| Inguinal hernia repair (age 5+) (49505) |
$1,918.28 |
$3,689 |
0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,783.60 |
$3,430 |
1.8× |
| CT head/brain without contrast (70450) |
$787.80 |
$1,515 |
6.6× |
| MRI brain without contrast (70551) |
$569.92 |
$1,096 |
2.1× |
| MRI brain with contrast (70552) |
$1,556.88 |
$2,994 |
3.9× |
| MRI brain without and with contrast (70553) |
$2,335.84 |
$4,492 |
5.9× |
| X-ray lower spine, 4+ views (72110) |
$289.64 |
$557 |
2.4× |
| MRI lumbar spine without contrast (72148) |
$1,139.32 |
$2,191 |
4.2× |
| CT pelvis with contrast (72193) |
$1,007.24 |
$1,937 |
5.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,139.32 |
$2,191 |
4.2× |
| CT abdomen and pelvis with contrast (74177) |
$2,491.84 |
$4,792 |
6.3× |
| Ultrasound, abdomen complete (76700) |
$477.88 |
$919 |
4.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$477.88 |
$919 |
4.0× |
| Ultrasound, transvaginal (76830) |
$477.88 |
$919 |
4.0× |
| Mammography, one breast (diagnostic) (77065) |
$447.72 |
$861 |
5.2× |
| Mammography, both breasts (diagnostic) (77066) |
$348.40 |
$670 |
3.2× |
| Mammography, screening (bilateral) (77067) |
$418.60 |
$805 |
4.6× |
| Basic metabolic panel (80048) |
$45.24 |
$87 |
5.3× |
| Comprehensive metabolic panel (80053) |
$60.32 |
$116 |
5.7× |
| Lipid panel (80061) |
$95.16 |
$183 |
7.1× |
| Renal function panel (80069) |
$45.24 |
$87 |
5.2× |
| Hepatic function panel (80076) |
$45.24 |
$87 |
5.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$14.56 |
$28 |
4.2× |
| PSA, total (84153) |
$144.04 |
$277 |
7.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$132.08 |
$254 |
7.9× |
| CBC with automated differential (85025) |
$54.60 |
$105 |
7.0× |
| CBC, automated (85027) |
$45.76 |
$88 |
7.1× |
| Prothrombin time (PT) (85610) |
$27.56 |
$53 |
6.4× |
| Partial thromboplastin time (PTT) (85730) |
$41.08 |
$79 |
6.8× |
| Psychotherapy, 30 minutes (90832) |
$142.48 |
$274 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$244.14 |
$469.50 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$232.44 |
$447 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$255.84 |
$492 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$255.84 |
$492 |
1.3× |
| Group psychotherapy (90853) |
$206.96 |
$398 |
1.8× |
| Electrocardiogram (ECG), complete (93000) |
$102.44 |
$197 |
1.5× |
| Left heart catheterization (93452) |
$2,809.56 |
$5,403 |
0.8× |
| Sleep study (attended polysomnography) (95810) |
$1,822.08 |
$3,504 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$55.12 |
$106 |
1.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$165.36 |
$318 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$252.20 |
$485 |
1.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$271.96 |
$523 |
1.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$163.28 |
$314 |
1.1× |