
$272 |
9.8× |
| Obstetric panel (80055) |
$115.14 |
$303 |
2.4× |
| Lipid panel (80061) |
$28.12 |
$74 |
2.1× |
| Renal function panel (80069) |
$64.60 |
$170 |
7.4× |
| Hepatic function panel (80076) |
$56.62 |
$149 |
6.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$10.64 |
$28 |
3.1× |
| PSA, total (84153) |
$34.20 |
$90 |
1.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$29.26 |
$77 |
1.7× |
| CBC with automated differential (85025) |
$50.54 |
$133 |
6.5× |
| CBC, automated (85027) |
$42.18 |
$111 |
6.5× |
| Prothrombin time (PT) (85610) |
$30.40 |
$80 |
7.1× |
| Partial thromboplastin time (PTT) (85730) |
$41.04 |
$108 |
6.8× |
| Psychotherapy, 45 minutes (90834) |
$80.94 |
$213 |
0.5× |
| Psychotherapy, 60 minutes (90837) |
$120.08 |
$316 |
0.7× |
| Group psychotherapy (90853) |
$35.34 |
$93 |
0.4× |
| Electrocardiogram (ECG), complete (93000) |
$12.54 |
$33 |
0.2× |
| Left heart catheterization (93452) |
$5,592.08 |
$14,716 |
1.7× |
| Sleep study (attended polysomnography) (95810) |
$1,675.80 |
$4,410 |
2.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$42.18 |
$111 |
1.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$119.70 |
$315 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$148.20 |
$390 |
1.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$174.80 |
$460 |
1.3× |
| Office consultation (low complexity, ~30 min) (99243) |
$74.10 |
$195 |
0.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$118.94 |
$313 |
0.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$72.38 |
$190.48 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$88.06 |
$231.74 |
— |