| Transforaminal epidural injection, lumbar/sacral (64483) |
$441 |
$882 |
0.5× |
| CT head/brain without contrast (70450) |
$1,545.50 |
$3,091 |
14.6× |
| MRI brain without contrast (70551) |
$1,212 |
$2,424 |
5.0× |
| MRI brain with contrast (70552) |
$140.50 |
$281 |
0.4× |
| MRI brain without and with contrast (70553) |
$2,669.50 |
$5,339 |
7.5× |
| X-ray lower spine, 4+ views (72110) |
$707.50 |
$1,415 |
6.7× |
| MRI lumbar spine without contrast (72148) |
$2,768 |
$5,536 |
11.4× |
| CT pelvis with contrast (72193) |
$1,644 |
$3,288 |
9.2× |
| MRI lower-extremity joint without contrast (73721) |
$4,384 |
$8,768 |
18.1× |
| CT abdomen and pelvis with contrast (74177) |
$4,214.50 |
$8,429 |
11.9× |
| Ultrasound, abdomen complete (76700) |
$984.50 |
$1,969 |
9.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$687 |
$1,374 |
6.5× |
| Ultrasound, transvaginal (76830) |
$937.50 |
$1,875 |
8.8× |
| Mammography, one breast (diagnostic) (77065) |
$253.50 |
$507 |
2.9× |
| Mammography, both breasts (diagnostic) (77066) |
$332.50 |
$665 |
3.0× |
| Mammography, screening (bilateral) (77067) |
$277.50 |
$555 |
3.0× |
| Basic metabolic panel (80048) |
$364 |
$728 |
43.0× |
| Comprehensive metabolic panel (80053) |
$546 |
$1,092 |
51.7× |
| Lipid panel (80061) |
$341.50 |
$683 |
25.5× |
| Renal function panel (80069) |
$237.50 |
$475 |
27.4× |
| Hepatic function panel (80076) |
$360 |
$720 |
44.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$34.50 |
$69 |
9.9× |
| PSA, total (84153) |
$205.50 |
$411 |
11.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$194.50 |
$389 |
11.6× |
| CBC with automated differential (85025) |
$259 |
$518 |
33.3× |
| CBC, automated (85027) |
$172.50 |
$345 |
26.7× |
| Prothrombin time (PT) (85610) |
$71 |
$142 |
16.6× |
| Partial thromboplastin time (PTT) (85730) |
$114.50 |
$229 |
19.1× |
| Psychotherapy, 30 minutes (90832) |
$106.75 |
$213.50 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$217 |
$434 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$229 |
$458 |
1.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$165.50 |
$331 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$221.50 |
$443 |
1.2× |
| Group psychotherapy (90853) |
$318.50 |
$637 |
3.1× |
| Left heart catheterization (93452) |
$2,931 |
$5,862 |
0.9× |
| Sleep study (attended polysomnography) (95810) |
$4,284 |
$8,568 |
4.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$59 |
$118 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$152.50 |
$305 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$177 |
$354 |
— |