| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,998.10 |
$4,283 |
3.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,091.20 |
$4,416 |
3.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$928.90 |
$1,327 |
1.8× |
| CT head/brain without contrast (70450) |
$963.20 |
$1,376 |
9.6× |
| MRI brain without contrast (70551) |
$1,546.30 |
$2,209 |
6.8× |
| MRI brain with contrast (70552) |
$2,031.75 |
$2,902.50 |
6.1× |
| MRI brain without and with contrast (70553) |
$2,613.45 |
$3,733.50 |
7.8× |
| X-ray lower spine, 4+ views (72110) |
$439.95 |
$628.50 |
4.4× |
| MRI lumbar spine without contrast (72148) |
$1,681.40 |
$2,402 |
7.4× |
| CT pelvis with contrast (72193) |
$1,666.35 |
$2,380.50 |
9.9× |
| MRI lower-extremity joint without contrast (73721) |
$1,580.95 |
$2,258.50 |
6.9× |
| CT abdomen and pelvis with contrast (74177) |
$3,122 |
$4,460 |
9.4× |
| Ultrasound, abdomen complete (76700) |
$917 |
$1,310 |
9.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$550.90 |
$787 |
5.5× |
| Ultrasound, transvaginal (76830) |
$682.50 |
$975 |
6.8× |
| Mammography, one breast (diagnostic) (77065) |
$211.40 |
$302 |
2.5× |
| Mammography, both breasts (diagnostic) (77066) |
$236.60 |
$338 |
2.1× |
| Mammography, screening (bilateral) (77067) |
$224.35 |
$320.50 |
2.5× |
| Basic metabolic panel (80048) |
$186.20 |
$266 |
22.0× |
| Comprehensive metabolic panel (80053) |
$305.90 |
$437 |
29.0× |
| Lipid panel (80061) |
$285.60 |
$408 |
21.3× |
| Renal function panel (80069) |
$63 |
$90 |
7.3× |
| Hepatic function panel (80076) |
$240.80 |
$344 |
29.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$14.70 |
$21 |
4.2× |
| PSA, total (84153) |
$352.10 |
$503 |
19.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$389.90 |
$557 |
23.2× |
| CBC with automated differential (85025) |
$175 |
$250 |
22.5× |
| CBC, automated (85027) |
$175 |
$250 |
27.0× |
| Prothrombin time (PT) (85610) |
$60.20 |
$86 |
14.0× |
| Partial thromboplastin time (PTT) (85730) |
$119 |
$170 |
19.8× |
| Psychotherapy, 30 minutes (90832) |
$84 |
$120 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$112 |
$160 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$224 |
$320 |
1.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$112 |
$160 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$112 |
$160 |
0.7× |
| Group psychotherapy (90853) |
$224 |
$320 |
2.3× |
| Left heart catheterization (93452) |
$8,855.70 |
$12,651 |
2.9× |
| Sleep study (attended polysomnography) (95810) |
$4,868.50 |
$6,955 |
5.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$186.55 |
$266.50 |
6.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$270.20 |
$386 |
2.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$358.40 |
$512 |
2.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$490.70 |
$701 |
3.9× |