| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,013.41 |
$1,447.72 |
1.1× |
| CT head/brain without contrast (70450) |
$1,931.42 |
$2,759.16 |
18.4× |
| MRI brain without contrast (70551) |
$2,635.75 |
$3,765.35 |
11.0× |
| MRI brain with contrast (70552) |
$2,909.49 |
$4,156.41 |
8.3× |
| MRI brain without and with contrast (70553) |
$3,725.03 |
$5,321.47 |
10.7× |
| X-ray lower spine, 4+ views (72110) |
$708.67 |
$1,012.38 |
6.8× |
| MRI lumbar spine without contrast (72148) |
$2,864.94 |
$4,092.77 |
12.0× |
| CT pelvis with contrast (72193) |
$2,613.46 |
$3,733.51 |
14.9× |
| MRI lower-extremity joint without contrast (73721) |
$2,864.94 |
$4,092.77 |
12.0× |
| CT abdomen and pelvis with contrast (74177) |
$2,786.86 |
$3,981.22 |
8.0× |
| Ultrasound, abdomen complete (76700) |
$1,077.39 |
$1,539.12 |
10.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$953.98 |
$1,362.82 |
9.1× |
| Ultrasound, transvaginal (76830) |
$926.72 |
$1,323.88 |
8.9× |
| Mammography, one breast (diagnostic) (77065) |
$359.64 |
$513.76 |
4.2× |
| Mammography, both breasts (diagnostic) (77066) |
$439.14 |
$627.33 |
4.0× |
| Mammography, screening (bilateral) (77067) |
$321.81 |
$459.72 |
3.5× |
| Basic metabolic panel (80048) |
$196.10 |
$280.13 |
23.2× |
| Comprehensive metabolic panel (80053) |
$249.10 |
$355.85 |
23.6× |
| Lipid panel (80061) |
$129.47 |
$184.95 |
9.7× |
| Renal function panel (80069) |
$264.24 |
$377.48 |
30.4× |
| Hepatic function panel (80076) |
$330.11 |
$471.58 |
40.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$15.70 |
$22.42 |
4.5× |
| PSA, total (84153) |
$85.48 |
$122.11 |
4.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$136.29 |
$194.69 |
8.1× |
| CBC with automated differential (85025) |
$147.93 |
$211.32 |
19.0× |
| CBC, automated (85027) |
$115.84 |
$165.48 |
17.9× |
| Prothrombin time (PT) (85610) |
$77.23 |
$110.32 |
18.0× |
| Partial thromboplastin time (PTT) (85730) |
$95.94 |
$137.06 |
16.0× |
| Electrocardiogram (ECG), complete (93000) |
$67.90 |
$97 |
1.1× |
| Sleep study (attended polysomnography) (95810) |
$3,717.49 |
$5,310.70 |
4.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$150.76 |
$215.36 |
5.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$142.67 |
$203.81 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$213.17 |
$304.52 |
1.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$231 |
$330 |
1.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$315 |
$450 |
2.4× |