| Epidural injection, lumbar/sacral (with imaging) (62322) |
$814 |
$2,066 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$592.97 |
$1,505 |
0.6× |
| CT head/brain without contrast (70450) |
$376.08 |
$1,126 |
3.4× |
| MRI brain without contrast (70551) |
$472.75 |
$1,525 |
1.9× |
| MRI brain with contrast (70552) |
$591.17 |
$1,907 |
1.6× |
| MRI brain without and with contrast (70553) |
$709.28 |
$2,288 |
1.9× |
| X-ray lower spine, 4+ views (72110) |
$108.89 |
$209 |
1.0× |
| MRI lumbar spine without contrast (72148) |
$336.10 |
$1,067 |
1.3× |
| CT pelvis with contrast (72193) |
$495.98 |
$1,275 |
2.7× |
| MRI lower-extremity joint without contrast (73721) |
$403.33 |
$1,067 |
1.6× |
| CT abdomen and pelvis with contrast (74177) |
$525.93 |
$1,352 |
1.4× |
| Ultrasound, abdomen complete (76700) |
$290.75 |
$413 |
2.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$396.35 |
$563 |
3.6× |
| Ultrasound, transvaginal (76830) |
$321.73 |
$457 |
2.9× |
| Mammography, one breast (diagnostic) (77065) |
$179.49 |
$310 |
2.1× |
| Mammography, both breasts (diagnostic) (77066) |
$407.04 |
$703 |
3.7× |
| Mammography, screening (bilateral) (77067) |
$192.82 |
$336.50 |
2.1× |
| Basic metabolic panel (80048) |
$5.90 |
$26 |
0.7× |
| Comprehensive metabolic panel (80053) |
$7.26 |
$32 |
0.7× |
| Lipid panel (80061) |
$13.96 |
$61.50 |
1.0× |
| Renal function panel (80069) |
$6.13 |
$27 |
0.7× |
| Hepatic function panel (80076) |
$5.68 |
$25 |
0.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$1.41 |
$11 |
0.4× |
| PSA, total (84153) |
$12.71 |
$56 |
0.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$11.92 |
$52.50 |
0.7× |
| CBC with automated differential (85025) |
$2.45 |
$24 |
0.3× |
| CBC, automated (85027) |
$2.04 |
$20 |
0.3× |
| Prothrombin time (PT) (85610) |
$1.33 |
$13 |
0.3× |
| Partial thromboplastin time (PTT) (85730) |
$3.72 |
$36.50 |
0.6× |
| Left heart catheterization (93452) |
$7,226.24 |
$11,291 |
2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$14.96 |
$133 |
0.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$350.54 |
$615 |
2.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$435.44 |
$769.50 |
3.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$583.42 |
$1,032 |
4.2× |