| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,113 |
$2,226 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,113 |
$2,226 |
1.1× |
| CT head/brain without contrast (70450) |
$1,382.50 |
$2,765 |
11.2× |
| MRI brain without contrast (70551) |
$2,080.50 |
$4,161 |
7.4× |
| MRI brain with contrast (70552) |
$2,571 |
$5,142 |
6.2× |
| MRI brain without and with contrast (70553) |
$3,267 |
$6,534 |
7.9× |
| X-ray lower spine, 4+ views (72110) |
$494.50 |
$989 |
4.0× |
| MRI lumbar spine without contrast (72148) |
$2,013 |
$4,026 |
7.1× |
| CT pelvis with contrast (72193) |
$1,399.50 |
$2,799 |
6.8× |
| MRI lower-extremity joint without contrast (73721) |
$2,013 |
$4,026 |
7.1× |
| CT abdomen and pelvis with contrast (74177) |
$2,298.50 |
$4,597 |
5.6× |
| Ultrasound, abdomen complete (76700) |
$899.50 |
$1,799 |
7.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$693 |
$1,386 |
5.6× |
| Ultrasound, transvaginal (76830) |
$572 |
$1,144 |
4.6× |
| Basic metabolic panel (80048) |
$222 |
$444 |
26.2× |
| Comprehensive metabolic panel (80053) |
$388 |
$776 |
36.7× |
| Lipid panel (80061) |
$133.50 |
$267 |
10.0× |
| Renal function panel (80069) |
$292 |
$584 |
33.6× |
| Hepatic function panel (80076) |
$236 |
$472 |
28.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$32.50 |
$65 |
9.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$174 |
$348 |
10.4× |
| CBC with automated differential (85025) |
$117.50 |
$235 |
15.1× |
| CBC, automated (85027) |
$117.50 |
$235 |
18.2× |
| Prothrombin time (PT) (85610) |
$96.50 |
$193 |
22.5× |
| Partial thromboplastin time (PTT) (85730) |
$108 |
$216 |
18.0× |
| Psychotherapy, 30 minutes (90832) |
$211.50 |
$423 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$211.50 |
$423 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$211.50 |
$423 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$211.50 |
$423 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$211.50 |
$423 |
1.0× |
| Group psychotherapy (90853) |
$116 |
$232 |
1.0× |
| Left heart catheterization (93452) |
$4,268 |
$8,536 |
1.1× |
| Sleep study (attended polysomnography) (95810) |
$4,659.50 |
$9,319 |
4.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$156 |
$312 |
5.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$93.50 |
$187 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$93.50 |
$187 |
0.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$93.50 |
$187 |
0.6× |
| Office consultation (low complexity, ~30 min) (99243) |
$93.50 |
$187 |
0.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$93.50 |
$187 |
0.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$93.50 |
$187 |
— |