| Transforaminal epidural injection, lumbar/sacral (64483) |
$403.18 |
$1,439.90 |
0.5× |
| CT head/brain without contrast (70450) |
$599 |
$2,139.28 |
6.6× |
| MRI brain without contrast (70551) |
$800.42 |
$2,858.62 |
3.9× |
| MRI brain with contrast (70552) |
$1,088.57 |
$3,887.73 |
3.6× |
| MRI brain without and with contrast (70553) |
$1,343.01 |
$4,796.44 |
4.4× |
| X-ray lower spine, 4+ views (72110) |
$200.24 |
$715.11 |
2.2× |
| MRI lumbar spine without contrast (72148) |
$1,067.22 |
$3,811.50 |
5.2× |
| CT pelvis with contrast (72193) |
$695.22 |
$2,482.92 |
4.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,067.22 |
$3,811.50 |
5.2× |
| CT abdomen and pelvis with contrast (74177) |
$1,312.18 |
$4,686.33 |
4.3× |
| Ultrasound, abdomen complete (76700) |
$372.68 |
$1,331 |
4.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$237.84 |
$849.42 |
2.6× |
| Ultrasound, transvaginal (76830) |
$175.50 |
$626.78 |
1.9× |
| Mammography, one breast (diagnostic) (77065) |
$106.73 |
$381.15 |
1.2× |
| Mammography, both breasts (diagnostic) (77066) |
$115.20 |
$411.40 |
1.0× |
| Mammography, screening (bilateral) (77067) |
$99.10 |
$353.92 |
1.1× |
| Basic metabolic panel (80048) |
$32.19 |
$114.95 |
3.8× |
| Comprehensive metabolic panel (80053) |
$68.78 |
$245.63 |
6.5× |
| Lipid panel (80061) |
$38.63 |
$137.94 |
2.9× |
| Renal function panel (80069) |
$43.37 |
$154.88 |
5.0× |
| Hepatic function panel (80076) |
$38.29 |
$136.73 |
4.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$7.12 |
$25.41 |
2.0× |
| PSA, total (84153) |
$49.13 |
$175.45 |
2.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$65.05 |
$232.32 |
3.9× |
| CBC with automated differential (85025) |
$32.53 |
$116.16 |
4.2× |
| CBC, automated (85027) |
$37.95 |
$135.52 |
5.9× |
| Prothrombin time (PT) (85610) |
$21.69 |
$77.44 |
5.1× |
| Partial thromboplastin time (PTT) (85730) |
$27.79 |
$99.22 |
4.6× |
| Psychotherapy, 30 minutes (90832) |
$64.72 |
$231.11 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$97.24 |
$347.27 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$115.54 |
$412.61 |
0.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$82.33 |
$294.03 |
0.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$105.54 |
$376.92 |
0.7× |
| Group psychotherapy (90853) |
$155.51 |
$555.39 |
1.8× |
| Left heart catheterization (93452) |
$2,753.09 |
$9,832.46 |
1.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$48.11 |
$171.82 |
1.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$95.88 |
$342.43 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$110.12 |
$393.25 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$140.94 |
$503.36 |
1.2× |