| Laparoscopic gallbladder removal (47562) |
$5,742.60 |
$9,571 |
0.9× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$790.38 |
$1,317.30 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,491.57 |
$2,485.95 |
1.6× |
| CT head/brain without contrast (70450) |
$915 |
$1,525 |
8.3× |
| MRI brain without contrast (70551) |
$1,733.10 |
$2,888.50 |
6.9× |
| MRI brain with contrast (70552) |
$2,158.88 |
$3,598.12 |
5.9× |
| MRI brain without and with contrast (70553) |
$2,654.32 |
$4,423.88 |
7.2× |
| X-ray lower spine, 4+ views (72110) |
$357 |
$595 |
3.2× |
| MRI lumbar spine without contrast (72148) |
$1,758.90 |
$2,931.50 |
7.0× |
| CT pelvis with contrast (72193) |
$1,122.60 |
$1,871 |
6.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,292.70 |
$2,154.50 |
5.1× |
| CT abdomen and pelvis with contrast (74177) |
$2,239.05 |
$3,731.75 |
6.1× |
| Ultrasound, abdomen complete (76700) |
$363.30 |
$605.50 |
3.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$462.45 |
$770.75 |
4.2× |
| Ultrasound, transvaginal (76830) |
$228.17 |
$380.28 |
2.1× |
| Mammography, one breast (diagnostic) (77065) |
$115.80 |
$193 |
1.3× |
| Mammography, both breasts (diagnostic) (77066) |
$146.75 |
$244.58 |
1.3× |
| Mammography, screening (bilateral) (77067) |
$121.32 |
$202.20 |
1.3× |
| Basic metabolic panel (80048) |
$33.95 |
$56.58 |
4.0× |
| Comprehensive metabolic panel (80053) |
$80.10 |
$133.50 |
7.6× |
| Obstetric panel (80055) |
$290.55 |
$484.25 |
6.1× |
| Lipid panel (80061) |
$82.80 |
$138 |
6.2× |
| Renal function panel (80069) |
$111.90 |
$186.50 |
12.9× |
| Hepatic function panel (80076) |
$89.85 |
$149.75 |
11.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$6.60 |
$11 |
1.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$22.95 |
$38.25 |
6.6× |
| PSA, total (84153) |
$90.60 |
$151 |
4.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$73.80 |
$123 |
4.4× |
| CBC with automated differential (85025) |
$40.95 |
$68.25 |
5.3× |
| CBC, automated (85027) |
$35.25 |
$58.75 |
5.4× |
| Prothrombin time (PT) (85610) |
$28.35 |
$47.25 |
6.6× |
| Partial thromboplastin time (PTT) (85730) |
$46.35 |
$77.25 |
7.7× |
| Sleep study (attended polysomnography) (95810) |
$2,339.70 |
$3,899.50 |
2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$76.48 |
$127.47 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$166.20 |
$277 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$252.60 |
$421 |
1.8× |