| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,807.38 |
$6,791 |
2.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,128.27 |
$3,431 |
2.2× |
| CT head/brain without contrast (70450) |
$249.46 |
$2,151 |
2.6× |
| MRI brain without contrast (70551) |
$518.68 |
$3,465 |
2.4× |
| MRI brain with contrast (70552) |
$849.88 |
$3,620 |
2.7× |
| MRI brain without and with contrast (70553) |
$849.88 |
$4,923 |
2.7× |
| X-ray lower spine, 4+ views (72110) |
$249.46 |
$737 |
2.6× |
| MRI lumbar spine without contrast (72148) |
$518.68 |
$4,149 |
2.4× |
| CT pelvis with contrast (72193) |
$405.57 |
$3,183 |
2.5× |
| MRI lower-extremity joint without contrast (73721) |
$518.68 |
$3,320 |
2.4× |
| CT abdomen and pelvis with contrast (74177) |
$849.88 |
$5,484 |
2.7× |
| Ultrasound, abdomen complete (76700) |
$249.46 |
$1,203 |
2.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$249.46 |
$1,027 |
2.6× |
| Ultrasound, transvaginal (76830) |
$249.46 |
$1,352 |
2.6× |
| Mammography, one breast (diagnostic) (77065) |
$185.29 |
$477 |
2.2× |
| Mammography, both breasts (diagnostic) (77066) |
$236.12 |
$612 |
2.1× |
| Mammography, screening (bilateral) (77067) |
$195.88 |
$533 |
2.1× |
| Basic metabolic panel (80048) |
$18.83 |
$340 |
2.2× |
| Comprehensive metabolic panel (80053) |
$23.50 |
$173 |
2.2× |
| Obstetric panel (80055) |
$106.41 |
$1,909 |
2.2× |
| Lipid panel (80061) |
$29.80 |
$433 |
2.2× |
| Renal function panel (80069) |
$19.32 |
$179 |
2.2× |
| Hepatic function panel (80076) |
$18.18 |
$242 |
2.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$7.75 |
$21 |
2.2× |
| PSA, total (84153) |
$40.93 |
$351 |
2.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$37.39 |
$214 |
2.2× |
| CBC with automated differential (85025) |
$14.11 |
$238 |
1.8× |
| CBC, automated (85027) |
$14.40 |
$58 |
2.2× |
| Prothrombin time (PT) (85610) |
$9.55 |
$83 |
2.2× |
| Partial thromboplastin time (PTT) (85730) |
$13.38 |
$129 |
2.2× |
| Psychotherapy, 30 minutes (90832) |
$292.37 |
$930 |
1.8× |
| Psychotherapy, 45 minutes (90834) |
$292.37 |
$930 |
1.8× |
| Psychotherapy, 60 minutes (90837) |
$292.37 |
$930 |
1.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$292.37 |
$930 |
1.8× |
| Left heart catheterization (93452) |
$6,343.13 |
$16,937 |
2.1× |
| Sleep study (attended polysomnography) (95810) |
$2,023.05 |
$7,041 |
2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$66.39 |
$213 |
2.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$62.85 |
$821 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$68.48 |
$821 |
0.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$75.54 |
$821 |
0.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$52.97 |
$250 |
0.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$57.89 |
$277 |
0.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$221.57 |
$705 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$268.82 |
$855 |
— |