| Colonoscopy with lesion removal (45385) |
$637 |
$1,274 |
0.6× |
| Inguinal hernia repair (age 5+) (49505) |
$5,643 |
$11,286 |
1.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,293 |
$2,586 |
1.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$864 |
$1,728 |
1.1× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$758 |
$1,516 |
1.5× |
| Cataract removal with lens insertion (66984) |
$2,565 |
$5,130 |
1.2× |
| CT head/brain without contrast (70450) |
$639 |
$1,278 |
6.6× |
| MRI brain without contrast (70551) |
$892.50 |
$1,785 |
4.0× |
| MRI brain with contrast (70552) |
$1,069.50 |
$2,139 |
3.3× |
| MRI brain without and with contrast (70553) |
$1,454 |
$2,908 |
4.5× |
| X-ray lower spine, 4+ views (72110) |
$226.50 |
$453 |
2.3× |
| MRI lumbar spine without contrast (72148) |
$892.50 |
$1,785 |
4.0× |
| CT pelvis with contrast (72193) |
$781.50 |
$1,563 |
4.8× |
| MRI lower-extremity joint without contrast (73721) |
$869.50 |
$1,739 |
3.9× |
| CT abdomen and pelvis with contrast (74177) |
$1,632 |
$3,264 |
5.0× |
| Ultrasound, abdomen complete (76700) |
$652 |
$1,304 |
6.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$419 |
$838 |
4.3× |
| Ultrasound, transvaginal (76830) |
$376 |
$752 |
3.9× |
| Mammography, one breast (diagnostic) (77065) |
$358.50 |
$717 |
4.2× |
| Mammography, both breasts (diagnostic) (77066) |
$414 |
$828 |
3.7× |
| Mammography, screening (bilateral) (77067) |
$276 |
$552 |
3.0× |
| Basic metabolic panel (80048) |
$55.50 |
$111 |
6.6× |
| Comprehensive metabolic panel (80053) |
$148.50 |
$297 |
14.1× |
| Lipid panel (80061) |
$43.50 |
$87 |
3.2× |
| Renal function panel (80069) |
$59.50 |
$119 |
6.9× |
| Hepatic function panel (80076) |
$53 |
$106 |
6.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$20 |
$40 |
5.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$14.50 |
$29 |
4.2× |
| PSA, total (84153) |
$71.25 |
$142.50 |
3.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$116.50 |
$233 |
6.9× |
| CBC with automated differential (85025) |
$77.50 |
$155 |
10.0× |
| CBC, automated (85027) |
$45 |
$90 |
7.0× |
| Prothrombin time (PT) (85610) |
$33.25 |
$66.50 |
7.8× |
| Partial thromboplastin time (PTT) (85730) |
$54 |
$108 |
9.0× |
| 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) |
$164 |
$328 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$164 |
$328 |
1.0× |
| Group psychotherapy (90853) |
$204.50 |
$409 |
2.2× |
| Left heart catheterization (93452) |
$2,815.50 |
$5,631 |
0.9× |
| Sleep study (attended polysomnography) (95810) |
$2,135.50 |
$4,271 |
2.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$70 |
$140 |
2.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$59.50 |
$119 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$59.50 |
$119 |
0.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$59.50 |
$119 |
0.5× |