| Colonoscopy with lesion removal (45385) |
$535 |
$1,070 |
0.5× |
| Inguinal hernia repair (age 5+) (49505) |
$4,081 |
$8,162 |
1.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$935 |
$1,870 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$625 |
$1,250 |
0.8× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$511.50 |
$1,023 |
1.0× |
| Cataract removal with lens insertion (66984) |
$1,731.50 |
$3,463 |
0.8× |
| CT head/brain without contrast (70450) |
$544.50 |
$1,089 |
5.6× |
| MRI brain without contrast (70551) |
$675.50 |
$1,351 |
3.0× |
| MRI brain with contrast (70552) |
$809.50 |
$1,619 |
2.5× |
| MRI brain without and with contrast (70553) |
$1,100 |
$2,200 |
3.4× |
| X-ray lower spine, 4+ views (72110) |
$274 |
$548 |
2.8× |
| MRI lumbar spine without contrast (72148) |
$830.50 |
$1,661 |
3.7× |
| CT pelvis with contrast (72193) |
$957.50 |
$1,915 |
5.9× |
| MRI lower-extremity joint without contrast (73721) |
$809 |
$1,618 |
3.6× |
| CT abdomen and pelvis with contrast (74177) |
$1,999 |
$3,998 |
6.2× |
| Ultrasound, abdomen complete (76700) |
$587 |
$1,174 |
6.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$377 |
$754 |
3.9× |
| Ultrasound, transvaginal (76830) |
$338 |
$676 |
3.5× |
| Mammography, one breast (diagnostic) (77065) |
$358 |
$716 |
4.2× |
| Mammography, both breasts (diagnostic) (77066) |
$413.50 |
$827 |
3.7× |
| Mammography, screening (bilateral) (77067) |
$275.50 |
$551 |
3.0× |
| Basic metabolic panel (80048) |
$45 |
$90 |
5.3× |
| Comprehensive metabolic panel (80053) |
$148.50 |
$297 |
14.1× |
| Lipid panel (80061) |
$35 |
$70 |
2.6× |
| Renal function panel (80069) |
$48 |
$96 |
5.5× |
| Hepatic function panel (80076) |
$43 |
$86 |
5.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$16 |
$32 |
4.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$11.50 |
$23 |
3.3× |
| PSA, total (84153) |
$51.50 |
$103 |
2.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$84 |
$168 |
5.0× |
| CBC with automated differential (85025) |
$56 |
$112 |
7.2× |
| CBC, automated (85027) |
$32.50 |
$65 |
5.0× |
| Prothrombin time (PT) (85610) |
$24 |
$48 |
5.6× |
| Partial thromboplastin time (PTT) (85730) |
$39.25 |
$78.50 |
6.5× |
| Psychotherapy, 30 minutes (90832) |
$78 |
$156 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$102.50 |
$205 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$115.50 |
$231 |
0.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$118.50 |
$237 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$118.50 |
$237 |
0.7× |
| Group psychotherapy (90853) |
$139.75 |
$279.50 |
1.5× |
| Left heart catheterization (93452) |
$2,280.50 |
$4,561 |
0.8× |
| Sleep study (attended polysomnography) (95810) |
$1,544.50 |
$3,089 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$51.50 |
$103 |
1.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$43 |
$86 |
0.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$43 |
$86 |
0.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$43 |
$86 |
0.3× |