| Diagnostic colonoscopy (45378) |
$849.90 |
$1,416.50 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,876.80 |
$3,128 |
2.1× |
| CT head/brain without contrast (70450) |
$2,198.40 |
$3,664 |
20.7× |
| MRI brain without contrast (70551) |
$4,063.50 |
$6,772.50 |
16.8× |
| MRI brain with contrast (70552) |
$4,170.30 |
$6,950.50 |
11.8× |
| MRI brain without and with contrast (70553) |
$4,790.70 |
$7,984.50 |
13.5× |
| X-ray lower spine, 4+ views (72110) |
$759 |
$1,265 |
7.1× |
| MRI lumbar spine without contrast (72148) |
$4,096.50 |
$6,827.50 |
16.9× |
| CT pelvis with contrast (72193) |
$2,854.50 |
$4,757.50 |
16.0× |
| MRI lower-extremity joint without contrast (73721) |
$4,097.10 |
$6,828.50 |
16.9× |
| CT abdomen and pelvis with contrast (74177) |
$5,214 |
$8,690 |
14.7× |
| Ultrasound, abdomen complete (76700) |
$1,178.40 |
$1,964 |
11.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$991.80 |
$1,653 |
9.3× |
| Ultrasound, transvaginal (76830) |
$1,402.20 |
$2,337 |
13.2× |
| Mammography, one breast (diagnostic) (77065) |
$625.80 |
$1,043 |
7.3× |
| Mammography, both breasts (diagnostic) (77066) |
$733.80 |
$1,223 |
6.6× |
| Mammography, screening (bilateral) (77067) |
$653.10 |
$1,088.50 |
7.2× |
| Basic metabolic panel (80048) |
$229.20 |
$382 |
27.1× |
| Comprehensive metabolic panel (80053) |
$246.60 |
$411 |
23.4× |
| Lipid panel (80061) |
$153 |
$255 |
11.4× |
| Renal function panel (80069) |
$175.80 |
$293 |
20.3× |
| Hepatic function panel (80076) |
$208.20 |
$347 |
25.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$36.90 |
$61.50 |
10.6× |
| PSA, total (84153) |
$210 |
$350 |
11.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$228.30 |
$380.50 |
13.6× |
| CBC with automated differential (85025) |
$177.60 |
$296 |
22.9× |
| CBC, automated (85027) |
$100.20 |
$167 |
15.5× |
| Prothrombin time (PT) (85610) |
$70.80 |
$118 |
16.5× |
| Partial thromboplastin time (PTT) (85730) |
$49.80 |
$83 |
8.3× |
| Psychotherapy, 30 minutes (90832) |
$426 |
$710 |
2.4× |
| Psychotherapy, 45 minutes (90834) |
$582.60 |
$971 |
3.2× |
| Psychotherapy, 60 minutes (90837) |
$270 |
$450 |
1.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$856.80 |
$1,428 |
4.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$856.80 |
$1,428 |
4.8× |
| Group psychotherapy (90853) |
$180 |
$300 |
1.7× |
| Left heart catheterization (93452) |
$13,331.70 |
$22,219.50 |
4.0× |
| Sleep study (attended polysomnography) (95810) |
$4,761 |
$7,935 |
5.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$157.80 |
$263 |
5.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$375.90 |
$626.50 |
2.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$441.90 |
$736.50 |
3.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$518.70 |
$864.50 |
3.8× |