| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,821.25 |
$2,801.92 |
2.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$595.17 |
$915.65 |
1.2× |
| Cataract removal with lens insertion (66984) |
$2,373.85 |
$3,652.07 |
1.1× |
| CT head/brain without contrast (70450) |
$803.58 |
$1,236.27 |
8.2× |
| MRI brain without contrast (70551) |
$803.58 |
$1,236.27 |
3.6× |
| MRI brain with contrast (70552) |
$758.71 |
$1,167.25 |
2.3× |
| MRI brain without and with contrast (70553) |
$803.58 |
$1,236.27 |
2.5× |
| X-ray lower spine, 4+ views (72110) |
$154.73 |
$238.05 |
1.6× |
| MRI lumbar spine without contrast (72148) |
$803.58 |
$1,236.27 |
3.6× |
| CT pelvis with contrast (72193) |
$803.58 |
$1,236.27 |
4.9× |
| MRI lower-extremity joint without contrast (73721) |
$803.58 |
$1,236.27 |
3.6× |
| CT abdomen and pelvis with contrast (74177) |
$803.58 |
$1,236.27 |
2.5× |
| Ultrasound, abdomen complete (76700) |
$729.98 |
$1,123.04 |
7.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$437.51 |
$673.09 |
4.5× |
| Ultrasound, transvaginal (76830) |
$499.19 |
$767.99 |
5.1× |
| Mammography, one breast (diagnostic) (77065) |
$152.91 |
$235.25 |
1.8× |
| Mammography, both breasts (diagnostic) (77066) |
$152.91 |
$235.25 |
1.4× |
| Mammography, screening (bilateral) (77067) |
$152.91 |
$235.25 |
1.7× |
| Basic metabolic panel (80048) |
$29.46 |
$45.33 |
3.5× |
| Comprehensive metabolic panel (80053) |
$42.65 |
$65.62 |
4.0× |
| Lipid panel (80061) |
$31.03 |
$47.74 |
2.3× |
| Renal function panel (80069) |
$173.13 |
$266.35 |
19.9× |
| Hepatic function panel (80076) |
$28.70 |
$44.16 |
3.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$5.27 |
$8.11 |
1.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$30.87 |
$47.48 |
8.9× |
| PSA, total (84153) |
$35.09 |
$53.98 |
1.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$207.13 |
$318.66 |
12.3× |
| CBC with automated differential (85025) |
$19.40 |
$29.84 |
2.5× |
| CBC, automated (85027) |
$26.72 |
$41.11 |
4.1× |
| Prothrombin time (PT) (85610) |
$18.28 |
$28.12 |
4.3× |
| Partial thromboplastin time (PTT) (85730) |
$57.46 |
$88.40 |
9.6× |
| Electrocardiogram (ECG), complete (93000) |
$221.71 |
$341.09 |
4.0× |
| Sleep study (attended polysomnography) (95810) |
$2,612.14 |
$4,018.68 |
3.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$78.77 |
$121.19 |
2.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$209.29 |
$321.99 |
1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$288.99 |
$444.60 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$300.20 |
$461.85 |
2.4× |