| After-cataract laser surgery (YAG capsulotomy) (66821) |
$693.60 |
$2,312 |
1.3× |
| CT head/brain without contrast (70450) |
$798 |
$2,660 |
8.1× |
| MRI brain without contrast (70551) |
$1,419.60 |
$4,732 |
6.3× |
| MRI brain with contrast (70552) |
$1,477.20 |
$4,924 |
4.5× |
| MRI brain without and with contrast (70553) |
$1,535.70 |
$5,119 |
4.7× |
| X-ray lower spine, 4+ views (72110) |
$300.90 |
$1,003 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$1,255.80 |
$4,186 |
5.6× |
| CT pelvis with contrast (72193) |
$1,021.80 |
$3,406 |
6.2× |
| MRI lower-extremity joint without contrast (73721) |
$1,342.50 |
$4,475 |
6.0× |
| CT abdomen and pelvis with contrast (74177) |
$2,120.10 |
$7,067 |
6.5× |
| Ultrasound, abdomen complete (76700) |
$299.70 |
$999 |
3.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$299.70 |
$999 |
3.1× |
| Ultrasound, transvaginal (76830) |
$435.90 |
$1,453 |
4.4× |
| Mammography, one breast (diagnostic) (77065) |
$96 |
$320 |
1.1× |
| Mammography, both breasts (diagnostic) (77066) |
$152.40 |
$508 |
1.4× |
| Mammography, screening (bilateral) (77067) |
$95.10 |
$317 |
1.0× |
| Basic metabolic panel (80048) |
$85.50 |
$285 |
10.1× |
| Comprehensive metabolic panel (80053) |
$136.50 |
$455 |
12.9× |
| Lipid panel (80061) |
$59.55 |
$198.50 |
4.4× |
| Renal function panel (80069) |
$110.70 |
$369 |
12.8× |
| Hepatic function panel (80076) |
$68.40 |
$228 |
8.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$19.50 |
$65 |
5.6× |
| PSA, total (84153) |
$80.70 |
$269 |
4.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$35.70 |
$119 |
2.1× |
| CBC with automated differential (85025) |
$51 |
$170 |
6.6× |
| CBC, automated (85027) |
$41.10 |
$137 |
6.4× |
| Prothrombin time (PT) (85610) |
$22.80 |
$76 |
5.3× |
| Partial thromboplastin time (PTT) (85730) |
$22.80 |
$76 |
3.8× |
| Psychotherapy, 30 minutes (90832) |
$64.50 |
$215 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$108.30 |
$361 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$108.30 |
$361 |
0.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$114.60 |
$382 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$114.60 |
$382 |
0.7× |
| Group psychotherapy (90853) |
$60.30 |
$201 |
0.6× |
| Left heart catheterization (93452) |
$6,257.40 |
$20,858 |
2.1× |
| Sleep study (attended polysomnography) (95810) |
$2,143.80 |
$7,146 |
2.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$62.40 |
$208 |
2.1× |