| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,285.66 |
$2,571.32 |
2.4× |
| Cataract removal with lens insertion (66984) |
$6,417.19 |
$12,834.37 |
2.9× |
| CT head/brain without contrast (70450) |
$302.75 |
$605.49 |
3.0× |
| MRI brain without contrast (70551) |
$674.77 |
$1,349.53 |
2.9× |
| MRI brain with contrast (70552) |
$1,059.02 |
$2,118.03 |
3.2× |
| MRI brain without and with contrast (70553) |
$1,059.02 |
$2,118.03 |
3.2× |
| X-ray lower spine, 4+ views (72110) |
$302.75 |
$605.49 |
3.0× |
| MRI lumbar spine without contrast (72148) |
$674.77 |
$1,349.53 |
2.9× |
| CT pelvis with contrast (72193) |
$505.96 |
$1,011.91 |
3.0× |
| MRI lower-extremity joint without contrast (73721) |
$674.77 |
$1,349.53 |
2.9× |
| CT abdomen and pelvis with contrast (74177) |
$1,059.02 |
$2,118.03 |
3.2× |
| Ultrasound, abdomen complete (76700) |
$302.75 |
$605.49 |
3.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$302.75 |
$605.49 |
3.0× |
| Ultrasound, transvaginal (76830) |
$302.75 |
$605.49 |
3.0× |
| Mammography, one breast (diagnostic) (77065) |
$279 |
$557.99 |
3.2× |
| Mammography, both breasts (diagnostic) (77066) |
$356.59 |
$713.17 |
3.2× |
| Mammography, screening (bilateral) (77067) |
$294.93 |
$589.86 |
3.2× |
| Basic metabolic panel (80048) |
$32.67 |
$65.34 |
3.9× |
| Comprehensive metabolic panel (80053) |
$35.20 |
$70.39 |
3.3× |
| Lipid panel (80061) |
$44.63 |
$89.25 |
3.3× |
| Renal function panel (80069) |
$28.93 |
$57.86 |
3.3× |
| Hepatic function panel (80076) |
$27.23 |
$54.46 |
3.3× |
| PSA, total (84153) |
$61.30 |
$122.59 |
3.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$55.99 |
$111.98 |
3.3× |
| CBC with automated differential (85025) |
$25.90 |
$51.80 |
3.3× |
| CBC, automated (85027) |
$21.57 |
$43.13 |
3.3× |
| Prothrombin time (PT) (85610) |
$14.30 |
$28.59 |
3.3× |
| Partial thromboplastin time (PTT) (85730) |
$60.06 |
$120.13 |
10.0× |
| Electrocardiogram (ECG), complete (93000) |
$190.21 |
$380.42 |
3.4× |
| Sleep study (attended polysomnography) (95810) |
$2,879.13 |
$5,758.26 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$101.25 |
$202.49 |
3.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$122.55 |
$245.09 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$122.55 |
$245.09 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$122.55 |
$245.09 |
1.0× |