| Inguinal hernia repair (age 5+) (49505) |
$3,835.50 |
$5,114 |
1.2× |
| CT head/brain without contrast (70450) |
$1,371.75 |
$1,829 |
14.5× |
| MRI brain without contrast (70551) |
$1,046.25 |
$1,395 |
4.8× |
| MRI brain with contrast (70552) |
$837 |
$1,116 |
2.6× |
| MRI brain without and with contrast (70553) |
$1,345.50 |
$1,794 |
4.3× |
| X-ray lower spine, 4+ views (72110) |
$199.50 |
$266 |
2.1× |
| MRI lumbar spine without contrast (72148) |
$1,062 |
$1,416 |
4.9× |
| CT pelvis with contrast (72193) |
$1,226.25 |
$1,635 |
7.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,046.25 |
$1,395 |
4.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,250 |
$3,000 |
7.1× |
| Ultrasound, abdomen complete (76700) |
$367.50 |
$490 |
3.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$252.75 |
$337 |
2.7× |
| Ultrasound, transvaginal (76830) |
$239.62 |
$319.50 |
2.5× |
| Mammography, one breast (diagnostic) (77065) |
$157.50 |
$210 |
1.8× |
| Mammography, both breasts (diagnostic) (77066) |
$181.88 |
$242.50 |
1.6× |
| Mammography, screening (bilateral) (77067) |
$187.50 |
$250 |
2.1× |
| Basic metabolic panel (80048) |
$21.10 |
$28.13 |
2.5× |
| Comprehensive metabolic panel (80053) |
$18.75 |
$25 |
1.8× |
| Lipid panel (80061) |
$21.68 |
$28.91 |
1.6× |
| Renal function panel (80069) |
$28.50 |
$38 |
3.3× |
| Hepatic function panel (80076) |
$15 |
$20 |
1.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$8.25 |
$11 |
2.4× |
| PSA, total (84153) |
$62 |
$82.66 |
3.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$27.38 |
$36.51 |
1.6× |
| CBC with automated differential (85025) |
$12.75 |
$17 |
1.6× |
| CBC, automated (85027) |
$10.84 |
$14.45 |
1.7× |
| Prothrombin time (PT) (85610) |
$11.25 |
$15 |
2.6× |
| Partial thromboplastin time (PTT) (85730) |
$26.25 |
$35 |
4.4× |
| Electrocardiogram (ECG), complete (93000) |
$105 |
$140 |
2.0× |
| Sleep study (attended polysomnography) (95810) |
$2,625 |
$3,500 |
3.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$41.25 |
$55 |
1.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$133.12 |
$177.49 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$171.53 |
$228.70 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$225.51 |
$300.68 |
1.9× |