| Inguinal hernia repair (age 5+) (49505) |
$5,870.15 |
$9,031 |
1.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,961.05 |
$3,017 |
2.1× |
| CT head/brain without contrast (70450) |
$2,754.38 |
$4,237.50 |
25.2× |
| MRI brain without contrast (70551) |
$3,065.08 |
$4,715.50 |
12.3× |
| MRI brain with contrast (70552) |
$3,497 |
$5,380 |
9.6× |
| MRI brain without and with contrast (70553) |
$4,347.20 |
$6,688 |
11.9× |
| X-ray lower spine, 4+ views (72110) |
$1,003.60 |
$1,544 |
9.2× |
| MRI lumbar spine without contrast (72148) |
$3,385.20 |
$5,208 |
13.6× |
| CT pelvis with contrast (72193) |
$3,074.50 |
$4,730 |
16.8× |
| MRI lower-extremity joint without contrast (73721) |
$3,220.10 |
$4,954 |
12.9× |
| CT abdomen and pelvis with contrast (74177) |
$3,688.10 |
$5,674 |
10.1× |
| Ultrasound, abdomen complete (76700) |
$1,326 |
$2,040 |
12.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$733.85 |
$1,129 |
6.7× |
| Ultrasound, transvaginal (76830) |
$787.80 |
$1,212 |
7.2× |
| Mammography, one breast (diagnostic) (77065) |
$386.75 |
$595 |
4.5× |
| Mammography, both breasts (diagnostic) (77066) |
$502.45 |
$773 |
4.5× |
| Mammography, screening (bilateral) (77067) |
$426.40 |
$656 |
4.7× |
| Basic metabolic panel (80048) |
$24.70 |
$38 |
2.9× |
| Comprehensive metabolic panel (80053) |
$199.55 |
$307 |
18.9× |
| Lipid panel (80061) |
$51.35 |
$79 |
3.8× |
| Renal function panel (80069) |
$336.05 |
$517 |
38.7× |
| Hepatic function panel (80076) |
$276.90 |
$426 |
33.9× |
| PSA, total (84153) |
$44.85 |
$69 |
2.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$66.30 |
$102 |
3.9× |
| CBC with automated differential (85025) |
$25.35 |
$39 |
3.3× |
| CBC, automated (85027) |
$126.10 |
$194 |
19.5× |
| Prothrombin time (PT) (85610) |
$24.38 |
$37.50 |
5.7× |
| Partial thromboplastin time (PTT) (85730) |
$24.70 |
$38 |
4.1× |
| Group psychotherapy (90853) |
$223.60 |
$344 |
2.1× |
| Left heart catheterization (93452) |
$11,007.75 |
$16,935 |
3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$139.75 |
$215 |
4.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$481.65 |
$741 |
3.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$668.85 |
$1,029 |
4.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$674.70 |
$1,038 |
4.9× |