| Cataract removal with lens insertion (66984) |
$294.14 |
$1,050.50 |
0.1× |
| CT head/brain without contrast (70450) |
$595.84 |
$2,128 |
5.3× |
| MRI brain without contrast (70551) |
$1,389.36 |
$4,962 |
5.5× |
| MRI brain with contrast (70552) |
$1,464.96 |
$5,232 |
3.9× |
| MRI brain without and with contrast (70553) |
$1,878.24 |
$6,708 |
5.0× |
| X-ray lower spine, 4+ views (72110) |
$315.56 |
$1,127 |
2.8× |
| MRI lumbar spine without contrast (72148) |
$1,478.40 |
$5,280 |
5.8× |
| CT pelvis with contrast (72193) |
$753.20 |
$2,690 |
4.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,466.64 |
$5,238 |
5.8× |
| CT abdomen and pelvis with contrast (74177) |
$1,352.40 |
$4,830 |
3.6× |
| Ultrasound, abdomen complete (76700) |
$495.32 |
$1,769 |
4.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$419.72 |
$1,499 |
3.8× |
| Ultrasound, transvaginal (76830) |
$345.24 |
$1,233 |
3.1× |
| Mammography, one breast (diagnostic) (77065) |
$198.24 |
$708 |
2.3× |
| Mammography, both breasts (diagnostic) (77066) |
$263.20 |
$940 |
2.4× |
| Mammography, screening (bilateral) (77067) |
$198.24 |
$708 |
2.2× |
| Basic metabolic panel (80048) |
$61.88 |
$221 |
7.3× |
| Comprehensive metabolic panel (80053) |
$113.68 |
$406 |
10.8× |
| Lipid panel (80061) |
$58.10 |
$207.50 |
4.3× |
| Renal function panel (80069) |
$72.52 |
$259 |
8.4× |
| Hepatic function panel (80076) |
$42.28 |
$151 |
5.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$18.48 |
$66 |
5.3× |
| PSA, total (84153) |
$28.70 |
$102.50 |
1.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$35.56 |
$127 |
2.1× |
| CBC with automated differential (85025) |
$54.32 |
$194 |
7.0× |
| CBC, automated (85027) |
$23.24 |
$83 |
3.6× |
| Prothrombin time (PT) (85610) |
$29.96 |
$107 |
7.0× |
| Partial thromboplastin time (PTT) (85730) |
$9.11 |
$32.52 |
1.5× |
| Left heart catheterization (93452) |
$1,431.36 |
$5,112 |
0.4× |
| Sleep study (attended polysomnography) (95810) |
$1,599.92 |
$5,714 |
1.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$40.32 |
$144 |
1.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$94.36 |
$337 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$103.60 |
$370 |
0.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$197.96 |
$707 |
1.4× |