| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,844.05 |
$2,837 |
1.9× |
| CT head/brain without contrast (70450) |
$2,028.65 |
$3,121 |
17.4× |
| MRI brain without contrast (70551) |
$1,625 |
$2,500 |
6.1× |
| MRI brain with contrast (70552) |
$2,055.95 |
$3,163 |
5.3× |
| MRI brain without and with contrast (70553) |
$2,535 |
$3,900 |
6.5× |
| X-ray lower spine, 4+ views (72110) |
$575.25 |
$885 |
4.9× |
| MRI lumbar spine without contrast (72148) |
$1,885 |
$2,900 |
7.1× |
| CT pelvis with contrast (72193) |
$3,060.20 |
$4,708 |
15.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,885 |
$2,900 |
7.1× |
| CT abdomen and pelvis with contrast (74177) |
$3,788.85 |
$5,829 |
9.7× |
| Ultrasound, abdomen complete (76700) |
$1,045.20 |
$1,608 |
9.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,045.20 |
$1,608 |
9.0× |
| Ultrasound, transvaginal (76830) |
$707.20 |
$1,088 |
6.1× |
| Mammography, one breast (diagnostic) (77065) |
$323.70 |
$498 |
3.8× |
| Mammography, both breasts (diagnostic) (77066) |
$493.02 |
$758.50 |
4.5× |
| Mammography, screening (bilateral) (77067) |
$280.15 |
$431 |
3.1× |
| Basic metabolic panel (80048) |
$162.50 |
$250 |
19.2× |
| Comprehensive metabolic panel (80053) |
$115.38 |
$177.50 |
10.9× |
| Lipid panel (80061) |
$71.50 |
$110 |
5.3× |
| Renal function panel (80069) |
$130 |
$200 |
15.0× |
| Hepatic function panel (80076) |
$151.45 |
$233 |
18.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$22.10 |
$34 |
5.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$16.25 |
$25 |
4.7× |
| PSA, total (84153) |
$120.25 |
$185 |
6.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$144.62 |
$222.50 |
8.6× |
| CBC with automated differential (85025) |
$66.62 |
$102.50 |
8.6× |
| CBC, automated (85027) |
$63.70 |
$98 |
9.8× |
| Prothrombin time (PT) (85610) |
$29.58 |
$45.50 |
6.9× |
| Partial thromboplastin time (PTT) (85730) |
$59.15 |
$91 |
9.8× |
| Psychotherapy, 30 minutes (90832) |
$146.58 |
$225.50 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$207.35 |
$319 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$100.75 |
$155 |
0.5× |
| Group psychotherapy (90853) |
$163.80 |
$252 |
1.4× |
| Left heart catheterization (93452) |
$9,360 |
$14,400 |
2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$100.10 |
$154 |
3.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$399.10 |
$614 |
2.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$425.10 |
$654 |
2.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$299.65 |
$461 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$202.80 |
$312 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$240.50 |
$370 |
— |