| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,646.32 |
$2,351.88 |
2.1× |
| CT head/brain without contrast (70450) |
$1,144 |
$1,634.28 |
12.1× |
| MRI brain without contrast (70551) |
$1,999.17 |
$2,855.95 |
9.3× |
| MRI brain with contrast (70552) |
$2,539.95 |
$3,628.50 |
8.0× |
| MRI brain without and with contrast (70553) |
$3,286.96 |
$4,695.65 |
10.4× |
| X-ray lower spine, 4+ views (72110) |
$344.61 |
$492.30 |
3.6× |
| MRI lumbar spine without contrast (72148) |
$1,935.54 |
$2,765.05 |
9.0× |
| CT pelvis with contrast (72193) |
$1,703.58 |
$2,433.68 |
10.7× |
| MRI lower-extremity joint without contrast (73721) |
$2,213.30 |
$3,161.85 |
10.2× |
| CT abdomen and pelvis with contrast (74177) |
$2,953.80 |
$4,219.70 |
9.4× |
| Ultrasound, abdomen complete (76700) |
$746.34 |
$1,066.20 |
7.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$531.79 |
$759.70 |
5.6× |
| Ultrasound, transvaginal (76830) |
$407.65 |
$582.35 |
4.3× |
| Mammography, one breast (diagnostic) (77065) |
$220.71 |
$315.30 |
2.6× |
| Mammography, both breasts (diagnostic) (77066) |
$272.72 |
$389.60 |
2.5× |
| Mammography, screening (bilateral) (77067) |
$239.61 |
$342.30 |
2.6× |
| Basic metabolic panel (80048) |
$154.32 |
$220.45 |
18.2× |
| Comprehensive metabolic panel (80053) |
$171.89 |
$245.55 |
16.3× |
| Obstetric panel (80055) |
$154.07 |
$220.10 |
3.2× |
| Lipid panel (80061) |
$122.26 |
$174.65 |
9.1× |
| Renal function panel (80069) |
$109.87 |
$156.95 |
12.7× |
| Hepatic function panel (80076) |
$113.44 |
$162.05 |
13.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$23.59 |
$33.70 |
6.8× |
| PSA, total (84153) |
$90.20 |
$128.85 |
4.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$113.79 |
$162.55 |
6.8× |
| CBC with automated differential (85025) |
$70.49 |
$100.70 |
9.1× |
| CBC, automated (85027) |
$59.92 |
$85.60 |
9.3× |
| Prothrombin time (PT) (85610) |
$42.14 |
$60.20 |
9.8× |
| Partial thromboplastin time (PTT) (85730) |
$55.65 |
$79.50 |
9.3× |
| Psychotherapy, 30 minutes (90832) |
$196.04 |
$280.05 |
1.2× |
| Psychotherapy, 45 minutes (90834) |
$207.48 |
$296.40 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$256.76 |
$366.80 |
1.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$262.40 |
$374.85 |
1.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$277.83 |
$396.90 |
1.7× |
| Group psychotherapy (90853) |
$183.12 |
$261.60 |
2.0× |
| Sleep study (attended polysomnography) (95810) |
$3,062.85 |
$4,375.50 |
3.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$92.19 |
$131.70 |
3.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$142.70 |
$203.85 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$172.38 |
$246.25 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$196.11 |
$280.15 |
1.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$125.83 |
$179.75 |
1.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$152.01 |
$217.15 |
1.3× |