| Epidural injection, lumbar/sacral (with imaging) (62322) |
$617.38 |
$2,011 |
0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$560.58 |
$1,826 |
0.6× |
| CT head/brain without contrast (70450) |
$247.15 |
$1,626 |
2.2× |
| MRI brain without contrast (70551) |
$412.08 |
$2,424 |
1.6× |
| MRI brain with contrast (70552) |
$515.10 |
$3,030 |
1.4× |
| MRI brain without and with contrast (70553) |
$618.12 |
$3,636 |
1.7× |
| X-ray lower spine, 4+ views (72110) |
$149.39 |
$503 |
1.3× |
| MRI lumbar spine without contrast (72148) |
$391.55 |
$2,417 |
1.5× |
| CT pelvis with contrast (72193) |
$320.56 |
$2,447 |
1.7× |
| MRI lower-extremity joint without contrast (73721) |
$402.05 |
$2,379 |
1.6× |
| CT abdomen and pelvis with contrast (74177) |
$414.88 |
$3,167 |
1.1× |
| Ultrasound, abdomen complete (76700) |
$300.67 |
$869 |
2.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$248.43 |
$718 |
2.2× |
| Ultrasound, transvaginal (76830) |
$235.97 |
$682 |
2.1× |
| Mammography, one breast (diagnostic) (77065) |
$169.30 |
$406 |
2.0× |
| Mammography, both breasts (diagnostic) (77066) |
$256.46 |
$615 |
2.3× |
| Mammography, screening (bilateral) (77067) |
$211.90 |
$407.50 |
2.3× |
| Basic metabolic panel (80048) |
$74.04 |
$446 |
8.8× |
| Comprehensive metabolic panel (80053) |
$130.97 |
$789 |
12.4× |
| Lipid panel (80061) |
$29.88 |
$180 |
2.2× |
| Renal function panel (80069) |
$44.82 |
$270 |
5.2× |
| Hepatic function panel (80076) |
$47.64 |
$287 |
5.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$2.52 |
$11 |
0.7× |
| PSA, total (84153) |
$9.30 |
$56 |
0.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$31.46 |
$189.50 |
1.9× |
| CBC with automated differential (85025) |
$18.42 |
$106.50 |
2.4× |
| CBC, automated (85027) |
$24.39 |
$141 |
3.8× |
| Prothrombin time (PT) (85610) |
$21.80 |
$126 |
5.1× |
| Partial thromboplastin time (PTT) (85730) |
$26.12 |
$151 |
4.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$39.25 |
$143 |
1.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$952.14 |
$1,292.50 |
6.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,149.95 |
$1,570 |
8.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,531.82 |
$2,075 |
10.8× |