| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,905 |
— |
2.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$3,275 |
— |
4.8× |
| CT head/brain without contrast (70450) |
$2,595 |
— |
19.9× |
| MRI brain without contrast (70551) |
$5,379 |
— |
18.1× |
| MRI brain with contrast (70552) |
$6,521 |
— |
15.0× |
| MRI brain without and with contrast (70553) |
$8,101 |
— |
18.6× |
| X-ray lower spine, 4+ views (72110) |
$996 |
— |
7.6× |
| MRI lumbar spine without contrast (72148) |
$5,353 |
— |
18.0× |
| CT pelvis with contrast (72193) |
$2,355 |
— |
10.8× |
| MRI lower-extremity joint without contrast (73721) |
$4,506 |
— |
15.1× |
| CT abdomen and pelvis with contrast (74177) |
$3,529 |
— |
8.1× |
| Ultrasound, abdomen complete (76700) |
$1,283 |
— |
9.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$884 |
— |
6.8× |
| Ultrasound, transvaginal (76830) |
$979 |
— |
7.5× |
| Mammography, one breast (diagnostic) (77065) |
$852 |
— |
9.9× |
| Mammography, both breasts (diagnostic) (77066) |
$1,111 |
— |
10.0× |
| Mammography, screening (bilateral) (77067) |
$874 |
— |
9.6× |
| Basic metabolic panel (80048) |
$130 |
— |
15.4× |
| Comprehensive metabolic panel (80053) |
$129 |
— |
12.2× |
| Lipid panel (80061) |
$239 |
— |
17.8× |
| Renal function panel (80069) |
$107 |
— |
12.3× |
| Hepatic function panel (80076) |
$162 |
— |
19.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$112 |
— |
27.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$75 |
— |
21.6× |
| PSA, total (84153) |
$392 |
— |
21.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$359 |
— |
21.4× |
| CBC with automated differential (85025) |
$113 |
— |
14.5× |
| CBC, automated (85027) |
$87 |
— |
13.4× |
| Prothrombin time (PT) (85610) |
$78 |
— |
18.2× |
| Partial thromboplastin time (PTT) (85730) |
$126 |
— |
21.0× |
| Psychotherapy, 30 minutes (90832) |
$2,312 |
— |
10.4× |
| Psychotherapy, 45 minutes (90834) |
$480 |
— |
2.2× |
| Psychotherapy, 60 minutes (90837) |
$599 |
— |
2.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$579 |
— |
2.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$579 |
— |
2.6× |
| Group psychotherapy (90853) |
$579 |
— |
4.6× |
| Sleep study (attended polysomnography) (95810) |
$11,097 |
— |
10.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$423 |
— |
14.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$715 |
— |
4.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$715 |
— |
4.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$715 |
— |
4.3× |
| Office consultation (low complexity, ~30 min) (99243) |
$715 |
— |
4.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$715 |
— |
4.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$715 |
— |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$715 |
— |
— |