| Epidural injection, lumbar/sacral (with imaging) (62322) |
$233.14 |
$386 |
0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,717.88 |
$2,545 |
1.9× |
| CT head/brain without contrast (70450) |
$900.90 |
$1,499 |
2.8× |
| MRI brain without contrast (70551) |
$1,289.50 |
$1,877 |
2.2× |
| MRI brain with contrast (70552) |
$1,612.39 |
$2,347 |
2.3× |
| MRI brain without and with contrast (70553) |
$1,934.59 |
$2,816 |
2.7× |
| X-ray lower spine, 4+ views (72110) |
$590.66 |
$839 |
16.8× |
| MRI lumbar spine without contrast (72148) |
$1,227.35 |
$1,736 |
2.2× |
| CT pelvis with contrast (72193) |
$2,237.40 |
$3,729 |
5.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,852.25 |
$2,390 |
3.2× |
| CT abdomen and pelvis with contrast (74177) |
$1,593 |
$2,655 |
4.0× |
| Ultrasound, abdomen complete (76700) |
$1,000.21 |
$1,195 |
14.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$881.36 |
$1,053 |
12.4× |
| Ultrasound, transvaginal (76830) |
$683.83 |
$817 |
10.6× |
| Mammography, one breast (diagnostic) (77065) |
$214.85 |
$288 |
1.9× |
| Mammography, both breasts (diagnostic) (77066) |
$323.76 |
$434 |
2.8× |
| Mammography, screening (bilateral) (77067) |
$236.57 |
$284 |
2.1× |
| Basic metabolic panel (80048) |
$68.26 |
$111 |
8.1× |
| Comprehensive metabolic panel (80053) |
$84.25 |
$137 |
8.0× |
| Lipid panel (80061) |
$46.43 |
$75.50 |
3.5× |
| Renal function panel (80069) |
$95.94 |
$156 |
11.1× |
| Hepatic function panel (80076) |
$66.42 |
$108 |
8.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$6.52 |
$11 |
1.9× |
| PSA, total (84153) |
$34.44 |
$56 |
1.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$68.26 |
$111 |
4.1× |
| CBC with automated differential (85025) |
$28.30 |
$44.50 |
3.6× |
| CBC, automated (85027) |
$34.34 |
$54 |
5.3× |
| Prothrombin time (PT) (85610) |
$20.36 |
$32 |
4.7× |
| Partial thromboplastin time (PTT) (85730) |
$23.21 |
$36.50 |
3.9× |
| Psychotherapy, 30 minutes (90832) |
$79.86 |
$146 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$106.67 |
$195 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$158.08 |
$289 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$246.16 |
$343 |
1.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$256.92 |
$358 |
1.4× |
| Group psychotherapy (90853) |
$221 |
$405.50 |
2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$75.76 |
$127 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$116.49 |
$330 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$173.38 |
$455 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$228.72 |
$520 |
1.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$104.35 |
$198 |
0.8× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$168.11 |
$319 |
1.2× |