| After-cataract laser surgery (YAG capsulotomy) (66821) |
$540.30 |
$1,801 |
0.9× |
| Cataract removal with lens insertion (66984) |
$2,246.70 |
$7,489 |
0.9× |
| CT head/brain without contrast (70450) |
$500.70 |
$1,669 |
4.5× |
| MRI brain without contrast (70551) |
$651.30 |
$2,171 |
2.5× |
| MRI brain with contrast (70552) |
$722.70 |
$2,409 |
1.9× |
| MRI brain without and with contrast (70553) |
$894.60 |
$2,982 |
2.4× |
| X-ray lower spine, 4+ views (72110) |
$106.50 |
$355 |
1.0× |
| MRI lumbar spine without contrast (72148) |
$651.30 |
$2,171 |
2.5× |
| CT pelvis with contrast (72193) |
$750.90 |
$2,503 |
4.0× |
| MRI lower-extremity joint without contrast (73721) |
$651.30 |
$2,171 |
2.5× |
| CT abdomen and pelvis with contrast (74177) |
$1,430.10 |
$4,767 |
3.8× |
| Ultrasound, abdomen complete (76700) |
$389.10 |
$1,297 |
3.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$324 |
$1,080 |
2.9× |
| Ultrasound, transvaginal (76830) |
$238.50 |
$795 |
2.1× |
| Mammography, one breast (diagnostic) (77065) |
$177.30 |
$591 |
2.1× |
| Mammography, both breasts (diagnostic) (77066) |
$177.30 |
$591 |
1.6× |
| Mammography, screening (bilateral) (77067) |
$60 |
$200 |
0.7× |
| Basic metabolic panel (80048) |
$24.90 |
$83 |
2.9× |
| Comprehensive metabolic panel (80053) |
$36 |
$120 |
3.4× |
| Obstetric panel (80055) |
$71.70 |
$239 |
1.5× |
| Lipid panel (80061) |
$29.40 |
$98 |
2.2× |
| Renal function panel (80069) |
$29.70 |
$99 |
3.4× |
| Hepatic function panel (80076) |
$24.30 |
$81 |
3.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$10.50 |
$35 |
3.0× |
| PSA, total (84153) |
$42.60 |
$142 |
2.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$25.80 |
$86 |
1.5× |
| CBC with automated differential (85025) |
$39 |
$130 |
5.0× |
| Prothrombin time (PT) (85610) |
$34.20 |
$114 |
8.0× |
| Partial thromboplastin time (PTT) (85730) |
$52.80 |
$176 |
8.8× |
| Psychotherapy, 45 minutes (90834) |
$158.40 |
$528 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$158.40 |
$528 |
0.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$158.40 |
$528 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$158.40 |
$528 |
0.8× |
| Group psychotherapy (90853) |
$91.20 |
$304 |
0.8× |
| Electrocardiogram (ECG), complete (93000) |
$18 |
$60 |
0.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$126 |
$420 |
4.3× |
| Office consultation (low complexity, ~30 min) (99243) |
$80.70 |
$269 |
0.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$112.50 |
$375 |
0.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$49.20 |
$164 |
— |