| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,078.48 |
$1,586 |
1.4× |
| CT head/brain without contrast (70450) |
$1,384.48 |
$2,036 |
15.1× |
| MRI brain without contrast (70551) |
$2,427.60 |
$3,570 |
11.6× |
| MRI brain without and with contrast (70553) |
$3,656.36 |
$5,377 |
12.0× |
| X-ray lower spine, 4+ views (72110) |
$465.80 |
$685 |
5.1× |
| MRI lumbar spine without contrast (72148) |
$2,861.44 |
$4,208 |
13.7× |
| CT pelvis with contrast (72193) |
$1,908.76 |
$2,807 |
12.4× |
| MRI lower-extremity joint without contrast (73721) |
$2,953.92 |
$4,344 |
14.1× |
| CT abdomen and pelvis with contrast (74177) |
$3,093.66 |
$4,549.50 |
10.1× |
| Ultrasound, abdomen complete (76700) |
$1,119.28 |
$1,646 |
12.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$348.84 |
$513 |
3.8× |
| Ultrasound, transvaginal (76830) |
$576.64 |
$848 |
6.3× |
| Mammography, one breast (diagnostic) (77065) |
$344.76 |
$507 |
4.0× |
| Mammography, both breasts (diagnostic) (77066) |
$400.86 |
$589.50 |
3.6× |
| Mammography, screening (bilateral) (77067) |
$306.34 |
$450.50 |
3.4× |
| Basic metabolic panel (80048) |
$163.88 |
$241 |
19.4× |
| Comprehensive metabolic panel (80053) |
$278.12 |
$409 |
26.3× |
| Lipid panel (80061) |
$113.56 |
$167 |
8.5× |
| Renal function panel (80069) |
$202.64 |
$298 |
23.3× |
| Hepatic function panel (80076) |
$186.32 |
$274 |
22.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$37.40 |
$55 |
9.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$34.34 |
$50.50 |
9.9× |
| PSA, total (84153) |
$168.64 |
$248 |
9.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$118.32 |
$174 |
7.0× |
| CBC with automated differential (85025) |
$133.28 |
$196 |
17.2× |
| CBC, automated (85027) |
$112.88 |
$166 |
17.4× |
| Prothrombin time (PT) (85610) |
$74.12 |
$109 |
17.3× |
| Partial thromboplastin time (PTT) (85730) |
$60.86 |
$89.50 |
10.1× |
| Electrocardiogram (ECG), complete (93000) |
$34 |
$50 |
0.7× |
| Left heart catheterization (93452) |
$476 |
$700 |
0.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$82.28 |
$121 |
2.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$140.08 |
$206 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$169.32 |
$249 |
1.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$198.56 |
$292 |
1.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$136 |
$200 |
1.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$244.80 |
$360 |
2.1× |