| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,848.30 |
$3,030 |
2.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,468.88 |
$2,408 |
1.6× |
| CT head/brain without contrast (70450) |
$1,584.78 |
$2,598 |
14.6× |
| MRI brain without contrast (70551) |
$2,357.04 |
$3,864 |
9.5× |
| MRI brain with contrast (70552) |
$2,727.31 |
$4,471 |
7.5× |
| MRI brain without and with contrast (70553) |
$2,996.93 |
$4,913 |
8.3× |
| X-ray lower spine, 4+ views (72110) |
$536.19 |
$879 |
4.9× |
| MRI lumbar spine without contrast (72148) |
$1,821.46 |
$2,986 |
7.4× |
| CT pelvis with contrast (72193) |
$1,825.73 |
$2,993 |
10.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,751.92 |
$2,872 |
7.1× |
| CT abdomen and pelvis with contrast (74177) |
$3,605.71 |
$5,911 |
10.0× |
| Ultrasound, abdomen complete (76700) |
$810.69 |
$1,329 |
7.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$864.37 |
$1,417 |
8.0× |
| Ultrasound, transvaginal (76830) |
$651.48 |
$1,068 |
6.0× |
| Mammography, one breast (diagnostic) (77065) |
$218.99 |
$359 |
2.5× |
| Mammography, both breasts (diagnostic) (77066) |
$274.50 |
$450 |
2.5× |
| Mammography, screening (bilateral) (77067) |
$241.56 |
$396 |
2.6× |
| Basic metabolic panel (80048) |
$111.02 |
$182 |
13.1× |
| Comprehensive metabolic panel (80053) |
$148.84 |
$244 |
14.1× |
| Obstetric panel (80055) |
$110.41 |
$181 |
2.3× |
| Lipid panel (80061) |
$51.24 |
$84 |
3.8× |
| Renal function panel (80069) |
$127.49 |
$209 |
14.7× |
| Hepatic function panel (80076) |
$131.76 |
$216 |
16.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$39.04 |
$64 |
9.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$47.58 |
$78 |
13.7× |
| PSA, total (84153) |
$79.30 |
$130 |
4.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$97.60 |
$160 |
5.8× |
| CBC with automated differential (85025) |
$85.40 |
$140 |
11.0× |
| CBC, automated (85027) |
$60.39 |
$99 |
9.3× |
| Prothrombin time (PT) (85610) |
$51.24 |
$84 |
11.9× |
| Partial thromboplastin time (PTT) (85730) |
$63.44 |
$104 |
10.6× |
| Psychotherapy, 45 minutes (90834) |
$134.81 |
$221 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$196.42 |
$322 |
1.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$154.94 |
$254 |
0.8× |
| Group psychotherapy (90853) |
$95.77 |
$157 |
0.9× |
| Left heart catheterization (93452) |
$12,551.36 |
$20,576 |
3.7× |
| Sleep study (attended polysomnography) (95810) |
$3,078.06 |
$5,046 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$83.57 |
$137 |
2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$325.74 |
$534 |
2.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$391.62 |
$642 |
2.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$401.38 |
$658 |
2.9× |