| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,377.89 |
$2,119.84 |
1.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,922.98 |
$2,958.43 |
2.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$709.31 |
$1,091.25 |
1.3× |
| Cataract removal with lens insertion (66984) |
$2,697.17 |
$4,149.49 |
1.2× |
| CT head/brain without contrast (70450) |
$803.58 |
$1,236.27 |
7.8× |
| MRI brain without contrast (70551) |
$803.58 |
$1,236.27 |
3.4× |
| MRI brain with contrast (70552) |
$803.58 |
$1,236.27 |
2.3× |
| MRI brain without and with contrast (70553) |
$803.58 |
$1,236.27 |
2.3× |
| X-ray lower spine, 4+ views (72110) |
$160.68 |
$247.20 |
1.6× |
| MRI lumbar spine without contrast (72148) |
$803.58 |
$1,236.27 |
3.4× |
| CT pelvis with contrast (72193) |
$803.58 |
$1,236.27 |
4.6× |
| MRI lower-extremity joint without contrast (73721) |
$803.58 |
$1,236.27 |
3.4× |
| CT abdomen and pelvis with contrast (74177) |
$803.58 |
$1,236.27 |
2.3× |
| Ultrasound, abdomen complete (76700) |
$831.67 |
$1,279.49 |
8.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$753.69 |
$1,159.52 |
7.3× |
| Ultrasound, transvaginal (76830) |
$519.75 |
$799.62 |
5.0× |
| Mammography, one breast (diagnostic) (77065) |
$152.08 |
$233.97 |
1.8× |
| Mammography, both breasts (diagnostic) (77066) |
$152.08 |
$233.97 |
1.4× |
| Mammography, screening (bilateral) (77067) |
$155.45 |
$239.15 |
1.7× |
| Basic metabolic panel (80048) |
$18.75 |
$28.84 |
2.2× |
| Comprehensive metabolic panel (80053) |
$24.61 |
$37.86 |
2.3× |
| Lipid panel (80061) |
$19.95 |
$30.68 |
1.5× |
| Renal function panel (80069) |
$76.65 |
$117.93 |
8.8× |
| Hepatic function panel (80076) |
$14.29 |
$21.98 |
1.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$5.34 |
$8.22 |
1.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$26.12 |
$40.18 |
7.5× |
| PSA, total (84153) |
$32.66 |
$50.24 |
1.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$27.77 |
$42.73 |
1.7× |
| CBC with automated differential (85025) |
$15.87 |
$24.41 |
2.0× |
| CBC, automated (85027) |
$11.90 |
$18.31 |
1.8× |
| Prothrombin time (PT) (85610) |
$16.03 |
$24.66 |
3.7× |
| Partial thromboplastin time (PTT) (85730) |
$14.87 |
$22.88 |
2.5× |
| Psychotherapy, 30 minutes (90832) |
$260.10 |
$400.16 |
1.5× |
| Psychotherapy, 45 minutes (90834) |
$164.51 |
$253.09 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$164.48 |
$253.05 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$168.01 |
$258.48 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$168.01 |
$258.48 |
1.0× |
| Group psychotherapy (90853) |
$93.72 |
$144.19 |
0.9× |
| Left heart catheterization (93452) |
$4,073.55 |
$6,267 |
1.3× |
| Sleep study (attended polysomnography) (95810) |
$3,418.36 |
$5,259.01 |
4.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$78.84 |
$121.28 |
2.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$426.04 |
$655.45 |
3.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$486.91 |
$749.09 |
3.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$599.19 |
$921.83 |
4.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$351.81 |
$541.24 |
2.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$445.17 |
$684.87 |
3.4× |