| Colonoscopy with lesion removal (45385) |
$1,452.50 |
$2,905 |
1.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,806 |
$3,612 |
2.2× |
| CT head/brain without contrast (70450) |
$1,453 |
$2,906 |
14.9× |
| MRI brain without contrast (70551) |
$2,804.50 |
$5,609 |
12.6× |
| MRI brain with contrast (70552) |
$3,019 |
$6,038 |
9.3× |
| MRI brain without and with contrast (70553) |
$3,116.50 |
$6,233 |
9.6× |
| X-ray lower spine, 4+ views (72110) |
$617.50 |
$1,235 |
6.4× |
| MRI lumbar spine without contrast (72148) |
$4,123 |
$8,246 |
18.6× |
| CT pelvis with contrast (72193) |
$2,111.50 |
$4,223 |
12.9× |
| MRI lower-extremity joint without contrast (73721) |
$2,708.50 |
$5,417 |
12.2× |
| CT abdomen and pelvis with contrast (74177) |
$4,439.50 |
$8,879 |
13.7× |
| Ultrasound, abdomen complete (76700) |
$1,088 |
$2,176 |
11.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,665 |
$3,330 |
17.1× |
| Ultrasound, transvaginal (76830) |
$1,193 |
$2,386 |
12.3× |
| 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) |
$232 |
$464 |
27.4× |
| Comprehensive metabolic panel (80053) |
$317 |
$634 |
30.0× |
| Lipid panel (80061) |
$212 |
$424 |
15.8× |
| Renal function panel (80069) |
$357 |
$714 |
41.1× |
| Hepatic function panel (80076) |
$369.50 |
$739 |
45.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$38 |
$76 |
10.9× |
| PSA, total (84153) |
$249 |
$498 |
13.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$308 |
$616 |
18.3× |
| CBC with automated differential (85025) |
$144 |
$288 |
18.5× |
| CBC, automated (85027) |
$107.50 |
$215 |
16.6× |
| Prothrombin time (PT) (85610) |
$73 |
$146 |
17.0× |
| Partial thromboplastin time (PTT) (85730) |
$76 |
$152 |
12.6× |
| Psychotherapy, 30 minutes (90832) |
$108 |
$216 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$142 |
$284 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$160.50 |
$321 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$483 |
$966 |
2.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$261 |
$522 |
1.6× |
| Group psychotherapy (90853) |
$222.50 |
$445 |
2.4× |
| Left heart catheterization (93452) |
$7,505.50 |
$15,011 |
2.5× |
| Sleep study (attended polysomnography) (95810) |
$3,766 |
$7,532 |
4.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$146 |
$292 |
5.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$689 |
$1,378 |
5.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$802 |
$1,604 |
6.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$943.50 |
$1,887 |
7.6× |